Abstract
Introduction: Intestinal parasitic infection is prevalent globally and is a major cause of morbidity especially in developing countries. This study was undertaken to assess the magnitude of parasitic infection among patients presenting with abdominal complains.
Material and Method: All non-repeat stool samples were collected from suspected patients, were processed and evaluated microscopically over a period of two years (June 2018 - May 2020). Demographic details, stool characteristics and possible attributing factors were analysed using appropriate statistical tests.
Results: Of the 1773 stool samples, fifty-six (3.15%) tested positive for intestinal parasites, most common organisms being E.histolytica (n=18,32.14%) and Giardia lamblia (n=15,26.79%). Source of drinking water, use of sanitary latrines, type of occupation, type of residence (rural/urban) or literacy status did not affect the positivity rates. However, male gender, consistency of stool, presence of mucus, presence of foul smell and occult blood positivity was significantly associated with detection of intestinal parasites.
Conclusion: Young males (21-40 years) presenting with diarrhoea with presence of occult blood and offensive odour are more likely to be affected by parasitic infection. Improvement in personal hygiene and availability of safe drinking water with government initiatives can help in adequate control.
Keywords: Intestinal parasitic infection, neglected tropical disease, hemospot test.
References
- Cook DM, Swanson RC, Eggett DL, Booth GM. A Retrospective Analysis of Prevalence of Gastrointestinal Parasites among School Children in the Palajunoj Valley of Guatemala. Journal of Health, Population and Nutrition. 2009 Sep 9;27(1).
- Hotez PJ, Bottazzi ME, Strych U, Chang L-Y, Lim YAL, Goodenow MM, et al. Neglected Tropical Diseases among the Association of Southeast Asian Nations (ASEAN): Overview and Update. Gray DJ, editor. PLOS Neglected Tropical Diseases. 2015 Apr 16;9(4):e0003575.
- Savioli L, Albonico M, Engels D, Montresor A. Progress in the prevention and control of schistosomiasis and soil-transmitted helminthiasis. Parasitology International. 2004 Jun;53(2):103–13.
- Sadeghi H, Borji H. A survey of intestinal parasites in a population in Qazvin, north of Iran. Asian Pacific Journal of Tropical Disease. 2015 Mar;5(3):231–3.
- World Health Organization. Soil-transmitted helminthiases: eliminating as public health problem soil-transmitted helminthiases in children: progress report 2001-2010 and strategic plan 2011-2020. World Health Organization; 2012.
- Brooker S, Clements ACA, Bundy DAP. Global Epidemiology, Ecology and Control of Soil-Transmitted Helminth Infections. Advances in Parasitology [Internet]. 2006;221–61. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976253/
- Kang G, Mathew MS, Rajan DP, Daniel JD, Mathan MM, Mathan VI, et al. Prevalence of intestinal parasites in rural Southern Indians. Tropical medicine & international health: TM & IH [Internet]. 1998 Jan 1 [cited 2021 Sep 5];3(1):70–5. Available from: https://pubmed.ncbi.nlm.nih.gov/9484973/
- Shobha M, Bithika D, Bhavesh S. The prevalence of intestinal parasitic infections in the urban slums of a city in Western India. Journal of Infection and Public Health. 2013 Apr;6(2):142–9.
- Recent news from WHO. Bulletin of the World Health Organization. 2010 Dec;88(12):886–6.
- Oberhelman RA, Silio M, Fernandez ML, Mera R, Guerrero ES, Comiskey N, et al. Correlations between intestinal parasitosis, physical growth, and psychomotor development among infants and children from rural Nicaragua. The American Journal of Tropical Medicine and Hygiene. 1998 Apr 1;58(4):470–5.
- Pullan RL, Smith JL, Jasrasaria R, Brooker SJ. Global numbers of infection and disease burden of soil transmitted helminth infections in 2010. Parasites & Vectors [Internet]. 2014 [cited 2019 Oct 26];7(1):37. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905661/
- Dunn JC, Turner HC, Tun A, Anderson RM. Epidemiological surveys of, and research on, soil-transmitted helminths in Southeast Asia: a systematic review. Parasites & Vectors. 2016 Jan 27;9(1).
- Ashtiani MTH, Monajemzadeh M, Saghi B, Shams S, Mortazavi SH, Khaki S, et al. Prevalence of intestinal parasites among children referred to Children’s Medical Center during 18 years (1991–2008), Tehran, Iran. Annals of Tropical Medicine and Parasitology [Internet]. 2011 Oct 1;105(7):507–13. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100314/
- Radwan EH, Hassan AAER, Lotfy WM, El-Mawgood AA, Mashaal HM. The Prevalence of Intestinal Parasite Infection in El Behara Schoolchildren. RÃos PD los, editor. International Journal of Limnology. 2019 Jun 15;1(1):33–51.
- Ulukanligil M, Seyrek A. Demographic and parasitic infection status of schoolchildren and sanitary conditions of schools in Sanliurfa, Turkey. BMC Public Health. 2003 Sep 3;3(1).
