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PubMed1999

Prevalence of intestinal parasitic infections in patients with acquired immunodeficiency syndrome in Brazil.

OBJECTIVES: To evaluate the prevalence of intestinal parasitic infections and to investigate the possible associations of clinical status and laboratory findings with the different parasites found in stool samples. METHODS: Each patient was provided with one standard fecal collection vial containing 10% formalin for detecting ova, larvae, and cysts. To detect Cryptosporidium parvum and Isospora belli, the acid-fast Kinyoun stain and fluorescent auramine-rhodamine stain were used. RESULTS: A total of 200 patients with acquired immunodeficiency syndrome participated in this study; 40% were infected with at least one pathogenic species. The total prevalence of parasites was 16% for Giardia lamblia, 13% for Entamoeba coli, 7% for Cryptosporidium parvum, 3.5% for Endolimax nana, 2.5% for Ascaris lumbricoides, 2.5% for Strongyloides stercoralis, 2% for Isospora belli, and 0.5% for Blastocystis hominis. Results showed that diarrhea was significantly associated with cryptosporidiosis, giardiasis, and isosporiasis. However, no association was observed between the CD4+ cell counts and the manifestation of any particular parasite. CONCLUSIONS: The data support the value of standard fecal examinations in human immunodeficiency virus-infected patients, even in the absence of diarrhea, since these examinations easily can be performed, with low costs, and frequently disclose treatable conditions.

AIDS-Related Opportunistic Infections↗
PubMed1975

A survey of intestinal parasitism in a community on the Pan American Highway route in eastern Panama.

A survey of intestinal parasitism was conducted at Yaviza, a town in eastern Panama's Province of Darien. Single stool specimens from 202 persons, representing 11 percent of the town's total population, were examined. In all, 181 (90 per cent) of the specimens examined were found positive for one or more potentially pathogenic parasites. The most common parasite found was Trichuris trichiura, which was observed in 80 per cent of the samples. Others were Ascaris lumbricoides, in 62 per cent of the samples; hookworm, in 41 per cent; Entamoeba histolytica, in 16 per cent; Stronhyloides stercoralis, in 7 per cent; Giardia lamblia, in 5 per cent; and Hymenolepis diminuta, in 0.5 per cent. The aim of the survey was to gather baseline data on parasite prevalence before the Pan American Highway passes through this area. Construction of the highway is producing marked environmental change. in eastern Panama, and it is anticipated that the date from the survey will prove useful in later efforts to assess the health impact of that change.

Adolescent↗
PubMed2001

Redescription and systematic status of Capillaria philippinensis, an intestinal parasite of human beings.

A redescription of the capillariid originally described as Capillaria philippinensis, a pathogenic intestinal parasite of humans, is provided on the basis of specimens collected in humans in the Philippines. The general morphology, particularly the structure of the male caudal end, shows that this species belongs to Paracapillaria Mendonça, 1963 according to the present classification system of capillariids; the species is transferred to Paracapillaria as Paracapillaria philippinensis (Chitwood, Velasquez, and Salazar, 1968) n. comb. Crossicapillaria n. subgen. is proposed to accommodate this species.

Animals↗
PubMed2006

The prevalence of intestinal parasites in dogs from Prague, rural areas, and shelters of the Czech Republic.

