Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, Iran
BACKGROUND: Patients undergoing hemodialysis are vulnerable to intestinal parasites due to a weakened immune system. This study aimed to determine the prevalence of intestinal parasites in patients undergoing hemodialysis. METHODS: The feces of 168 under hemodialysis patients were collected from...
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Format: | Article |
Language: | English |
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Vesnu Publications
2022-03-01
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Series: | Chronic Diseases Journal |
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Online Access: | http://cdjournal.muk.ac.ir/index.php/cdj/article/view/640 |
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author | Salman Ghaffari Ali Asghar Fazaeli Roja Jafarian |
author_facet | Salman Ghaffari Ali Asghar Fazaeli Roja Jafarian |
author_sort | Salman Ghaffari |
collection | DOAJ |
description | BACKGROUND: Patients undergoing hemodialysis are vulnerable to intestinal parasites due to a weakened immune system. This study aimed to determine the prevalence of intestinal parasites in patients undergoing hemodialysis.
METHODS: The feces of 168 under hemodialysis patients were collected from Sari and Zanjan hospitals, Iran, and the demographic and clinical information of the patients was recorded in a questionnaire. Samples were tested using wet-mount method, formalin-ether concentration, modified Ziehl-Neelsen staining for coccidia, conventional trichrome for intestinal protozoa, and modified trichrome for Microsporidia. Data were entered into SPSS software and analyzed by the chi-square test method (P < 0.05).
RESULTS: The prevalence of parasitic infections in patients under hemodialysis in Sari and Zanjan was 43.58% and 33.33%, respectively, with a total of 40.4%. With a prevalence of 23.28%, Giardia had the highest prevalence rate. Then, Entamoeba coli had a prevalence of 14.3% and other parasites were, respectively, Endolimax nana (6.54%), Blastocystis hominis, Entamoeba histolytica/dispar, Dientamoeba fragilis, and Cryptosporidium (each one: 1.19%), and Chilomastix mesnili (0.59%). There was no significant difference between the prevalence of intestinal parasites with age, gender, place of residence (urban or rural), and duration of hemodialysis (P ≤ 0.05).
CONCLUSION: Pathogenic parasites such as Giardia have a high prevalence in patients undergoing hemodialysis in Sari Region. Given the potential risks of these infections, especially giardiasis, amoebiasis, and cryptosporidiosis, it is recommended that regular screening be performed to diagnose and treat parasitic diseases in this population. |
first_indexed | 2024-04-10T19:35:29Z |
format | Article |
id | doaj.art-532f66cfc0e94593957fa3b1bee6606e |
institution | Directory Open Access Journal |
issn | 2588-7297 2345-2226 |
language | English |
last_indexed | 2024-04-10T19:35:29Z |
publishDate | 2022-03-01 |
publisher | Vesnu Publications |
record_format | Article |
series | Chronic Diseases Journal |
spelling | doaj.art-532f66cfc0e94593957fa3b1bee6606e2023-01-30T07:04:57ZengVesnu PublicationsChronic Diseases Journal2588-72972345-22262022-03-011012029https://doi.org/10.22122/cdj.v10i1.640Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, IranSalman Ghaffari0https://orcid.org/0000-0003-2662-5618Ali Asghar Fazaeli1https://orcid.org/0000-0003-0668-7707Roja Jafarian2https://orcid.org/0000-0001-8517-5747Department of Medical Parasitology and Mycology, School of Medicine, Babol University of Medical Sciences, Babol, IranDepartment of Medical Parasitology and Mycology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, IranDepartment of General Medicine, Qeshm International School of Medicine, Qeshm International Free University, Qeshm, IranBACKGROUND: Patients undergoing hemodialysis are vulnerable to intestinal parasites due to a weakened immune system. This study aimed to determine the prevalence of intestinal parasites in patients undergoing hemodialysis. METHODS: The feces of 168 under hemodialysis patients were collected from Sari and Zanjan hospitals, Iran, and the demographic and clinical information of the patients was recorded in a questionnaire. Samples were tested using wet-mount method, formalin-ether concentration, modified Ziehl-Neelsen staining for coccidia, conventional trichrome for intestinal protozoa, and modified trichrome for Microsporidia. Data were entered into SPSS software and analyzed by the chi-square test method (P < 0.05). RESULTS: The prevalence of parasitic infections in patients under hemodialysis in Sari and Zanjan was 43.58% and 33.33%, respectively, with a total of 40.4%. With a prevalence of 23.28%, Giardia had the highest prevalence rate. Then, Entamoeba coli had a prevalence of 14.3% and other parasites were, respectively, Endolimax nana (6.54%), Blastocystis hominis, Entamoeba histolytica/dispar, Dientamoeba fragilis, and Cryptosporidium (each one: 1.19%), and Chilomastix mesnili (0.59%). There was no significant difference between the prevalence of intestinal parasites with age, gender, place of residence (urban or rural), and duration of hemodialysis (P ≤ 0.05). CONCLUSION: Pathogenic parasites such as Giardia have a high prevalence in patients undergoing hemodialysis in Sari Region. Given the potential risks of these infections, especially giardiasis, amoebiasis, and cryptosporidiosis, it is recommended that regular screening be performed to diagnose and treat parasitic diseases in this population.http://cdjournal.muk.ac.ir/index.php/cdj/article/view/640intestinal parasiteshemodialysispatientsparasitic infections |
spellingShingle | Salman Ghaffari Ali Asghar Fazaeli Roja Jafarian Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, Iran Chronic Diseases Journal intestinal parasites hemodialysis patients parasitic infections |
title | Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, Iran |
title_full | Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, Iran |
title_fullStr | Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, Iran |
title_full_unstemmed | Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, Iran |
title_short | Survey of prevalence of intestinal parasites in under hemodialysis patients referred to Sari and Zanjan hospitals, Iran |
title_sort | survey of prevalence of intestinal parasites in under hemodialysis patients referred to sari and zanjan hospitals iran |
topic | intestinal parasites hemodialysis patients parasitic infections |
url | http://cdjournal.muk.ac.ir/index.php/cdj/article/view/640 |
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