The burden and epidemiology of polyparasitism among rural communities in Kano State, Nigeria
The burden and epidemiology of polyparasitism among rural communities in Kano State, Nigeria
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DOI：
10.1093/trstmh/try128
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发表时间：
2019-04-01
影响因子：
2.2
通讯作者：
Ithoi, Init
中科院分区：
文献类型：
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作者：
Dawaki, Salwa;Al-Mekhlafi, Hesham M.;Ithoi, Init
寄生虫感染是世界范围内的主要公共卫生问题，特别是在包括尼日利亚在内的发展中国家的贫困社区。本研究的目的是确定在卡诺州，中北部尼日利亚.Methods共551个人进行了筛选，通过使用不同的诊断技术的存在下，肠道，泌尿生殖道和血液寄生虫之间的农村社区的多寄生虫（多种寄生虫感染）的流行病学。人口，社会经济，家庭和行为特征收集使用预测试questionnaire.Results总体而言，84.0%（463/551）的参与者被发现感染至少一种寄生虫，其中51.2%（282/551）有多寄生虫。寄生虫以恶性疟原虫（60.6%）最多，其次是芽囊原虫（29.2%）和钩虫（15.4%）。疟疾与寄生虫感染之间无显著相关性（p>0.05）。单因素和多因素分析表明，存在其他家庭成员谁有肠道多寄生虫（调整后的比值比[AOR]=4.12; 95% CI=2.72，6.24），赤脚在户外行走（AOR=1.70; 95% CI=1.09，2.63）且为男性（AOR=1.74; 95% CI=1.14，（2.66）结论农村人群肠道多重寄生虫感染率较高卡诺州的社区。因此，应确定并实施有效、可持续和综合的控制措施，以显著减轻尼日利亚农村地区这些感染的负担和后果。
Background Parasitic infections constitute a major public health problem worldwide, particularly among underprivileged communities in developing countries including Nigeria. The present study aimed to determine the epidemiology of polyparasitism (multiple parasitic infections) among rural communities in Kano State, North Central Nigeria.Methods A total of 551 individuals were screened for the presence of intestinal, urogenital and blood parasites by using different diagnostic techniques. Demographic, socioeconomic, household and behavioural characteristics were collected using a pre-tested questionnaire.Results Overall, 84.0% (463/551) of the participants were found to be infected with at least one parasite species, with 51.2% (282/551) of them having polyparasitism. The most prevalent parasites were Plasmodium falciparum (60.6%) followed by Blastocystis sp. (29.2%) and hookworm (15.4%). No significant association was found between malaria and helminth infections (p>0.05). Univariate and multivariate analyses showed that the presence of other family members who had intestinal polyparasitism (adjusted odds ratio [AOR]=4.12; 95% CI=2.72, 6.24), walking barefoot outside (AOR=1.70; 95% CI=1.09, 2.63) and being male (AOR=1.74; 95% CI=1.14, 2.66) were the significant risk factors of intestinal polyparasitism among the population studied.Conclusion Polyparasitism is highly prevalent among rural communities in Kano State. Therefore, effective, sustainable and integrated control measures should be identified and implemented to significantly reduce the burden and consequences of these infections in rural Nigeria.