Prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugee population of Mianwali district, Pakistan

Background: Present study aimed to investigate prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugees visiting Central Health Unit (CHU), Kot Chandana (Mianwali, Northern Punjab) during two years period (February 2007 to December 2009). Methods: A total of 687 stool samples were...

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Veröffentlicht in:African health sciences 2015-06, Vol.15 (2), p.394-400
Hauptverfasser: Haq, Khan Abrar Ul, Gul, Naz Asma, Hammad, Hussain Muhammad, Bibi, Yasmeen, Bibi, Asma, Mohsan, Javed
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container_issue 2
container_start_page 394
container_title African health sciences
container_volume 15
creator Haq, Khan Abrar Ul
Gul, Naz Asma
Hammad, Hussain Muhammad
Bibi, Yasmeen
Bibi, Asma
Mohsan, Javed
description Background: Present study aimed to investigate prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugees visiting Central Health Unit (CHU), Kot Chandana (Mianwali, Northern Punjab) during two years period (February 2007 to December 2009). Methods: A total of 687 stool samples were collected from different age groups of both genders. Samples were processed under sterile conditions after gross examination. Microscopic examination was done on same day along with eggs (H. nana), cyst and trophozoites (G. intestinalis) detection after staining. Results: The prevalence of G. intestinalis was significantly higher (x2=59.54, p
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Methods: A total of 687 stool samples were collected from different age groups of both genders. Samples were processed under sterile conditions after gross examination. Microscopic examination was done on same day along with eggs (H. nana), cyst and trophozoites (G. intestinalis) detection after staining. Results: The prevalence of G. intestinalis was significantly higher (x2=59.54, p&lt;0.001) than that of H. nana. Females were found more likely to be infected as compared to males (OR: 1.40, 95% CI=1.03-1.92). Prevalence of both parasites decreased with age and highest prevalence was observed in young individuals belonging to 1-15 years of age group (41.8% and 48.7% respectively for H. nana and G. intestinalis, p&lt;0.001). Abdominal distress (OR: 1.13, 95%CI=0.83-1.53), vomiting (OR: 1.13, 95%CI=1.13-1.81) and rectal prolapse (OR: 4.26, 95%CI=1.38-13.16) were the gastro-intestinal clinical symptoms observed in G. intestinalis. Whereas, bloody diarrhea (OR: 1.56, 95%CI=1.00-2.43) and rectal prolapse (OR: 5.79, 95%CI=1.87-17.91) were associated with H. nana infections. Conclusions: Intestinal parasitic infections are common among Afghan refugees and serious preventive measures should be implemented to promote the safety and healthy lifestyle of these people.</description><identifier>ISSN: 1680-6905</identifier><identifier>EISSN: 1729-0503</identifier><identifier>EISSN: 1680-6905</identifier><identifier>DOI: 10.4314/ahs.v15i2.12</identifier><identifier>PMID: 26124784</identifier><language>eng</language><publisher>Uganda: Makerere University Medical School</publisher><subject>Adolescent ; Adult ; Afghan Refugee ; Afghanistan - ethnology ; Age Distribution ; Aged ; Animals ; Child ; Child, Preschool ; Diarrhea - epidemiology ; Diarrhea - etiology ; Feces - microbiology ; Female ; Giardia - classification ; Giardia - isolation &amp; purification ; Giardia intestinalis ; Giardiasis - epidemiology ; Humans ; Hymenolepiasis - epidemiology ; Hymenolepis nana ; Hymenolepis nana - isolation &amp; purification ; Incidence ; Infant ; Intestinal Diseases, Parasitic - epidemiology ; Male ; Middle Aged ; Pakistan - epidemiology ; Poverty ; Prevalence ; Punjab ; Rectal Prolapse - epidemiology ; Rectal Prolapse - etiology ; Refugees - statistics &amp; numerical data ; Risk Factors ; Vulnerable Populations ; Young Adult</subject><ispartof>African health sciences, 2015-06, Vol.15 (2), p.394-400</ispartof><rights>Copyright 2015 - African Health Sciences</rights><rights>Copyright © Makerere Medical School, Uganda 2015 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b385t-e26527401f0f75482b0b22d3bc1889b770345693cd57793c19bd04ed6f931f983</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480483/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480483/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768,79169</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26124784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haq, Khan Abrar Ul</creatorcontrib><creatorcontrib>Gul, Naz Asma</creatorcontrib><creatorcontrib>Hammad, Hussain