Prevalence of intestinal parasitic infections and associated risk factors among students at Dona Berber primary school, Bahir Dar, Ethiopia
Tóm tắt
Intestinal parasitic infections are still one of the major health concerns in developing countries. Monitoring of intestinal parasitic infection and associated risk factors are essential for intervention strategies. Therefore, the aim of this study was to assess the prevalence of intestinal parasitic infection and associated risk factors among students at Dona Berber primary school, Bahir Dar, Ethiopia. School based cross-sectional study was conducted among students at Dona Berber primary school from October 2015 to June 2016. Three hundred fifty nine students were involved in the study by providing stool specimens and detailed personal information. Students were selected by stratified and systematic random sampling method. Fresh stool samples were collected from each student and processed by formal-ether fecal concentration technique. Data were analyzed using SPSS version 20.0 statistical software and p value <0.05 were used as statistically significant. Among the 359 students participated in the study, 235 (65.5%) were infected by one or more intestinal parasites. The rates of single and double parasitic infections among students were 49.6% and 16.2%, respectively. The most prevalent parasite detected in the study was E. histolytica/dispar (24.5%) followed by hookworm (22.8%). Among the different variables assessed in the study, family size of 6 (AOR = 4.90; 95% CI, 2.03–11.83), irregularly shoe wearing habit (AOR = 2.85; 95% CI, 1.53–5.32) and unclean finger nail (AOR = 3.68; 95% CI, 1.87–7.26) were independently predict intestinal parasitic infections. Student drinking well water (AOR = 2.51; 95% CI, 2.30–4.86) and unclean finger nail (AOR = 4.42; 95% CI, 2.55–7.65) were strongly associated with E. histolytica/dispar infection. Likewise, irregular shoe wearing habit (AOR = 14.13; 95% CI, 7.06–28.29) was strongly associated with hookworm infections. High prevalence of intestinal parasitic infection among the study participants demands improvement of health education, environmental sanitation and quality of water sources.
Tài liệu tham khảo
Okyay P, Ertug S, Gultekin B, Onen O, Beser E. Intestinal parasites prevalence and related factors in school children, a western city sample-Turkey. BMC Public Health. 2004:4(64).
Mohammed K, Abdullah M, Omar J. Intestinal parasitic infection and assessment of risk factors in North-western. Nigeria: A Community Based Study IJPMBS. 2015;4(2):141–5.
Awasthi S, Bundy D, Savioli L. Helminthic infections. BMJ. 2003;323:431–3.
WHO: Soil-transmitted helminth infections. Geneva: WHO; 2016.
Harhay M, Horton J, Olliro P. Epidemiology and control of human gastrointestinal parasites in children. Expert Rev Anti-Infect Ther. 2010;8(2):219–34.
Alum A, Rubino J, Ljaz M. The global war against intestinal parasites - should we use a holistic approach? IJID. 2010;14:e732–8.
Endris M, Lemma W, Belyhun Y, Moges B, Gelaw A, Anagaw B, et al. Prevalence of intestinal parasites and associated risk factors among students of Atse fasil general elementary school Azezo, northwest. Ethiopia Ethiop J Health Biomed Sci. 2010;3(1):25–33.
Abera A, Nibret E. Prevalence of gastrointestinal helminthic infections and associated risk factors among schoolchildren in Tilili town, northwest Ethiopia. Asian Pac J Trop Med. 2014:525–30.
Tadesse G. The prevalence of intestinal helminthic infections and associated risk factors among school children in Babile town, eastern Ethiopia. Ethiop J Health Dev. 2005;19(2):140–7.
Abossie A, Seid M. Assessment of the prevalence of intestinal parasitosis and associated risk factors among primary school children in Chencha town, Southern Ethiopia. BMC Public Health. 2014:14(166).
Gelaw A, Anagaw B, Nigussie B, Silesh B, Yirga A, Alem M, et al. Prevalence of intestinal parasitic infections and risk factors among schoolchildren at the University of Gondar Community School, Northwest Ethiopia: a cross-sectional study. BMC Public Health. 2013:13(304).
Erko B, Medhin G. H B: intestinal parasitic infections in Bahir Dar and risk factors for transmission. Tropical Med. 1995;37(2):73–8.
Alamir M, Awoke W, Feleke A. Intestinal parasites infection and associated factors among school children in Dagi primary school, Amhara National Regional State. Ethiopia Health. 2013;5(10):1697–701.
Ayalew A, Debebe T, Worku A. Prevalence and risk factors of intestinal parasites among Delgi school children, North Gondar. Ethiopia J Parasitol Vector Biol. 2011;3(5):75–81.
Ahmed A, Afifi A, Malik E. I a: intestinal protozoa and intestinal helminthic infections among schoolchildren in Central Sudan. Asian Pac J Trop Med. 2010:92–293.
Emile N, Bosco N, Karine B. Prevalence of intestinal parasitic infections and associated risk factors among Kigali Institute of Education students in Kigali. Rwanda Tropical Biomed. 2013;30(4):718–26.
Speich B, Marti H, Ame S, Ali S, Bogoch I, Utzinger J, Albonico M, Keiser J: Prevalence of intestinal protozoa infection among school-aged children on Pemba Island, Tanzania, and effect of single-dose albendazole, nitazoxanide and albendazole-nitazoxanide. Parasit Vectors. 2013; 6(3).
Erismann S, Diagbouga S, Odermatt P, Knoblauch A, Gerold J, Shrestha A, Grissoum T, Kaboré A, Schindler C, Utzinger J et al: Prevalence of intestinal parasitic infections and associated risk factors among schoolchildren in the plateau Central and Centre-Ouest regions of Burkina Faso. Parasit Vectors .2016; 9:554.
