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PubMed2004

Status of intestinal parasite infections among children in Bat Dambang, Cambodia.

A survey was conducted to determine the extent of intestinal parasite infection in Bat Dambang, Cambodia in March 2004. A total of 623 fecal specimens was collected from kindergarten and schoolchildren and examined using the formalin-ether sedimentation technique. The overall infection rate of intestinal parasites was 25.7% (boys, 26.2%; girls, 25.1%), and the infection rates of intestinal helminthes by species were as follows: Echinostoma sp. 4.8%, hookworm 3.4%, Hymenolepis nana 1.3%, and Rhabditis sp. 1.3%. The infection rates of intestinal protozoa were; Entamoeba coli 4.8%, Giardia lamblia 2.9%, Iodamoeba butschlii 1.4%, Entamoeba polecki 1.1%, and Entamoeba histolytica 0.8%. There were no egg positive cases of Ascaris lumbricoides or Trichuris trichiura. All children infected were treated with albendazole, praziquantel, or metronidazole according to parasite species. The results showed that intestinal parasites are highly endemic in Bat Dambang, Cambodia.

Adolescent↗
PubMed1997

Ecological determinants of intestinal parasitic infections among pre-school children in an urban squatter settlement of Egypt.

Population growth in Egypt has led to the creation of several urban squatter settlements. The aim of the present work was to study the prevalence and some potential risk factors of intestinal parasitic infections among preschool children in a randomly chosen urban squatter settlement in Alexandria, Egypt. A house to house cross-sectional survey was conducted during late 1995. Data were collected through questionnaire interview regarding socio-demographic and environmental conditions from 1324 families residing in the settlement. Stool samples were collected from 658 preschool children below 5 years of age and examined for intestinal parasites. Overall, the prevalence rates of infections with the intestinal Helminths and Protozoa were 47.3 and 31.5 per cent, respectively, which were very high compared to previously reported figures for this age group in Egypt. Multiple logistic regression analysis showed that certain groups of preschool children were much more likely to develop the infection with both groups of intestinal parasites. They included children over 2 years of age (OR = 2.75, 95 per cent CI = 1.23-4.12 and OR = 2.65, 95 per cent CI = 1.70-3.45 for Helminths and Protozoa, respectively), whose families had pools of sewage around houses (OR = 2.13, 95 per cent CI = 1.22-3.19 and OR = 2.83, 95 per cent CI = 1.45-3.95 for helminths and protozoa, respectively) and shared toilets with another family (OR = 1.95, 95 per cent CI = 1.38-2.75 and OR = 1.65, 95 per cent CI = 1.06-2.58 for Helminths and Protozoa, respectively). In addition, certain groups of children were much likely to develop protozoal infections including children whose families lacked tap water inside dwelling (OR = 1.85, 95 per cent CI = 1.26-2.77) and disposed human excreta in septic tank very close to the dwelling (OR = 2.17, 95 per cent CI = 1.43-3.75). Efforts to reduce intestinal parasites should focus on reducing exposures. Improvement in domestic water supplies with the introduction of piped sewerage system is likely to have a marked decreasing effect on the prevalence of infection among this age group.

Age Distribution↗
PubMed1980

Human intestinal parasites in Karakuak, West Flores, Indonesia and the effect of treatment with mebendazole and pyrantel pamoate.

A survey for intestinal parasites and mass-treatment with a combination of mebendazole and pyrantel pamoate were conducted in Karakuak, West Flores in 1977. A total of 198 stool specimens from 104 males and 94 females ranging in age from less than 1 to 70 years were examined and 72% harbored one or more intestinal parasites. Ascaris lumbricoides (43%) and Entamoeba histolytica (21%) were the most common, followed by Entamoeba coli (19%), hookworm (18%), Iodamoeba bütschlii (8%), Giardia lamblia (5%) and Trichuris trichiura (4%). Other intestinal parasites infrequently found were: Entamoeba hartmanni (2%), Chilomastix mesnili (2%), Endolimax nana (1%), Enterobius vermicularis (1%) and a heterophyid sp. (1%). A combination of mebendazole base at 200 mg/day and pyrantel pamoate salt at 60 mg/day for three consecutive days was 100% effective.