Muhammad</creatorcontrib><creatorcontrib>Bibi, Yasmeen</creatorcontrib><creatorcontrib>Bibi, Asma</creatorcontrib><creatorcontrib>Mohsan, Javed</creatorcontrib><title>Prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugee population of Mianwali district, Pakistan</title><title>African health sciences</title><addtitle>Afr Health Sci</addtitle><description>Background: Present study aimed to investigate prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugees visiting Central Health Unit (CHU), Kot Chandana (Mianwali, Northern Punjab) during two years period (February 2007 to December 2009). Methods: A total of 687 stool samples were collected from different age groups of both genders. Samples were processed under sterile conditions after gross examination. Microscopic examination was done on same day along with eggs (H. nana), cyst and trophozoites (G. intestinalis) detection after staining. Results: The prevalence of G. intestinalis was significantly higher (x2=59.54, p&lt;0.001) than that of H. nana. Females were found more likely to be infected as compared to males (OR: 1.40, 95% CI=1.03-1.92). Prevalence of both parasites decreased with age and highest prevalence was observed in young individuals belonging to 1-15 years of age group (41.8% and 48.7% respectively for H. nana and G. intestinalis, p&lt;0.001). Abdominal distress (OR: 1.13, 95%CI=0.83-1.53), vomiting (OR: 1.13, 95%CI=1.13-1.81) and rectal prolapse (OR: 4.26, 95%CI=1.38-13.16) were the gastro-intestinal clinical symptoms observed in G. intestinalis. Whereas, bloody diarrhea (OR: 1.56, 95%CI=1.00-2.43) and rectal prolapse (OR: 5.79, 95%CI=1.87-17.91) were associated with H. nana infections. Conclusions: Intestinal parasitic infections are common among Afghan refugees and serious preventive measures should be implemented to promote the safety and healthy lifestyle of these people.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Afghan Refugee</subject><subject>Afghanistan - ethnology</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Animals</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diarrhea - epidemiology</subject><subject>Diarrhea - etiology</subject><subject>Feces - microbiology</subject><subject>Female</subject><subject>Giardia - classification</subject><subject>Giardia - isolation &amp; purification</subject><subject>Giardia intestinalis</subject><subject>Giardiasis - epidemiology</subject><subject>Humans</subject><subject>Hymenolepiasis - epidemiology</subject><subject>Hymenolepis nana</subject><subject>Hymenolepis nana - isolation &amp; purification</subject><subject>Incidence</subject><subject>Infant</subject><subject>Intestinal Diseases, Parasitic - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pakistan - epidemiology</subject><subject>Poverty</subject><subject>Prevalence</subject><subject>Punjab</subject><subject>Rectal Prolapse - epidemiology</subject><subject>Rectal Prolapse - etiology</subject><subject>Refugees - statistics &amp; numerical data</subject><subject>Risk Factors</subject><subject>Vulnerable Populations</subject><subject>Young Adult</subject><issn>1680-6905</issn><issn>1729-0503</issn><issn>1680-6905</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>RBI</sourceid><sourceid>EIF</sourceid><recordid>eNpVkc1v1DAQxS0EoqVw44x85NAs_oztC1JVQVupiB7gbE0SZ9fgtYOdbNX_Hm-3XcHpjT0_P4_mIfSekpXgVHyCTVntqPRsRdkLdEoVMw2RhL-sdatJ0xoiT9CbUn4Rwlpq6Gt0UpUJpcUpKnfZ7SC42DucRnzlIQ8esI-zK7OPEHzBEAd8_bB1MQU31XOEuCfwxbjeQMTZjcvaOTylaQkw-xT3Tt88xPv6HA--zNn38zm-g9-1hvgWvRohFPfuSc_Qz69fflxeN7ffr24uL26bjms5N461kilB6EhGJYVmHekYG3jXU61NpxThQraG94NUqgo13UCEG9rRcDoazc_Q54PvtHRbN_QuzhmCnbLfQn6wCbz9vxP9xq7TzgqhidC8Gnx8Msjpz1IXYre-9C4EiC4txdLWMCWlILKi5we0z6mUupLjN5TYfU625mQfc7KUVfzDv6Md4edgKrA6AJ1PwUd3JPrswT5fVstNoZJIzf8CbFOiAA</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Haq, Khan Abrar Ul</creator><creator>Gul, Naz Asma</creator><creator>Hammad, Hussain Muhammad</creator><creator>Bibi, Yasmeen</creator><creator>Bibi, Asma</creator><creator>Mohsan, Javed</creator><general>Makerere University Medical School</general><general>Makerere Medical School</general><scope>RBI</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150601</creationdate><title>Prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugee population of Mianwali district, Pakistan</title><author>Haq, Khan Abrar Ul ; Gul, Naz Asma ; Hammad, Hussain Muhammad ; Bibi, Yasmeen ; Bibi, Asma ; Mohsan, Javed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b385t-e26527401f0f75482b0b22d3bc1889b770345693cd57793c19bd04ed6f931f983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Afghan Refugee</topic><topic>Afghanistan - ethnology</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Animals</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diarrhea - epidemiology</topic><topic>Diarrhea - etiology</topic><topic>Feces - microbiology</topic><topic>Female</topic><topic>Giardia - classification</topic><topic>Giardia - isolation &amp; purification</topic><topic>Giardia intestinalis</topic><topic>Giardiasis - epidemiology</topic><topic>Humans</topic><topic>Hymenolepiasis - epidemiology</topic><topic>Hymenolepis nana</topic><topic>Hymenolepis nana - isolation &amp; purification</topic><topic>Incidence</topic><topic>Infant</topic><topic>Intestinal Diseases, Parasitic - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pakistan - epidemiology</topic><topic>Poverty</topic><topic>Prevalence</topic><topic>Punjab</topic><topic>Rectal Prolapse - epidemiology</topic><topic>Rectal Prolapse - etiology</topic><topic>Refugees - statistics &amp; numerical data</topic><topic>Risk Factors</topic><topic>Vulnerable Populations</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haq, Khan Abrar Ul</creatorcontrib><creatorcontrib>Gul, Naz Asma</creatorcontrib><creatorcontrib>Hammad, Hussain Muhammad</creatorcontrib><creatorcontrib>Bibi, Yasmeen</creatorcontrib><creatorcontrib>Bibi, Asma</creatorcontrib><creatorcontrib>Mohsan, Javed</creatorcontrib><collection>Bioline International</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>African health sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haq, Khan Abrar Ul</au><au>Gul, Naz Asma</au><au>Hammad, Hussain Muhammad</au><au>Bibi, Yasmeen</au><au>Bibi, Asma</au><au>Mohsan, Javed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugee population of Mianwali district, Pakistan</atitle><jtitle>African health sciences</jtitle><addtitle>Afr Health Sci</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>15</volume><issue>2</issue><spage>394</spage><epage>400</epage><pages>394-400</pages><issn>1680-6905</issn><eissn>1729-0503</eissn><eissn>1680-6905</eissn><abstract>Background: Present study aimed to investigate prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugees visiting Central Health Unit (CHU), Kot Chandana (Mianwali, Northern Punjab) during two years period (February 2007 to December 2009). Methods: A total of 687 stool samples were collected from different age groups of both genders. Samples were processed under sterile conditions after gross examination. Microscopic examination was done on same day along with eggs (H. nana), cyst and trophozoites (G. intestinalis) detection after staining. Results: The prevalence of G. intestinalis was significantly higher (x2=59.54, p&lt;0.001) than that of H. nana. Females were found more likely to be infected as compared to males (OR: 1.40, 95% CI=1.03-1.92). Prevalence of both parasites decreased with age and highest prevalence was observed in young individuals belonging to 1-15 years of age group (41.8% and 48.7% respectively for H. nana and G. intestinalis, p&lt;0.001). Abdominal distress (OR: 1.13, 95%CI=0.83-1.53), vomiting (OR: 1.13, 95%CI=1.13-1.81) and rectal prolapse (OR: 4.26, 95%CI=1.38-13.16) were the gastro-intestinal clinical symptoms observed in G. intestinalis. Whereas, bloody diarrhea (OR: 1.56, 95%CI=1.00-2.43) and rectal prolapse (OR: 5.79, 95%CI=1.87-17.91) were associated with H. nana infections. Conclusions: Intestinal parasitic infections are common among Afghan refugees and serious preventive measures should be implemented to promote the safety and healthy lifestyle of these people.</abstract><cop>Uganda</cop><pub>Makerere University Medical School</pub><pmid>26124784</pmid><doi>10.4314/ahs.v15i2.12</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source African Journals Online (Open Access); MEDLINE; Bioline International; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adolescent
Adult
Afghan Refugee
Afghanistan - ethnology
Age Distribution
Aged
Animals
Child
Child, Preschool
Diarrhea - epidemiology
Diarrhea - etiology
Feces - microbiology
Female
Giardia - classification
Giardia - isolation & purification
Giardia intestinalis
Giardiasis - epidemiology
Humans
Hymenolepiasis - epidemiology
Hymenolepis nana
Hymenolepis nana - isolation & purification
Incidence
Infant
Intestinal Diseases, Parasitic - epidemiology
Male
Middle Aged
Pakistan - epidemiology
Poverty
Prevalence
Punjab
Rectal Prolapse - epidemiology
Rectal Prolapse - etiology
Refugees - statistics & numerical data
Risk Factors
Vulnerable Populations
Young Adult
title Prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugee population of Mianwali district, Pakistan
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