The prevalence of intestinal parasites was evaluated by examination of dog faecal samples in the Prague city centre, agricultural areas, and two shelters. The overall prevalence of parasites (i.e., protozoa and helminths, mentioned below) in Prague was 17.6%. Toxocara canis was the most common parasite, and was recovered from 6.2% of dogs, followed by Cystoisospora spp. (2.4%), Cryptosporidium spp. (1.4%), Trichuris sp. (1.1%), Taenia-type (1.0%), Giardia spp. (0.1%), Toxascaris sp. (0.9%), Dipylidium sp. (0.7%), Sarcocystis spp. (0.6%), Capillaria spp. (0.6%), Neospora/Hammondia spp. (0.5%), Ancylostoma sp. (0.4%), Uncinaria sp. (0.4%), and Spirocerca sp. (0.2%). The prevalence of infections with helminths and protozoans in two animal shelters in Prague was examined at the dog's admittance ir reception to the shelters and during housing. T. canis eggs (6.5%), Cystoisospora (4.4%), and Giardia (3.3%) cysts were the most prevalent. Significant increases in the prevalence of some parasites were found after a stay in the shelter. Giardia spp. showed an 11-fold increase in prevalence of dogs placed in the shelters for a longer time; Cryptosporidium spp. had a 7-fold increase, Capillaria spp. a 5-fold, Spirocerca sp., Neospora/Hammondia spp., and Cystoisospora spp. a 4-fold increase over dogs examined at the time of admittance to the shelter (p<0.01). Dog in rural areas were infected significantly more frequently (p<0.01) than those in Prague. In 540 faecal samples from rural areas, the overall prevalence of parasites (i.e., protozoa and helminths mentioned below) was 41.7%. The prevalence of T. canis was 13.7%, followed by Cystoisospora spp. (8.0%), Taenia spp. (3.5%), Sarcocystis spp. (3.0%), Giardia spp. (2.2%), Cryptosporidium spp. (2.0%), Trichuris sp. (1.7%), Toxascaris sp. (1.7%), Dipylidium sp. (1.3%), Neospora/Hammondia spp. (1.3%), Spirocerca sp. (1.1%), Uncinaria sp. (0.9%), Ancylostoma sp. (0.7%), and Capillaria spp. (0.6%). Examinations of dogs in urban and rural areas showed, with the exception of Trichuris sp. in Prague, a higher occurrence of nematode infection in autumn, notably T. canis (chi2>8.3, d.f.=3, p<0.04).

Animal Husbandry↗
PubMed1993

Comparison of pooled formalin-preserved fecal specimens with three individual samples for detection of intestinal parasites.

Triplicate preserved fecal samples from 265 patients were pooled into single samples, and the recovery rate of intestinal parasites from the pooled samples was compared with that from the individual samples. Parasites were detected in 109 patients when results from the individual samples were used compared with 108 patients when results from the pooled specimens were used. Pooling preserved fecal samples is an efficient and economical procedure for the detection of ova and parasites.

Animals↗
PubMed1998

Prevalence of intestinal parasites among children in southern Sudan.

A study was conducted in southern Sudan to determine the prevalence of intestinal parasites among school children. A total of 275 stool samples which were examined using formol-ether concentration techniques yielded 15 different species of parasites. Hook worm with a prevalence of 13.1% was the predominant nematode followed by Strongyloides stercoralis (3.3%), Trichostrongylus (2.5%), Schistosoma mansoni (2.2%) and Trichuris trichiura (1.8%). Ascaris lumbricoides and cestodes were not detected in this population. Intestinal protozoans were common. Entamoeba coli (37.8%), Entamoeba histolytica (28.4%) and Giardia lamblia (9.8%). Children in the age group 6-10 years old were the most affected followed by the 11-15 year-old age group. The infection rate was slightly higher in males than females.

Adolescent↗
PubMed1996

Prevalence of intestinal parasitic infection among children in two villages in Lao PDR.

The prevalence of intestinal parasitic infection among 128 children under 15 years old in two villages in Khammouane Province, southeastern Lao PDR, was investigated. Overall prevalence of helminth infection was 77.3%; the prevalence was 64.8% in children under 6 years, 88.5% in those aged 6-10 years and 81.8% in the age group above 11 years. The prevalent helminths found in the subjects were Ascaris lumbricoides (48.4%), Trichuris trichiura (43.8%), hookworm (37.5%) and Opisthorchis viverrini (37.5%). Intestinal protozoan infection was demonstrated in 14.1%; Giardia lamblia was the most prevalent (8.6%) protozoan species.

Adolescent↗
PubMed1984

Intestinal parasitic infection and other sexually transmitted diseases in asymptomatic homosexual men.