Adolescent↗
PubMed2004

Prevalence of intestinal parasites in dogs under veterinary care in Maracaibo, Venezuela.

The prevalence of intestinal parasites in dogs presented to the Veterinary Policlinic of the University of Zulia (PVU) was measured between January and December 2001. A total of 614 fecal samples were evaluated by the fecal flotation method. One or more species of parasites was identified in 218 (35.5%) dogs. The parasites most frequently detected were: Ancylostoma spp. (24.5%), Toxocara canis (11.4%) and Isospora spp. (8.1%). Single parasitic infections were present in 149 (24.3%) dogs. The age distribution of intestinal parasites in dogs less than 1 year old had a higher overall prevalence than those dogs over 12 months of age. There was no significant difference in the prevalence between male (38.9%) and female (31.7%) dogs. There was a significantly (P < 0.05) greater prevalence of parasites in mixed-breed dogs (40.3%) as compared with pure-breed dogs (30.8%). A significant difference (P < 0.05) was detected between the general prevalence of January and December compared to August.

Age Factors↗
PubMed1996

Use of a single slide trichrome-stained concentrate for the detection of intestinal parasites. Stained concentration procedure for ova and parasites.

The detection and identification of intestinal parasites was studied using a single slide of a trichrome-stained concentrate made from a cupric-polyvinyl alcohol (PVA)-preserved specimen. When saline was used in place of formalin in the concentration procedure, it was possible to adequately stain the concentrate with a modified-trichrome stain. This was compared to a more traditional two-slide ova and parasite (O&P) procedure. Of the 1,000 specimens evaluated, a total of 261 parasites were detected using the single slide, modified trichrome-stained concentrate compared to 249 from the formalin/Hemo-De wet mount and 226 from the unconcentrated trichrome stain. The detection rate of the single slide method was comparable to the combined detection rate of the two-slide method. The saline/Hemo-De concentration procedure has the advantage of using nontoxic saline in place of formaldehyde. This new method is more cost-effective because it requires the processing and evaluation of only one slide.

Animals↗
PubMed1995

Intestinal parasites in the state of Bahrain.

Intestinal parasites infections are common in the state of Bahrain, but the incidence is decreasing due to improvement in health and social standards. A community-based study sample of all population of Bahrain was done including all ages and nationalities. From 1st July 1984 to 28th February 1986, the first community-based study sample of all population of Bahrain was done including all ages and nationalities. A total number of 2123, about 0.006 of the population of 1981 census was chosen for the study. The study shown that 739 persons were infected with intestinal protozoa and helminths. The figure representing 34.8% of total sample size, whom 283 persons were symptomatic, about 38.3% of total infected sample size. Giardia lamblia and Trichuris trichuria were the most common parasites among the infected persons.

Bahrain↗
PubMed1976

Clinical trial methodology in intestinal parasitic diseases.

The high prevalence of intestinal parasitic infections as an index of underdevelopment, especially in tropical countries, is related to poverty, poor housing, lack of sanitation, malnutrition, and ignorance. The effects are lowered work capacity, physical and mental retardation, leading to recurrences and exacerbations of the parasitism and malnutrition. The most prevalent parasites, methods of detection by specific tests in patients in clinical trials involving antiparasitic drugs are dealt with. How and by whom investigations of new drugs should be undertaken, the need for a basic knowledge of parasitology and techniques of the discipline, of biostatistics, and use of such controls as randomized allotment to treatment groups, placebo administration, and double-blind assessments are emphasized. The justification for undertaking an evaluation of an antiparasitic drug is predicated on the demonstration of safety in exhaustive in vitro and animal studies and of the drug's potential superiority as to efficacy and lower incidence of unwanted side effects, as compared with existing agents. Tolerance and dose-range studies should be conducted in male adult hospitalized patients under close supervision. The evaluation of amebicides in clinical trials, as well as of anthelmintics, is considered in terms of differentiation and reproductive habits of specific causative agents and tests for detecting their elimination to determine improvement under drug therapy. The problem of reinfection, particuarly of nonhospitalized patients under the adverse conditions of life, is stressed.

