dc.description.abstract |
Intestinal parasites (IPs) are organisms that live in the intestine of human or animals, take up the nutrition
from the host, and cause abdominal discomfort, mechanical irritation of intestinal mucosa, malabsorption
syndromes and obstruction. The aim of this study was to assess the prevalence and associated risk factors
of intestinal parasitic infections (IPIs) among patients attending Dil Yibza health center, north Gondar
zone, Ethiopia. A cross-sectional study was conducted from December 2019 to February 2020. A total of
404 patients were selected using random sampling technique. Approximately 2-3 gram of stool specimen
was collected and examined for the presence of intestinal parasite microscopically using direct wet-mount
and formal-ether concentration techniques. A structured questionnaire was used to obtain information
regarding the socio-demographic characteristics and associated risk factors. Data were analyzed using
SPSS version 25. Chi-square (χ2) test and crude odd ratio were calculated to verify and measure the
possible association between IPIs and potential risk factors. P value < 0.05 was taken as statistically
significant. Nine species of intestinal parasites were identified from the total of 404 stool samples
examined. The overall prevalence of IPIs for at least one parasite was 55.2%. Entamoeba histolytica/
dispar (46.5%) was the most predominant parasite followed by Ascaris lumbricoides (9.2%), Giardia
lamblia (2.7%), Hookworm species (1.2%), Hymenolepis nana (1.0%), Trichuris trichiura (0.7%),
Enterobius vermicularis (0.5%), and Schistosoma mansoni (0.2%) singly or mixed with other parasites.
Furthermore, double and triple parasitic infections were observed in 6.7% and 0.2% respectively. Having
diarrhea (AOR=4.22, CI=2.57-6.91, p=0.001), absence of hand washing habit after defecation (AOR=4.36,
CI=2.83-6.72, P=0.000), habit of eating unwashed vegetable (AOR=5. 430, 4.33-23.77, P=0.000) and dirt
matter under the nail (AOR=5.63, CI=2.60-11.32, P=0.001) were found to be significantly associated with
IPIs (p< 0.05). This study showed a high prevalence of intestinal parasitic infection in the study area.
Therefore, regular provision of health education on personal hygiene and environmental sanitation is
recommended to prevent and control IPIs in the study area. |
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