Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria

Background/purpose: Intestinal parasitic infections (IPIs) among school aged children (SAC) in Nigeria remains endemic, hence the need for regular surveillance to attract the attention of policy makers. This cross-sectional study investigated the current prevalence and factors associated with intest...

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Main Authors: Vincent P. Gyang, Ting-Wu Chuang, Chien-Wei Liao, Yueh-Lun Lee, Olaoluwa P. Akinwale, Akwaowo Orok, Olusola Ajibaye, Ajayi J. Babasola, Po-Ching Cheng, Chia-Mei Chou, Ying-Chieh Huang, Pasaiko Sonko, Chia-Kwung Fan
Format: Article
Language:English
Published: Elsevier 2019-02-01
Series:Journal of Microbiology, Immunology and Infection
Online Access:http://www.sciencedirect.com/science/article/pii/S1684118217300725
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author Vincent P. Gyang
Ting-Wu Chuang
Chien-Wei Liao
Yueh-Lun Lee
Olaoluwa P. Akinwale
Akwaowo Orok
Olusola Ajibaye
Ajayi J. Babasola
Po-Ching Cheng
Chia-Mei Chou
Ying-Chieh Huang
Pasaiko Sonko
Chia-Kwung Fan
author_facet Vincent P. Gyang
Ting-Wu Chuang
Chien-Wei Liao
Yueh-Lun Lee
Olaoluwa P. Akinwale
Akwaowo Orok
Olusola Ajibaye
Ajayi J. Babasola
Po-Ching Cheng
Chia-Mei Chou
Ying-Chieh Huang
Pasaiko Sonko
Chia-Kwung Fan
author_sort Vincent P. Gyang
collection DOAJ
description Background/purpose: Intestinal parasitic infections (IPIs) among school aged children (SAC) in Nigeria remains endemic, hence the need for regular surveillance to attract the attention of policy makers. This cross-sectional study investigated the current prevalence and factors associated with intestinal parasitic infections among school aged children in an urban slum of Lagos City, Nigeria. Methods: Single stool samples from 384 school aged children (188 boys and 196 girls) were examined by employing Merthiolate-iodine-formaldehyde concentration (MIFC) and Kato-Katz methods. Demographic characteristics and risk factors were obtained by questionnaires investigation. Results: The overall prevalence was 86.2% in school children, out of them 39.1% had polyparasitism. IPIs showed the highest to the lowest prevalence of 62% (238/384), 25% (97/384), 12.3% (47/384), 11.8% (45/384), 9.9% (38/384), 8.4% (32/384), 3.4% (13/384), and 0.5% (2/384) found in Ascaris lumbricoides, Entamoeba histolytica/dispar, Giardia duodenalis, Endolimax nana, Entamoeba coli, Trichuris trichiura, Blastocystis hominis, and hookworm infections, respectively. MIFC technique showed superiority to Kato-Katz technique in the detection of IPIs (p < 0.0001). Drinking untreated water was a significant risk factor for these school aged children in acquiring protozoan infections after multivariate adjustment (OR = 1.86, 95% CI = 1.08–3.20, p = 0.02). Conclusion: Intestinal parasitic infections are very severe among school aged children in the urban slums, thus regular mass de-worming programs, health education, and the provision of safe drinking water is recommended to combat IPIs among the school aged children. Keywords: Intestinal parasitic infections, Prevalence, Risk factors, Schoolchildren, Slum, Nigeria
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spelling doaj.art-61f7a63c9dd149c4bdb2a3cb2b5655f02022-12-22T01:13:16ZengElsevierJournal of Microbiology, Immunology and Infection1684-11822019-02-01521106113Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in NigeriaVincent P. Gyang0Ting-Wu Chuang1Chien-Wei Liao2Yueh-Lun Lee3Olaoluwa P. Akinwale4Akwaowo Orok5Olusola Ajibaye6Ajayi J. Babasola7Po-Ching Cheng8Chia-Mei Chou9Ying-Chieh Huang10Pasaiko Sonko11Chia-Kwung Fan12Public Health Division, Molecular Parasitology Research Laboratory, Nigerian Institute of Medical Research, Yaba, Lagos State, NigeriaDepartment of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanPublic Health Division, Molecular Parasitology Research Laboratory, Nigerian Institute of Medical Research, Yaba, Lagos State, NigeriaBiochemistry and Nutrition Division, Nigerian Institute of Medical Research, Yaba, Lagos State, NigeriaBiochemistry and Nutrition Division, Nigerian Institute of Medical Research, Yaba, Lagos State, NigeriaScience Laboratory Department, Ogun State Institute of Technology, Igbesa, Ogun state, NigeriaDepartment of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan; Master Program in Global Health and Development, College of Public Health, Taipei Medical University, Taipei, Taiwan; Corresponding author. Department of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, ROC. Fax: +886 2 27395092.Background/purpose: Intestinal parasitic infections (IPIs) among school aged children (SAC) in Nigeria remains endemic, hence the need for regular surveillance to attract the attention of policy makers. This cross-sectional study investigated the current prevalence and factors associated with intestinal parasitic infections among school aged children in an urban slum of Lagos City, Nigeria. Methods: Single stool samples from 384 school aged children (188 boys and 196 girls) were examined by employing Merthiolate-iodine-formaldehyde concentration (MIFC) and Kato-Katz methods. Demographic characteristics and risk factors were obtained by questionnaires investigation. Results: The overall prevalence was 86.2% in school children, out of them 39.1% had polyparasitism. IPIs showed the highest to the lowest prevalence of 62% (238/384), 25% (97/384), 12.3% (47/384), 11.8% (45/384), 9.9% (38/384), 8.4% (32/384), 3.4% (13/384), and 0.5% (2/384) found in Ascaris lumbricoides, Entamoeba histolytica/dispar, Giardia duodenalis, Endolimax nana, Entamoeba coli, Trichuris trichiura, Blastocystis hominis, and hookworm infections, respectively. MIFC technique showed superiority to Kato-Katz technique in the detection of IPIs (p < 0.0001). Drinking untreated water was a significant risk factor for these school aged children in acquiring protozoan infections after multivariate adjustment (OR = 1.86, 95% CI = 1.08–3.20, p = 0.02). Conclusion: Intestinal parasitic infections are very severe among school aged children in the urban slums, thus regular mass de-worming programs, health education, and the provision of safe drinking water is recommended to combat IPIs among the school aged children. Keywords: Intestinal parasitic infections, Prevalence, Risk factors, Schoolchildren, Slum, Nigeriahttp://www.sciencedirect.com/science/article/pii/S1684118217300725
spellingShingle Vincent P. Gyang
Ting-Wu Chuang
Chien-Wei Liao
Yueh-Lun Lee
Olaoluwa P. Akinwale
Akwaowo Orok
Olusola Ajibaye
Ajayi J. Babasola
Po-Ching Cheng
Chia-Mei Chou
Ying-Chieh Huang
Pasaiko Sonko
Chia-Kwung Fan
Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria
Journal of Microbiology, Immunology and Infection
title Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria
title_full Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria
title_fullStr Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria
title_full_unstemmed Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria
title_short Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria
title_sort intestinal parasitic infections current status and associated risk factors among school aged children in an archetypal african urban slum in nigeria
url http://www.sciencedirect.com/science/article/pii/S1684118217300725
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