Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019

Diarrhea remains a public health problem in Mozambique, even with control strategies being implemented. This analysis aimed to determine the proportion and factors associated with intestinal parasitic infection (IPI) in children up to 14 years old with diarrheal disease, in the southern, central and...

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Main Authors: Ofélia Luís Nhambirre, Idalécia Cossa-Moiane, Adilson Fernando Loforte Bauhofer, Assucênio Chissaque, Maria Luisa Lobo, Olga Matos, Nilsa de Deus
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/11/3/353
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author Ofélia Luís Nhambirre
Idalécia Cossa-Moiane
Adilson Fernando Loforte Bauhofer
Assucênio Chissaque
Maria Luisa Lobo
Olga Matos
Nilsa de Deus
author_facet Ofélia Luís Nhambirre
Idalécia Cossa-Moiane
Adilson Fernando Loforte Bauhofer
Assucênio Chissaque
Maria Luisa Lobo
Olga Matos
Nilsa de Deus
author_sort Ofélia Luís Nhambirre
collection DOAJ
description Diarrhea remains a public health problem in Mozambique, even with control strategies being implemented. This analysis aimed to determine the proportion and factors associated with intestinal parasitic infection (IPI) in children up to 14 years old with diarrheal disease, in the southern, central and northern regions of Mozambique. A single diarrheal sample of 1424 children was collected in hospitals and examined using the formol-ether concentration and modified Ziehl–Neelsen techniques to identify intestinal parasites using optical microscopy. Sociodemographic characteristics were obtained by questionnaires. Descriptive statistics and cross-tabulation were performed, and <i>p</i>-values <0.05 were considered statistically significant. A single IPI was detected in 19.2% (273/1424) of the children. <i>Cryptosporidium</i> spp. was the most common parasite (8.1%; 115/1424). Polyparasitism was seen in 26.0% (71/273), with the co-infection of <i>Ascaris lumbricoides</i> and <i>Trichuris trichiura</i> (26.8%; 19/71) being the most common. Age and province were related to IPI (<i>p</i>-value < 0.05). The highest occurrence of IPI was observed in the wet period (October to March), with 21.9% (140/640), compared to the dry period (April to September), with 16.9% (131/776) (<i>p</i>-value = 0.017). <i>Cryptosporidium</i> spp. and the combination of <i>A</i>. <i>lumbricoides/T</i>. <i>trichiura</i> were the main intestinal parasites observed in children hospitalized with diarrhea in Mozambique.
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spelling doaj.art-5c02334ed1ee42e69eca7d36e473310e2023-11-30T21:52:51ZengMDPI AGPathogens2076-08172022-03-0111335310.3390/pathogens11030353Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019Ofélia Luís Nhambirre0Idalécia Cossa-Moiane1Adilson Fernando Loforte Bauhofer2Assucênio Chissaque3Maria Luisa Lobo4Olga Matos5Nilsa de Deus6Group of Opportunistic Protozoa/HIV and Other Protozoa, Global Health and Tropical Medicine, Medical Parasitology Unit, Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, 1349-008 Lisboa, PortugalInstituto Nacional de Saúde (INS), EN1, Bairro da Vila-Parcela n°3943, Distrito de Marracuene, Maputo 264, MozambiqueInstituto Nacional de Saúde (INS), EN1, Bairro da Vila-Parcela n°3943, Distrito de Marracuene, Maputo 264, MozambiqueInstituto Nacional de Saúde (INS), EN1, Bairro da Vila-Parcela n°3943, Distrito de Marracuene, Maputo 264, MozambiqueGroup of Opportunistic Protozoa/HIV and Other Protozoa, Global Health and Tropical Medicine, Medical Parasitology Unit, Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, 1349-008 Lisboa, PortugalGroup of Opportunistic Protozoa/HIV and Other Protozoa, Global Health and Tropical Medicine, Medical Parasitology Unit, Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, 1349-008 Lisboa, PortugalInstituto Nacional de Saúde (INS), EN1, Bairro da Vila-Parcela n°3943, Distrito de Marracuene, Maputo 264, MozambiqueDiarrhea remains a public health problem in Mozambique, even with control strategies being implemented. This analysis aimed to determine the proportion and factors associated with intestinal parasitic infection (IPI) in children up to 14 years old with diarrheal disease, in the southern, central and northern regions of Mozambique. A single diarrheal sample of 1424 children was collected in hospitals and examined using the formol-ether concentration and modified Ziehl–Neelsen techniques to identify intestinal parasites using optical microscopy. Sociodemographic characteristics were obtained by questionnaires. Descriptive statistics and cross-tabulation were performed, and <i>p</i>-values <0.05 were considered statistically significant. A single IPI was detected in 19.2% (273/1424) of the children. <i>Cryptosporidium</i> spp. was the most common parasite (8.1%; 115/1424). Polyparasitism was seen in 26.0% (71/273), with the co-infection of <i>Ascaris lumbricoides</i> and <i>Trichuris trichiura</i> (26.8%; 19/71) being the most common. Age and province were related to IPI (<i>p</i>-value < 0.05). The highest occurrence of IPI was observed in the wet period (October to March), with 21.9% (140/640), compared to the dry period (April to September), with 16.9% (131/776) (<i>p</i>-value = 0.017). <i>Cryptosporidium</i> spp. and the combination of <i>A</i>. <i>lumbricoides/T</i>. <i>trichiura</i> were the main intestinal parasites observed in children hospitalized with diarrhea in Mozambique.https://www.mdpi.com/2076-0817/11/3/353diarrheaintestinal parasiteschildrenMozambique
spellingShingle Ofélia Luís Nhambirre
Idalécia Cossa-Moiane
Adilson Fernando Loforte Bauhofer
Assucênio Chissaque
Maria Luisa Lobo
Olga Matos
Nilsa de Deus
Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019
Pathogens
diarrhea
intestinal parasites
children
Mozambique
title Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019
title_full Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019
title_fullStr Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019
title_full_unstemmed Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019
title_short Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014–2019
title_sort intestinal parasites in children up to 14 years old hospitalized with diarrhea in mozambique 2014 2019
topic diarrhea
intestinal parasites
children
Mozambique
url https://www.mdpi.com/2076-0817/11/3/353
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