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DNA fingerprinting of the human intestinal parasite Giardia intestinalis with hypervariable minisatellite sequences.

Individual isolates of the Giardia duodenalis group of protozoan intestinal parasites were identified by DNA fingerprinting with hypervariable minisatellite sequences. A morphologically identical parasite is found in some forty different animal species. Although the species name intestinalis is reserved for the human isolates, electrophoretic karyotyping suggests that most duodenalis isolates fall into the same species grouping. Distinction based upon morphology, restriction endonuclease cleavage of genomic DNA or isoenzyme analysis has not been adequate to identify individual strains. The successful use of hypervariable sequences in the identification of individual human genomes encouraged us to examine the use of these same sequences for the possible identification of parasite isolates. We initially use as a fingerprinting probe the genome of the bacteriophage M13, which has repeated sequences recognising homologous hypervariable sequences in the human genome. The M13 probe recognises a weakly homologous set of hypervariable sequences in Giardia. The number of informative bands is comparable to those seen in mammals, since the lower molecular weight bands are also useful. There is considerable divergence in the sequences of individual Giardia minisatellites. Some cloned Giardia hypervariable sequences are more homologous to M13 than they are to each other. Similar results were observed with the hypervariable repeat sequences 3' to the human alpha-globin gene when they were used as a probe to distinguish Giardia isolates. The poly(dA-dC).poly(dG-dT) probe which recognises frequent TG tracts in a number of organisms also detects a few variable bands amidst a hybridisation background in the Giardia genome. Thus Giardia isolates which could not be distinguished by restriction endonuclease cleavage, antibody typing or isoenzyme analysis have been identified by DNA fingerprinting procedures. Detailed analysis of strain movement, resurgence, variation, host range and drug resistance is now possible. Similar families of sequences may be widespread in lower eukaryotes and useful for generating individual specific fingerprints. A procedure for detecting individual parasites is also presented. Since Giardia is regarded as the most ancient eukaryote before the occurrence of symbiosis with purple non-sulphur bacteria to generate mitochondria, the identification of hypervariable sequences in the Giardia genome should also aid in understanding the mechanism of generation and evolution of these sequences.

Animals↗

Intestinal parasites among African refugees resettled in Massachusetts and the impact of an overseas pre-departure treatment program.

This study analyzed the prevalence of intestinal parasitoses diagnosed shortly after arrival in the United States among African refugees before and after implementation of an overseas program of empirical treatment with albendazole. Variables included results of microscopy of a single stool specimen, age, sex, ethnicity, departure origin, and receipt of albendazole. Of 1,254 refugees, 56% had intestinal parasites. Fourteen percent had helminths, and 2% had multiple helminths. In addition, 52% had protozoans with 25% having multiple protozoans. The most common pathogens were Giardia lamblia (14%) and Trichuris trichiura (9%). Overall, refugees who arrived in Massachusetts after implementation of the treatment program were less likely to have any parasites (odds ratio [OR] = 0.61, 95% confidence interval [CI] = 0.47-0.78) and helminths (OR = 0.15, 95% CI = 0.09-0.24) than refugees who arrived previously. These more recently arrived refugees were also less likely to have hookworm (OR = 0.03, 95% CI = 0.00-0.29), Trichuris (OR = 0.05, 95% CI = 0.02-0.13), Ascaris (OR = 0.07, 95% CI = 0.01-0.58), and Entamoeba histolytica (OR = 0.47, 95% CI = 0.26-0.86). Empirically treating refugees prior to departure for the United States appears to have resulted in decreases in intestinal helminths and possibly some protozoans among African refugees tested shortly after arrival in this country.

Adolescent↗

Intestinal parasite infections in Western Australian Aborigines.

Giardia intestinalis (15.2%) and Hymenolepis nana (20.4%) were the two most frequently reported species in a study of intestinal parasites from 1683 Aboriginal people in Western Australia. Concurrent infection with the two species was statistically significant in the 0 to three years age group only (P < 0.01), and it is suggested that in older age groups the presence of one of these parasites may in some way inhibit the development of the other. Hymenolepis nana infection was more common in males than in females (P < 0.001). Hookworm and Strongyloides stercoralis infections were confined to the tropical north of the State. The total or near-total absence of infection with Ascaris lumbricoides, Trichuris trichiura and Entamoeba spp. (all frequent in eastern Australian Aboriginal communities) is noted, and possible reasons are discussed.

Adolescent↗

The formol-ether concentration technique for intestinal parasites: comparing 0.1 N sodium hydroxide with normal saline preparations.

The formol-ether method is a widely used technique for stool examination. We performed a comparative study of 0.1 N sodium hydroxide (NaOH) and normal saline preparation for the formol-ether technique in the detection of intestinal parasites. Of 30 parasite-containing stool samples, 22 (73%) were positive by 0.1 N NaOH and 18 (60%) were positive by normal saline. The detection rate of both preparations was not significantly different (p>0.05).