Amebiasis↗
PubMed1996

Intestinal parasites among the Southeast Asian laborers in Taiwan during 1993-1994.

BACKGROUND: A large number of foreign laborers are now working in Taiwan, the majority coming from Southeast Asia where parasitic infections are common. Since 1992, monitoring the intestinal parasitic infections of these foreigners has been carried out, particularly to prevent the introduction of some of the parasites into Taiwan. This paper reports results obtained during the year 1993-1994. METHODS: The merthiolate-iodine-formalin (MIF) concentration method was used to detect intestinal parasites; and the data were analyzed by chi 2-test. RESULTS: Among the 3,020 persons examined, 526 (17.4%) were infected and 14 kinds of parasites were identified; i.e. Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis, Enterobius vermicularis, hookworms, Taenia sp., Opisthorchis viverrini, Fasciolopsis buski, Schistosoma japonicum, an echinostome, Entamoeba histolytica. Entamoeba coli, Endolimax nana and Giardia lamblia. By nationality, those workers from Indonesia had the highest infection rate, at 32.3%; they were followed by the Filipinos (18.7%), the Thais (16.6%) and the Malaysians (8.0%). The three or four most prevalent parasites were T. Trichiura (21.8%), A. lumbricoides (5.6%) and hookworms (2.4%) for the Indonesians; T. Trichiura (9.1%), A. lumbricoides (3.7%), hookworms and E. histolytica (2.1% each) for the Filipinos; O. viverrini (8.4%), hookworms (3.3%) and E. histolytica (1.2%) for the Thais; T. trichiura (2.2%), A. lumbricoides and E. histolytica (1.8% each) and hookworms (1.4%) for the Malaysians. Among the 526 persons infected, 92.2% had 1 species, 7.2% had 2 species, 0.4% had 3 species and 0.2% had 4 species of parasites. CONCLUSIONS: The present result, a 17.4% infection rate, was significantly higher (p < 0.05) than the 12.3% obtained for the previous year (1992-1993). E. histolytica was found in 34 persons, 16 of whom were working as live-in housemaids. The epidemiological significance of some parasites is discussed here.

Adult↗
PubMed2003

Intestinal parasitic infections in man: a review.

Intestinal parasites of importance to man are Enterobius vermicularis, the soil-transmitted helminthes (STH)--Ascaris lumbricoides Tricburis trichiura, bookworms (Necator americans/Ancylostoma duodenale) and Strongyloides stercoralis and the protozoa Entamoeba histolytica and Giardia duodenalis. Other protozoa such as Cryptosporidium sp. and Isopora sp. are becoming important in causing prolonged diarrhea in immunocompromised patients. It is estimated that almost 1 billion, 500 million and 900 million people worldwide are infected by the major nematode species--A. lumbricoides, T. trichiura and hookworms respectively. Most of the infections are endemic and widely distributed throughout poor and socio-economically deprived communities in the tropics and subtropics. Environmental, socio-economic, demographic and health-related behavior is known to influence the transmission and distribution of these infections. In giardiasis, one study indicates that age < or = 12 years and the presence of family members infected with Giardia were risk factors for infection. Most of the infections occur in children and both genders are equally affected. Epidemiological studies of STH infections have shown that the prevalence and intensity of infection are highest among children 4-15 years of age. The frequency of distribution of STH infections is over-dispersed and highly aggregated. areas reinfection can occur as early as 2 months post-treatment, and by 4 months, almost half of the population treated become reinfected. By 6 months the intensity of infection was similar to pretreatment level.

Humans↗
PubMed2003

Prevalence of intestinal parasitic infection among Thai people with mental handicaps.