- Yassin MM, Shubair ME, al-Hindi AI, Jadallah SY. Prevalence of intestinal parasites among school children in Gaza City, Gaza Strip. J Egypt SocParasitol. 1999 Aug;29(2):365-73.
- Davane MS, Suryawanshi NM, Deshpande KD. A prevalence study of intestinal parasitic infections in a rural hospital. Int J Recent Trends Sci Technol. 2012;2(1):1-3.
- Praharaj I, Sarkar R, Rao Ajjampur SS, Roy S, Kang G. Temporal trends of intestinal parasites in patients attending a tertiary care hospital in south India: A seven-year retrospective analysis. The Indian Journal of Medical Research [Internet]. 2017 Jul 1 [cited 2021 Nov 19];146(1):111–20. Available from: https://pubmed.ncbi.nlm.nih.gov/29168467/
- Kotian S, Sharma M, Juyal D, Sharma N. Intestinal parasitic infection-intensity, prevalence and associated risk factors, a study in the general population from the Uttarakhand hills. International Journal of Medicine and Public Health. 2014;4(4):422.
- Takalkar A, Madhekar N, Kumavat A, Bhayya S. Prevalence of intestinal parasitic infections amongst food handlers in hotels and restaurants in Solapur city. Indian Journal of Public Health. 2010;54(1):47.
- Erviti J, González J, González I. Prevalence of Intestinal Parasites in Rural Areas in South Gugerat (India). Tropical Doctor. 2000 Jan;30(1):50–0.
- Ragunathan L, Kalivaradhan SK, Ramadass S, Nagaraj M, Ramesh K. Helminthic Infections in School Children in Puducherry, South India. Journal of Microbiology, Immunology and Infection. 2010 Jun;43(3):228–32.
- Bisht D, Verma A, Bharadwaj HH. Intestinal parasitic infestation among children in a semi-urban Indian population. Tropical Parasitology. 2011;1(2):104.
- Sahai S, Jamali S. Changing trend in prevalence of intestinal parasites in patients attending a tertiary care hospital in Lucknow. Indian Journal of Basic and Applied Medical Research. 2015 Mar;4(2):560–7.
- Okamoto M, Kawabe T, Ohata K, Togo G, Hada T, Katamoto T, Tanno M, Matsumura M, Yamaji Y, Watabe H, Ikenoue T, Yoshida H, Omata M. Amebic colitis in asymptomatic subjects with positive fecal occult blood test results: clinical features different from symptomatic cases. The American journal of tropical medicine and hygiene. 2005 Nov;73(5):934-5.
- Poirier P, Wawrzyniak I, Vivarès CP, Delbac F, El Alaoui H. New Insights into Blastocystis spp.: A Potential Link with Irritable Bowel Syndrome. Knoll LJ, editor. PLoS Pathogens. 2012 Mar 15;8(3):e1002545.
- Praharaj I, Sarkar R, Rao Ajjampur SS, Roy S, Kang G. Temporal trends of intestinal parasites in patients attending a tertiary care hospital in south India: A seven-year retrospective analysis. The Indian Journal of Medical Research [Internet]. 2017 Jul 1;146(1):111–20. Available from: https://pubmed.ncbi.nlm.nih.gov/29168467/
- Saraswathi R, Lalithambigai J, Vazhavandal G, Uma A, Prabhusaran N, Velayutharaj A. Prevalence of Intestinal Parasitic Pathogens in Stools from Medical Speciality Units of Tertiary Rural Teaching Hospital, Tamilnadu, India. International Journal of Current Microbiology and Applied Sciences. 2016 Aug 10;5(8):429–35.
- Belkessa S, Ait-Salem E, Laatamna A, Houali K, Sönksen UW, Hakem A, Bouchene Z, Ghalmi F, Stensvold CR. Prevalence and Clinical Manifestations of Giardia intestinalis and Other Intestinal Parasites in Children and Adults in Algeria. The American Journal of Tropical Medicine and Hygiene. 2021 Jan 18;104(3):910-916.
- Güler E, Süer K. Epidemiology of Intestinal Parasites in a University Hospital in Northern Cyprus: A 4-year Retrospective Experience. Turkish Journal of Parasitology. 2021 Jun 7;45(2):128–32.
- Fernandez MC, Verghese S, Bhuvaneswari R, Elizabeth SJ, Mathew T, Anitha A, et al. A comparative study of the intestinal parasites prevalent among children living in rural and urban settings in and around Chennai. The Journal of communicable diseases. 2002 Mar;34(1):35‑9.
- National Deworming Day | National Health Portal Of India [Internet]. www.nhp.gov.in. [cited 2022 Aug 9]. Available from: https://www.nhp.gov.in/national-deworming-day_pg
Corresponding Author
Dr. Richa Sinha
Assistant Professor, Sanjay Gandhi Postgraduate Institute of Medical Sciences
DOI: https://dx.doi.org/10.18535/jmscr/v11i1.22