Animals↗

Intestinal parasites in Southeast-Asian refugees. Prevalence in a community of Laotians.

In response to public concerns, 165 Meo Laotians had stools screened for intestinal parasites by the Illinois Department of Public Health. One hundred twenty-nine had at least one pathogenic parasite detected. Hookworm was detected most frequently, followed by Giardia lamblia, Trichuris trichiura, and Ascaris lumbricoides. Hookworm and overall infection were more frequent in persons 4 years of age and older, while giardiasis, ascariasis, and trichuriasis were most common in the 4- to 14-year age group. Most infections were helminthic and of no public health consequence in the United States. However, giardiasis was seven times as prevalent in refugee children as in the general US population, posing a potential public health risk in child-care settings.

Adolescent↗

Intestinal parasites in the Camiri, Gutierrez and Boyuibe areas, Santa Cruz Department, Bolivia.

A parasitological study was carried out on 381 apparently healthy subjects from Camiri, Boyuibe, Gutierrez. Intestinal parasites and non-pathogenic protozoa were present in 78.7% of the population sampled; multiple infections were observed in 67.7% of the parasitized individuals. The protozoon most commonly found was Entamoeba coli (in 40.7% of specimens), followed by Giardia intestinalis (30.7%), Iodamoeba bütschlii (10%), Chilomastix mesnili (8.7%). Other protozoon parasites also present were Enteromonas hominis (3.4%), Retortamonas intestinalis (2.4%), Cryptosporidium (2.1%), Endolimax nana (2.1%), Balantidium coli (1.8%) and Pentatrichomonas hominis (0.8%). The helminths observed were hookworms (28.6%), Trichuris trichiura (19.7%), Ascaris lumbricoides (9.7%), Hymenolepis nana (8.7%), Trichostrongylus (5.5%), Strongyloides stercoralis (1.8%), Taenia (5 cases) and Enterobius (6 cases). Prevalence for nematodes is probably underestimated in the 3-9 years age group because of a mebendazole treatment given 5 weeks before the survey, under a Program of P D C of the Ministry of Health. The sample from Camiri was found to be the most parasitized (84.1%). An extraordinarily high infection rate was found in two urban institutions, as well as in Itanambicua, a rural community close to Camiri. No significant differences were observed in parasitic prevalence between rural and urban environments. Exposure to contamination with human and animal faeces, overcrowding and poor sanitation habits are some of the factors responsible for the parasitic situation evidenced.

Adolescent↗

Age-dependent requirement for gammadelta T cells in the primary but not secondary protective immune response against an intestinal parasite.

Between weaning (3 wk of age) and adulthood (7 wk of age), mice develop increased resistance to infection with Eimeria vermiformis, an abundant intestinal parasite that causes coccidiosis. This development of resistance was perturbed in T cell receptor (TCR)delta(-/-) mice, which at 4 wk of age remained largely susceptible to infection and prone to infection-associated dehydration. These phenotypes were rescued by the repopulation of gammadelta cells after adoptive transfer of lymphoid progenitors into newborn recipients. Because alphabeta T cells are necessary and sufficient for the protection of adult mice against E. vermiformis, the requirement for gammadelta cells in young mice shows a qualitative difference between the cellular immune responses operating at different ages. An important contribution toward primary immune protection in young hosts may have provided a strong selective pressure for the evolutionary conservation of gammadelta cells. This notwithstanding, the development of effective, pathogen-specific immunity in young mice requires alphabeta T cells, just as it does in adult mice.

Age Factors↗

[Incidence of intestinal parasites with fecal examination on the out patient of Pusan University Hospital]

Author studied on the incidence of intestinal parasites with fecal examination on the out patient Pusan University Hospital, between from January to December 1969. The method employed were Formalin-Ether and flotation method in 3,510 for the prevalence rate of intestinal helminthes(Ascaris lumbricoides, hookworm, Trichocephalus trichiurus, Trichostrongylus orientalis). The following results were obtained: The positive rate of intestinal helminthes of total was 65.4 percent among 3,510 persons. The infection rate of Ascaris lumbricoides, hookworm, Trichocephalus trichiurus, Trichostrongylus orientalis were 19.3 %, 6.5 %, 55.2 % and 46.1 %. The female (66.4%) had definitely higher infection rate than male (65.0 %). The age group of 51-60 year of the male showed highest infection rate 75.4 % and the age group 31-40 year of the female showed highest infection rate 72.9 %.

Journal Article↗

[Prevalence of giardiasis and intestinal parasites in pre-school children from homes being attended as part of a state programme in Armenia, Colombia].