The prevalence of intestinal parasitic infection was studied by stool examination in institutionalized and non-institutionalized Thai people with mental handicaps. It was found that the prevalence of infection was much higher in institutionalized (57.6%) than in non-institutionalized people (7.5%). The common parasites found in institutionalized people were Trichuris trichiura (29.7%), Entamoeba coli (23.1%), Giardia intestinalis (8.0%), Hymenolepis nana (7.8%), and Entamoeba histolytica/dispar (7.1%). Institutionalized mentally handicapped people should be considered as a high risk group for intestinal parasitic infection and a parasitic control measure should be emphasized.

Adolescent↗
PubMed1984

Natural history of intestinal parasites in asymptomatic adults.

The need to treat asymptomatic adults who have intestinal parasites should be based on considerations of potential pathogenicity and transmission risk, but such data are sparse in general and unavailable for countries such as the United States, where reinfection is rare. Opinions of North American physicians about the natural history and treatment of 12 parasites detectable by stool examination were assessed using the Delphi technique. In response to the first questionnaire, majority agreement on pathogenic potential was achieved for only 3 of 12 parasites. When the more expert group was queried a second time, majority agreement was achieved for 8 of 12 parasites. Nevertheless, the predicted risk of subsequent disease still varied widely, from 1:10 to 1:1,000 for most parasites, and was unrelated to the perceived need for treatment. Almost all respondents thought asymptomatic adults with any intestinal parasites should always be treated. Transmission risk was judged to be low and was generally appropriate to the life cycle of the parasite.

Adult↗
PubMed2003

Intestinal parasites increase the dietary lysine requirement in chronically undernourished Indian men.

BACKGROUND: We previously used the 24-h indicator amino acid balance method to show that the lysine requirement in undernourished Indian men from low socioeconomic and unsanitary environments is approximately 50% higher than the mean requirement of 30 mg lysine. kg(-1). d(-1) in well-nourished men. OBJECTIVE: It is possible that this higher lysine requirement in persons with chronic undernutrition is due to environmental influences, including the presence of intestinal parasites. We assessed this possibility by using 24-h indicator amino acid balance (with leucine) at both the "normal" requirement for lysine intake and the higher requirement, before and after successful treatment to eradicate intestinal parasites in affected, undernourished men. DESIGN: Fourteen chronically undernourished men were studied before and after treatment for intestinal parasites, during each of two 7-d (6-d dietary adaptation plus 1-d tracer experiment) diet periods supplying either 30 (n = 7) or 45 (n = 7) mg lysine. kg(-1). d(-1) from an L-amino acid diet. Twenty-four-hour indicator amino acid balance was estimated on day 6 by [(13)C]leucine tracer infusion. RESULTS: Before the parasite treatment, subjects were in neutral 24-h leucine balance at both lysine intakes. After the eradication of intestinal parasites, there was a significant (P < 0.001) improvement in 24-h leucine balances, which were positive at both lysine intakes. CONCLUSIONS: On the basis of the 24-h indicator amino acid balance approach, it appears that intestinal infestation with parasites increases the requirement for lysine and that this may be one factor responsible for the higher lysine requirement observed in persons with chronic undernutrition.

Adult↗
PubMed1982

The trichrome-stained smear as a screening method for intestinal parasites: evaluation in a San Francisco Bay Area population.

The trichrome-stained smear and the formalin-ether concentrate were compared for detecting and identifying intestinal parasites. Using both methods, 15,414 outpatient and inpatient specimens were examined. Of 2,773 intestinal parasites recovered, 2,633 (94.9%) were protozoa. The trichrome-stained smear detected 97.0% of the intestinal protozoa and 38.9% of intestinal helminths. We conclude that, in geographic areas where protozoan infections are more common, the trichrome-stained smear alone may be used as a screening method for intestinal parasites if personnel are trained to recognize helminth eggs and larvae in the trichrome-stained smear.

Azo Compounds↗
PubMed1988

Intestinal parasitism of children and mothers in rural Somalia.