76/133 (57%) asymptomatic homosexual men harboured intestinal parasites. Of these, 40 had Entamoeba histolytica or Giardia lamblia, or both. In a control group of heterosexual men, no pathogenic protozoa were found. Stool specimen cultures for Salmonella, Shigella, and Campylobacter were negative. 7% of the homosexual men were infected with Neisseria gonorrhoeae in the pharynx or rectum, or both, and 5% with Chlamydia trachomatis in the urethra or rectum. Serological evidence of syphilis was detected in 18 men (13.5%) of whom 2 were untreated. Serological markers of hepatitis A were found in 20% and of hepatitis B in 48%. The prevalence of antibodies to cytomegalovirus was higher in homosexual than in heterosexual men (88% versus 59%).

Adolescent↗
PubMed2004

Interleukin-4- and interleukin-13-mediated host protection against intestinal nematode parasites.

Intestinal worm infections characteristically induce T-helper 2 cell (Th2) cytokine production. We reviewed studies performed with mice infected with either of two intestinal nematode parasites, Nippostrongylus brasiliensis or Trichinella spiralis, that evaluate the importance of the Th2 cytokine interleukin-4 (IL-4) and IL-13 in protection against these parasites. These studies demonstrate that while IL-4/IL-13 protect against both parasites by activating signal transducer and activator of transcription 6 (Stat6) through IL-4 receptor alpha (IL-4Ralpha) ligation, Stat6 activation protects against these parasites through different mechanisms. Stat6-dependent gene transcription promotes expulsion of N. brasiliensis solely through effects on non-bone marrow-derived cells that may include enhancement of intestinal smooth muscle contractility, changes in intestinal epithelial cell function, and increased intestinal mucus secretion. In contrast, Stat6 signaling promotes immunity to T. spiralis both through effects on bone marrow-derived cells that can be reproduced by treating mice with IL-4 or IL-13 and through effects on non-bone marrow-derived cells. The former effects appear to include T-cell-dependent induction of intestinal mastocytosis, while the latter sensitize non-bone marrow-derived cells to mast cell-produced mediators. We argue that a limited ability of the host immune system to distinguish among different nematode parasites has led to the evolution of a stereotyped Th2 response that activates a set of effector mechanisms that protects against most intestinal nematode parasites.

Animals↗
PubMedDate not supplied

[Training for diagnosis of intestinal parasitic diseases in the national laboratory system of Cuba].

A national training project in the diagnosis of intestinal parasites was conducted in 1997. An initial national course was followed respectively by courses in the Central, Eastern, and Western Provinces. Our results showed that Cryptosporidium parvum, Cyclospora cayetanensis, and leukocytes showed a significantly lower percentage of errors after the training than before (p < 0.01). The same occurred with Entamoeba histolytica/E. dispar and Chilomastix mesnilii (p < 0.05). Among the helminths, Taenia spp., Fasciola hepatica, and hookworm showed significantly fewer errors after the training (p < 0.01). In the other specimens, few mistakes were found both at the beginning and after the training, and the percentage of errors did not change (p > 0.05). Furthermore, when comparing scores before and after training, a significant increase in median scores appeared in the Central Provinces (p < 0.05), Western Provinces (p < 0.01), and in the entire series (p < 0.01). The results showed the effectiveness of this intervention; these periodic mandatory training courses should be developed together with national programs for quality assessment in Parasitology.

Cuba↗
PubMed1986

Entamoeba histolytica as a commensal intestinal parasite in homosexual men.

Entamoeba histolytica is considered to be an uncommon, imported organism in the United Kingdom and in many parts of North America, but recent attention has been drawn to the possibility of sexual transmission of this parasite among homosexual men. To determine the prevalence and clinical importance of enteric parasitic infections in men attending a clinic in London for the treatment of sexually transmitted diseases, we studied 354 randomly selected patients who provided a single stool sample that was examined for E. histolytica and other intestinal parasites. Forty-five of the 225 homosexual patients (20 percent) were infected with E. histolytica, but no such infections were found among the 129 heterosexual subjects (P less than 0.0001). With the use of isoenzyme electrophoresis, 34 of the 45 E. histolytica isolates were classified according to zymodeme. All were Zymodeme I or III, which are considered to be nonpathogenic. There was no correlation between the presence of E. histolytica and gastrointestinal symptoms. These findings suggest that E. histolytica is a common commensal in the homosexual population and that, in the absence of evidence of invasive disease, treatment of persons passing cysts of the organism may have little practical benefit.

