THE SPECTRA OF INTESTINAL PARASITIC INFECTIONS AFFECTING PATIENTS ATTENDING A TERTIARY CARE CENTER IN WESTERN UTTAR PRADESH
Keywords:Parasitic, Hookworm, Giardia lamblia, Coccidian, Modified Z-N staining
Objective: Intestinal parasitic infection is a burgeoning health issue, especially in developing countries owing to low socioeconomic conditions, poor sanitation, poor personal hygiene, and lack of access to potable drinking water. This study aims to determine the prevalence of different intestinal parasites among the patients.
Methods: This cross-sectional study was conducted among 470 patients attending our hospital from October 2018 to September 2019. Specimens were collected and examined macroscopically and microscopically using concentration methods and modified Ziehl–Neelsen staining for coccidian parasites.
Results: Out of the 470 patients, prevalence of intestinal infections was 4.89%. The helminthic infections were more common (52.17%), which was topped by Hookworm infection (26.09%) followed by Ascariasis (13.04%). Among the protozoa, Giardia lamblia (26.09%) was the most common, followed by Entamoeba histolytica (17.39%). The parasitic infections were more in female (5.62%) than male (4.19%) and highest in the pediatric age group and between 51 and 60 years.
Conclusion: The prevalence of intestinal parasitic infections is decreasing due to increasing awareness about sanitation, effects of open defecation, safe drinking water, and personal hygiene. However, the need of intervallic monitoring of intestinal parasitic infections is necessary.
Hotez PJ, Fenwick A, Savioli L, Molyneux DH. Rescuing the bottom billion through control of neglected tropical diseases. Lancet 2009;373:1570-5.
Hall A, Hewitt G, Tuffrey V, de Silva N. A review and meta-analysis of the impact of intestinal worms on child growth and nutrition. Matern Child Nutr 2008;4:118-236.
Raza HH, Sami RA. Epidemiological study on gastro-intestinal parasites among different sexes, occupations and age groups in Sulaimani district. J Duhok Univ 2009;12:317-23.
Rashid MK, Joshi M, Joshi HS. Prevalence of intes-tinal parasites among school going children in Bareilly district. Natl J Integr Res Med 2011;2:35-7.
Garcia LS. Diagnostic Medical Parasitology. 5th ed. Washington DC: ASM Press; 2007.
Ahmed NH, Chowdhary A. Comparison of different methods of detection of enteric pathogenic protozoa. Indian J Med Microbiol 2013;31:154-60.
Singh R, Singla P, Sharma M, Aparna, Chaudhary U. Prevalence of intestinal parasitic infections in a Tertiary Care Hospital in Northern India: Five year retrospective study. Int J Curr Microbiol App Sci 2013;2:112-7.
Kang G, Mathew MS, Rajan DP, Daniel JD, Mathan MM, Mathan VI, et al. Prevalence of intestinal parasites in rural Southern Indians. Trop Med Int Health 1998;3:70-5.
Kotian S, Sharma M, Juyal D, Sharma N. Intestinal parasitic infection intensity, prevalence and associated risk factors, a study in the general population from the Uttarakhand hills. Int J Med Public Health 2014;4:422-5.
Kumar H, Jain K, Jain R. A study of prevalence of intestinal worm infestation and efficacy of anti-helminthic drugs. Med J Armed Forces India 2014;70:144-8.
Parameshwarappa KD, Chandrakanth C, Sunil B. The prevalence of intestinal parasitic infestations and the evaluation of different concentration techniques of the stool examination. J Clin Diag Res 2012;6:1188-91.
Champa H, Sreeshma P. Intestinal parasitic infections among patients attending a Teritiary Care hospital in South India. J Evol Med Dent Sci 2012;1:308-14.
Patel MM, Patel PR, Gamit B, Modi J, Padsala S. Prevalence of intestinal parasites infestation in Surat city of South Gujarat: A hospital based study. Natl J Community Med 2014;5:273-5.
Kumar R, Biswas PP, Yasmin T, Sen A. Prevalence of intestinal parasitic infections in patients attending a Tertiary Care Hospital in Eastern Bihar. J Evol Med Dent Sci 2014;3:6740-6.
Choubisa SL, Jaroli VJ, Choubisa P, Mogra N. Intestinal parasitic infection in Bhil tribe of Rajasthan, India. J Parasit Dis 2012;36:143-8.
Kavathia G, Pattani M, Chaudhary A, Joshi T, Mehta K. A prevalence study of intestinal parasitic infections in symptomatic children at Tertiary Care Hospital in Rajkot city of Gujarat (India) IOSR J Dent Med Sci 2016;15:13-5.
Purbey MK, Banerjee T. Spectrum of intestinal parasitic infections (IPIs) in a Tertiary Care Hospital in Varanasi: Need to protect school aged children from giardia infection. Natl J Lab Med 2017;6:MO01-5.
Hardie RM, Wall PG, Gott P, Bardhan M, Bartlett LR. Infectious diarrhea in tourists staying in a resort hotel. Emerg Infect Dis 1999;5:168-71.
Mathuria YP, Singh A. Prevalence of intestinal parasites at a tertiary care center at Moradabad, Western Uttar Pradesh, India: A one-year observational study. Ann Int Med Dent Res 2017;3:MB07-10.
Ramana KV, Mohanty SK. Opportunistic intestinal parasites and TCD4+cell counts in human immunodeficiency virus seropositive patients. J Med Microbiol 2009;58:1664-6.
Vyas N, Sood S, SharmaB, Kumar M. The prevalence of intestinal parasitic infestation and the related profile of the CD4(+) counts in HIV/AIDS people with diarrhoea in Jaipur city. J Clin Diagn Res 2013;7:454-6.
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Copyright (c) 2021 Dr Prem Prakash Mishra, Dr Anil Kumar, Dr Deepak Upadhyay, Shristi Sharma, Dr Amit Garg
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