A survey on intestinal parasitism was carried out by microscopic examination of stool specimens from 517 children (0 to 16 years old) or from mothers living in two rural towns in Somalia. Burao represented the hot and dry region in the north and Kismayo the more humid area in the south. The overall prevalances of intestinal parasitism were 48 and 88%, respectively. Protozoal infestation was found in 46% (potentially pathogenic protozoa in 20%) in Burao and 37% (potentially pathogenic protozoa in 17%) in Kismayo. In contrast a major difference between the two towns was observed with helminthic infection. In Burao only 6% of the specimens showed worm eggs or larvae, whereas in Kismayo the prevalence was 84% (P less than 0.001). The difference in helminthic infection rates might be explained by the different climatic factors, different population densities or habits of the people. Among 14 detected parasitoses the following five were found with an overall frequency of 10% or greater: trichuriasis (45%); entamebiasis coli (23%); ascariasis (17%); giardiasis (16%); and ancylostomiasis (15%).

Adolescent↗
PubMed2004

Intestinal parasitic infections and socioeconomic status in Prek Russey Commune, Cambodia.

OBJECTIVE: Possible relationships were explored between socioeconomic status (SES) and intestinal parasitic infections among residents of Prek Russey, a commune in a rural area near Phnom Penh. METHODS: An epidemiological study was conducted in Prek Russey Commune, consisting of the following three villages: Kroppeu Ha (KH), Prek Russey (PR), and Prek AngChanh (PA), with respective populations of 3,401, 1,350, and 1,044. Examinations of intestinal parasitic infections and the interview survey were performed. RESULTS: Among the residents of KH, PR, and PA, respectively, the prevalence rates of three major species of parasites were as follows: 17%, 27%, and 34% had hookworm; 14%, 17%, and 19% had Ascaris lumbricoides; and 13%, 17%, and 18% had Strongyloides stercoralis. The prevalence of each parasitic group tended to increase in the order of KH, PR, and PA. The greatest differences between the villages were in the prevalence of hookworm infection. Our epidemiological survey revealed three SES-related factors whose proportions increased or decreased in the order of KH, PR, and PA. First, the percentages of households purchasing relatively safe drinking water were 96%, 63%, and 2%, respectively. Second, whereas 82% and 78% of houses in KH and PR were equipped with a latrine, only 41% of houses in PA were so equipped. Third, the proportion of households whose main income was from farming increased in the order of KH, PR, and PA. CONCLUSION: The present study thus suggests that greater latrine use and less dependence on farming activity are related to a lower prevalence of intestinal parasitic infections, although the results are not conclusive due to the ecological nature of the study.

Adolescent↗
PubMed1995

Prevalence of intestinal parasites in Saudi children: a community-based study.

A community-based study was undertaken to determine the prevalence and types of intestinal parasites in the pediatric population of Al-Baha region, Saudi Arabia. Stool samples were randomly collected from 19,939 children of whom 4208 (21.1%) were found to harbour intestinal parasites. The most affected age group was 5-9 years and the sex distribution was almost equal in all age groups. Specific prevalence rates were Giardia lamblia 9 per cent, entamoeba histolytica 5 per cent, Hymenolepis nana 2 per cent, and Enterobius vermicularis 2 per cent. The findings of this survey confirm the extremely complex nature of parasitic profile in developing communities, and indicate that relationships exist between cultural and ecological factors, sanitation, and observed pattern of intestinal parasites.

Adolescent↗
PubMed1997

Immune responses to intestinal parasites: protection, pathology and prophylaxis.

Aspects of the immune responses made by hosts to infection with intestinal parasites are discussed in relation to data from experimental systems in mice involving infections with the protozoans Eimeria vermiformis and Cryptosporidium spp., and the nematodes Nippostrongylus brasiliensis and Trichinella spiralis. The focus of the review is our knowledge and understanding of the roles played by the intestinal mucosa and the epithelial cells of the mucosa in the induction, regulation and expression of the immune and inflammatory responses that provide the host with protection but which may also lead to pathology. Emphasis is placed on current knowledge of T helper cell and cytokine involvement in these responses. The relationship between pathology and protection is discussed briefly, as are some aspects of the development of vaccines effective against intestinal parasites.

Animals↗