Adult↗
PubMed1991

Intestinal parasitism in Himachal Pradesh.

A total of 1629 cases were included in the study for the presence of intestinal parasites during 12 mobile camps in different areas of Himachal Pradesh. 47.08% were positive for parasites. The prevalence rate of helminthic parasites was 32.41% and that of protozoal parasites was 20.81%. The parasitic prevalence has been discussed in the light of peculiar geographical situation of the area.

Altitude↗
PubMed1987

Intestinal parasites in pet store puppies in Atlanta.

We examined 143 pups from 14 Atlanta area pet stores for intestinal parasites and reviewed deworming practices and information given to customers. Seventy-four (52 per cent) of the pups had at least one parasite including Giardia sp. (34 per cent), Toxocara canis (12 per cent), and Isospora sp. (9 per cent). Eighty-eight per cent received some form of anthelminthic treatment while at the store. Only six (43 per cent) of the stores routinely informed clients of the need to continue deworming procedures once the pup left the store.

Animals↗
PubMed1980

Intestinal parasites in man in Labrador, Canada.

Labrador, a previously unsurveyed area of Canada, has been sampled for human intestinal parasites. Four hundred and one asymptomatic volunteers between 1 and 72 years of age, including Inuit, Naskapi and whites, were examined during the summer of 1977. They harboured: Entamoeba coli, E. histolytica, E. hartmanni, Giardia lamblia and Diphyllobothrium sp. The infection rates are considerably lower than those found in other studies of Northern Canadian communities.

Adolescent↗
PubMed2002

A cross-sectional study of intestinal parasitic infections among schoolchildren in Nan Province, Northern Thailand.

A cross-sectional study of the prevalence of intestinal parasitic infections at eight schools in Bo Klau district and four schools in Chalerm Prakiet district, Nan Province, in January and February, 2001. A total of 1,010 fecal samples were examined using the formalin-ether sedimentation technique. Results revealed that the rate of helminthic infection was 60.0%, while protozoa accounted for 36.2% of infections; mixed infections were common, resulting in a total prevalence of both parasites of 68.1%. Helminthic parasites, listed by frequency of infections, were Ascaris lumbricoides (21.7%), hookworm (18.5%), Trichuris trichiura (16.3%), Opisthorchis viverrini (1.7%), Strongyloides stercoralis (0.9%) and Enterobius vermicularis (0.9%). The protozoal infections were Entamoeba coli (25.8%), Giardia lamblia (5.3%), Endolimax nana (2.5%), Entamoeba histolytica (1.4%), Blastocystis hominis (0.8%), Chilomastix mesnili (0.3%) and Iodamoeba bütschlii (0.1%). This study emphasizes the need for improved environmental hygiene ie clean water supplies and enhanced sanitation, in affected communities. Health promotion, by means of a school-based educational approach is recommended; regular check-ups should be implemented, and a continuos program of treatment should be considered.

Child↗
PubMed1978

Studies on the intestinal parasites in African patients in Owamboland, South West Africa.

The paper gives the results of a survey of intestinal parasites among 501 in-patients drawn from four mission hospitals in Owambo and Kavango in northern South West Africa. Most of the patients (90%) were examined twice by the formol-ether concentration method, while the remaining 10% had one stool specimen examined. 10 species of helminths and 3 species of potentially-pathogenic protozoa were recorded--Necator americanus, Strongyloides stercoralis, Strongyloides fuelleborni, Hymenolepis nana, Taenia saginata, Trichuris trichura, Enterobius vermicularis, Fasciola gigantica, Schistosoma mansoni and S. haematobium, and Entamoeba histolytica, Giardia lamblia and Balantidium coli. The loads of Necator americanus were recorded in a few cases. The results are compared with those of some other Central and Southern African countries. 96 blood smears were examined for filaria and 46 patients were tested for bilharzia using the bilharzial skin test. Both groups gave only negative results.

Hookworm Infections↗