Intestinal parasitic infections and its trends: a 5-year findings from a tertiary care centre, Puducherry, South India

  • PDF / 381,370 Bytes
  • 6 Pages / 595.276 x 790.866 pts Page_size
  • 27 Downloads / 209 Views

DOWNLOAD

REPORT


ORIGINAL ARTICLE

Intestinal parasitic infections and its trends: a 5-year findings from a tertiary care centre, Puducherry, South India Revathi Ulaganeethi1 • Nonika Rajkumari2 • Anusha Gururajan2 Anitha Gunalan2 • Dashwa Langbang2 • Ganesh Kumar1



Received: 29 January 2020 / Accepted: 2 November 2020 Ó Indian Society for Parasitology 2020

Abstract Intestinal parasitic infection (IPI) constitute a global health burden causing clinical morbidity in 450 million people. Many of these are women of reproductive age and children in developing countries. Mass deworming programmes with improvement in lifestyle are likely to reduce the intensity and prevalence of infection over the years. Hence, we aimed to assess the prevalence of intestinal parasitic infections among patients in a tertiary healthcare setting and to examine its time trends. A descriptive cross-sectional study was done using routinely collected data in a tertiary care hospital in South India. Details of examination of stool samples for the presence of intestinal helminth and protozoan ova/cysts, over the period of 5 years (2014–2019) were extracted from laboratory register and hospital information system. The presence of intestinal parasitic infection was determined by stool microscopy (direct wet mount and concentration techniques). Of the total 3267 stool samples, 303 (9.3%) had at least one parasite; 3.9% (93/3267) with helminths and 2.5% (81/3267) Entamoeba and multi-parasitism was seen in 0.14%. Stool samples from more than 18 years age had high positivity rate than others. Majority of the helminth infections were caused by Ascaris (57%) followed by hookworm (42%). Initially IPI which was 10.9% in 2014 declined to 10% in 2016 and attained a peak of 12.4% in

& Nonika Rajkumari [email protected] 1

2

Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medicine and Research (JIPMER), Puducherry, India Department of Microbiology, Jawaharlal Institute of Postgraduate Medicine and Research (JIPMER), Puducherry, India

2017 then decreased to 6.7% in 2018. Nearly one out of ten patients had a parasitic infection. Prevalence surveys in the community followed by strengthening the deworming procedures will reduce the burden of IPIs. Keywords Intestinal parasitic infections  Trends  Helminths  Protozoa  South India

Introduction Burden Intestinal parasitic infection (IPI) affects around 3.5 billion people and causes illness in 450 million and many of these are women of reproductive age and children in developing countries. The annual death of 2 lakhs has been attributed to parasitic infections in developing countries (Saurabh et al. 2017). Soil transmitted helminths like Ascaris lumbricoides, Trichuris trichiura and the hookworms (Necator americanus and Ancylostoma duodenale) are the most common and important in terms of child health (Hall et al. 2008). Globally, more than 2 billion people are infected with soil-transmitted helminths (STH) and out of that 1 billion infected with Ascaris, 740 million with hookworm and 79