OBJECTIVE: Determining the prevalence of giardiasis and intestinal parasitism in pre-school children from the Instituto Colombiano de Bienestar Familiar (ICBF). MATERIALS AND METHODS: Three serial faecal samples were collected from 328 children following informed consent from their legal guardians. Microscopic and macroscopic tests were made using 1% Lugol, 0.83% saline solution, saline-eosin solution and Kato Katz and Ritchie's test as a confirming test. Positive samples were preserved in saline formol solution. RESULTS: Pathogen parasites had the following prevalence frequencies: 2.4% for Ascaris lumbricoides, 0.6% for Hymenolepsis nana, 2.1% for Trichuris trichura, 6.1% for Blastocystis hominis and 13% for Giardia lamblia. CONCLUSIONS: The results of this work showed low helminth frequency compared to that for protozoa; control strategies using single doses of Albendazol are therefore not useful. The most prevalent pathogen parasite was Giardia lamblia in children from the ICBF in Armenia. Periodic surveillance of parasites in children is thereby recommended. The prevalence of Giardia lamblia was not statistically related to the children's nutritional state. Most Giardia-infected children were asymptomatic.

Child↗

Predictors and nutritional consequences of intestinal parasitic infections in rural Ecuadorian children.

The study investigated the prevalence, risk factors, and nutritional consequences of intestinal parasitic infections (IPI) in rural Ecuadorian children. A total of 244 children aged 0.2-14 years were studied. The data were collected using a structured questionnaire, anthropometry, and laboratory analysis of blood and fecal samples. The results showed that 90 per cent of the subjects were infected with at least one pathogenic IPI: 51 per cent with helminths, 37.6 per cent with protozoa, and 21.4 per cent with both. Giardia-infected children had a risk for stunted growth that was twice that of other children (51.7 vs. 33.1 per cent; OR = 2.16, 95 per cent CI = 1.13-4.15; p = 0.01). They also had significantly reduced mean hemoglobin levels compared with their non-infected counterparts (11.8 +/- 1.5 vs. 12.2 +/- 1.4 g/dl; p = 0.023). However, the proportion diagnosed with iron-deficiency anemia was slightly, but not significantly, increased (29.4 vs. 24.3 per cent). The most consistent predictor of Giardia and other protozoal IPI risk was a high intra-/peri-domicilliary concentration of domestic animals. Children who lived in such households had an infection risk that was two to five times greater than that of their non-infected counterparts. The data indicate that Giardia intestinalis infection has an adverse impact on child linear growth and hemoglobin. They also suggest that domestic animals may be an important reservoir for Giardia and other intestinal protozoal infections observed in the Ecuadorian children studied.

Adolescent↗

Intestinal parasitic infections in an institution for the mentally retarded.

Of 550 mentally retarded patients in an Italian institution, 125 (23%) were found to be infected with intestinal parasites. The infections were most frequent in young men, those with severe mental retardation, the chronically institutionalized and those living in older wards. Ninety-four (75.2%) of the parasitised subjects were infected only with protozoa, 25 (20%) only with helminths, and six (4.8%) with protozoa and helminths. Entamoeba histolytica and E. dispar infections were detected, but at low prevalences; in-vitro culture in Robinson's medium and isoenzyme electrophoresis of the cloned amoebic isolates indicated one infection with E. histolytica (zymodeme XII) and two infections with E. dispar (zymodemes I and III). All three Entamoeba-positive subjects were asymptomatic cyst-passers. Antibodies to E. histolytica were detected in seven (1%) of the sera from the 550 patients examined; only one of these was a carrier of an E. dispar strain at the time of investigation. The low prevalences of all the parasitic infections and of the amoebic infections in particular (compared with those observed previously in institutions for the mentally retarded) reflect relatively good facilities and sanitary conditions, an adequate number of well trained staff and good control of the more susceptible subjects.

Adolescent↗

Prevalence of Sarcocystis infection and other intestinal parasitisms in cats from a humane shelter in Ohio.

Feces of 1,000 cats from a humane shelter in Columbus, Ohio were examined for evidence of intestinal parasitisms. Prevalences (in percentage of oocysts or helminth eggs) were: Sarcocytis sp, 0.2; Toxoplasma-like sp, 1.0; Isospora felis, 6.2; Isopora rivolta, 3.2; Toxocara cati, 25; Capillaria sp, 1.3; Ancylostoma sp, 9.4; Uncinaria sp, 0.2; and Taenia sp, 0.5. Infectivity of coccidia found in feces was tested by oral inoculation into mice and by feeding inoculated mice to cats. Toxoplasma-like oocysts as well as I felis and I rivolta oocysts were infectious to mice. None of 4 Eimeria or the 2 Sarocystis isolates were infectious to mice and cats.

Animals↗