Brooker S. Estimating the global distribution and disease burden of intestinal nematode infections: adding up the numbers – a review. Int J Parasito. 2010;40(10):1137–44.
Agency CS. Summary and statistical report of the 2007 population and housing Sensus: in. Federal Democratic Ethiopia Population Sensus commession, Addis Ababa, Ethiopia. 2008;113
Abera B, Biadegelgen F, Bezabih B. Prevalence of salmonella typhi and intestinal parasites among food handlers in Bahir Dar town. Northwest Ethiopia Ethiop J Health Deve. 2009;24(1):46–50.
WHO: Basic laboratory methods in medical parasitology. Geneva; WHO; 1991.
Mathewos B, Alemu A, Woldeyohannes D, Alemu A, Addis Z, Tiruneh M, Aimero M, Kassu A: Current status of soil transmitted helminths and Schistosoma mansoni infection among children in two primary schools in North Gondar, Northwest Ethiopia: a cross sectional study. BMC Research Notes. 2014; 7(88).
Andualem M. Parasitic infection and associated factors among the primary school children in Motta town, western Amhara. Ethiopia Am J Public Health Res. 2014;2(6):248–54.
Fatni C, Fatni H, Romero D, Olmo F, Rosales M. Intestinal parasitism in Moroccan children: comparative quantitative study of the Faust’s and Ritchie’s coprologic methods. IJISR. 2014;11(1):53–64.
Tulu B, Taye S, Amsalu E. Prevalence and its associated risk factors of intestinal parasitic infections among Yadot primary school children of south eastern Ethiopia: a cross-sectional study. BMC Research Notes. 2014;7(1):848.
Wale M, Wale M. T F: the prevalence of intestinal helminthic infections and associated risk factors among school children in Lumame town, northwest. Ethiopia. J Parasitol Vector Biol. 2014;6(10):156–65.
Muhajir A, Hajissa K, Mohamed Z, Abdel-Aal A. Prevalence of intestinal parasitic infection among children in al-kalakla, Khartoum. Sudan World Appl Sci J. 2017;35(2):219–22.
Bahmani P, Mleki A, Sadeghi S, Shamoradi B. E G: prevalence of intestinal protozoa infections and associated risk factors among schoolchildren in Sanandaj City. Iran Iran J Parasitol. 2017;12(1):108–16.
Mekonnen B, Erko B, Legesse M. Prevalence of intestinal parasitic infections and related risk factors among street dwellers in Addis Ababa. Ethiopia J Trop Dise. 2014;2:132.
Alemu A, Atnafu A, Addis Z, Shiferaw Y, Teklu T, Mathewos B, Birhan W, Gebretsadik S, Gelaw B: Soil transmitted helminths and Schistosoma mansoni infections among school children in zarima town, northwest Ethiopia. BMC Infectious Disease. 2011; 11(189).
Alwabr G, Al-Moayed E. Prevalence of intestinal parasitic infections among school children of al-Mahweet governorate. Yemen Eur J Biol Res. 2016;6(2):64–73.
Legesse M. B: E: prevalence of intestinal parasites among school children in rural area close to the south east of lake Langano. Ethiopia Ethiop J Health Deve. 2004;18(2):116–20.
UNHCR. Factsheet - ETHIOPIA. In: UNHCR. 2016:1–4.
Hailu T. Current prevalence of intestinal parasites emphasis on hookworm and Schistosoma mansoni infections among patients at Workemeda health center. Northwest Ethiopia Clin Microbiol. 2014;3(4):155.
Rasoa G, Vounatsoua P, Gosoniua L, Tannera M, N'Goranb E, Utzingera J. Risk factors and spatial patterns of hookworm infection amongschoolchildren in a rural area of western Côte d'Ivoire. Int J Parasitol. 2006;36(2):201–10.
Benettona M, Gonçalvesb A, Meneghinic M, Silvab E, Carneirob M. Risk factors for infection by the Entamoeba Histolytica/E. dispar Complex: an epidemiological study conducted in outpatient clinics in the city of Manaus, Amazon region, Brazil. Trans R S Trop Med Hyg. 2004;99(7):532–40.
Shahrul Anuar S, Al-Mekhlafi H, Abdul-Ghani M, Osman E, Mohd Yasin A, Nordin A, et al. Prevalence and risk factors associated with Entamoeba istolytica/dispar/moshkovskii infection among three orang Asli ethnic groups in Malaysia. PLoS One. 2012;7(10):e48165.
Strunz E, Addiss D, ME S, Ogden S, Utzinger J, Freeman M: Water, sanitation, hygiene, and soil-transmitted helminth infection: a systematic review and meta-analysis. PLoS Med 2014; 11(3):e1001620.
Ahmed A, Afifi A, Malik E, Adam I. Intestinal protozoa and intestinal helminthic infections among schoolchildren in Central Sudan. Asian Pac J Trop Med. 2010:292–3.
Al-Mohammed H, Amin T, Aboulmagd E, Hablus H, Zaza B. Prevalence of intestinal parasitic infections and its relationship with socio-demographics and hygienic habits among male primary schoolchildren in Al-Ahsa, Saudi Arabia. Asian Pac J Trop Med. 2010:906–12.
Elfu B: Nutritional Status and Intestinal Parasite in School Age Children: A Comparative Cross-Sectional Study. Int J Pediatr. 2016; Article ID 1962128:8.
Masoumeh R, Farideh T, Mitra S, Heshmatollah T. Intestinal parasitic infection among school children in Golestan Province. Iran Pak J Biol Sci. 2012;15:1119–25.
Haftu D, Deyessa N, Agedew E. Prevalence and determinant factors of intestinal parasites among school children in Arba Minch town, southern Ethiopia. Am J Public Health Res. 2014;2(5):247–54.