Prevalence and Subtype Distribution of Blastocystis Infection in Patients with Diabetes Mellitus in Thailand

Diabetes mellitus (DM) is a major global public health problem with an increasing prevalence. DM increases the risk of infections caused by bacteria, fungi, viruses, and parasites. We examined the prevalence, subtypes, and risk factors of infection in patients with and without DM in central Thailand...

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Veröffentlicht in:International journal of environmental research and public health 2020-11, Vol.17 (23), p.8877
Hauptverfasser: Popruk, Noppon, Prasongwattana, Satakamol, Mahittikorn, Aongart, Palasuwan, Attakorn, Popruk, Supaluk, Palasuwan, Duangdao
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container_issue 23
container_start_page 8877
container_title International journal of environmental research and public health
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creator Popruk, Noppon
Prasongwattana, Satakamol
Mahittikorn, Aongart
Palasuwan, Attakorn
Popruk, Supaluk
Palasuwan, Duangdao
description Diabetes mellitus (DM) is a major global public health problem with an increasing prevalence. DM increases the risk of infections caused by bacteria, fungi, viruses, and parasites. We examined the prevalence, subtypes, and risk factors of infection in patients with and without DM in central Thailand. Stool samples and questionnaires were obtained from 130 people in the DM group and 100 people in the non-DM group. infection was identified via a nested polymerase chain reaction and subtyped via sequencing of the partial small-subunit ribosomal RNA (SSU rRNA) gene. Analysis of potential risk factors was conducted via binary logistic regression. The overall prevalence of infection was 10.8%, including rates of 9% and 12.3% in the non-DM and DM groups, respectively. The most prevalent subtype was ST3, followed by ST1, and ST4. Factors that potentially increased the risk of infection include patients being >65 years old, the presence of DM, a DM duration of ≥10 years, a low level of education, and animal ownership. In conclusion, this is the first study of infection in DM, and a high prevalence was found among this population. Therefore, health education promoting sanitation and hygiene is necessary to reduce and prevent infection in the community.
doi_str_mv 10.3390/ijerph17238877
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subjects Aged
Animals
Blastocystis
Blastocystis - genetics
Blastocystis Infections - complications
Blastocystis Infections - epidemiology
Deoxyribonucleic acid
Diabetes
Diabetes Complications
Diabetes mellitus
Diabetes Mellitus - epidemiology
DNA
DNA, Protozoan
Education
Feces
Female
Fungi
Genetic Variation
Health risks
Humans
Hygiene
Infections
Low level
Male
Maximum likelihood method
Parasites
Phylogenetics
Phylogeny
Polymerase chain reaction
Population
Prevalence
Primary care
Public health
Risk analysis
Risk factors
rRNA
Sanitation
Thailand - epidemiology
Viruses
title Prevalence and Subtype Distribution of Blastocystis Infection in Patients with Diabetes Mellitus in Thailand
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