Amare Yamlaksira, Yohannes Tilahun, Tesfaye Solomon
Department of Biology, College of Natural and Computational Sciences, University of Gondar, Gondar, Ethiopia.
J Parasit Dis. 2024 Dec;48(4):789-801. doi: 10.1007/s12639-024-01708-9. Epub 2024 Jul 29.
Intestinal parasitic infections (IPIs) are the main public health problems in several developing countries, and under-five-aged children are the most vulnerable groups of the population. The current study aimed to determine the prevalence and associated risk factors of IPIs among under-five-aged children at Dabat primary hospital, northwest Ethiopia. A cross-sectional hospital-based study including 384 under-five-aged children was conducted from February to June 2022. A structured questionnaire was used to collect relevant information on risk factors, and stool samples were collected and examined using wet mount and sedimentation techniques to determine prevalence. Chi-square and logistic regression were used to evaluate the possible association and the strength of the association between dependent and independent variables. The overall prevalence of intestinal parasites was 32.81%. Ten species of intestinal parasites were identified. was the predominant intestinal parasite species, with a prevalence of 7.55%. and hookworm had prevalence of 6.77% and 5.47% respectively. Those children whose Mother/guardian do not wash their hand before feeding their child are more than five time infected than those who do wash (AOR = 5.26, CI = 2.28-12.2, < 0.001). Children who do not wear shoe are more infected than who did (AOR = 14.5, CI = 5.77-36.5, < 0.001). Several risk factors were identified in this study among these washing hands after toilet before touching child, washing hands before feeding their child, Child meal and habit of shoes wearing were the main predictors of IPI. Since the prevalence of IPI observed in this study is that of under-five-aged children; raising awareness of mothers/guardians about how to keep hygiene; transmission ways and health impacts of IPIs; and proper way of feeding their children to avoid risk is crucial.
肠道寄生虫感染（IPIs）是几个发展中国家主要的公共卫生问题，五岁以下儿童是最脆弱的人群。本研究旨在确定埃塞俄比亚西北部达巴特初级医院五岁以下儿童中IPIs的患病率及相关危险因素。2022年2月至6月进行了一项基于医院的横断面研究，纳入384名五岁以下儿童。使用结构化问卷收集有关危险因素的相关信息，并采集粪便样本，采用湿片法和沉淀技术进行检查以确定患病率。采用卡方检验和逻辑回归来评估自变量与因变量之间可能的关联及关联强度。肠道寄生虫的总体患病率为32.81%。共鉴定出十种肠道寄生虫。 是主要的肠道寄生虫种类，患病率为7.55%。 和钩虫的患病率分别为6.77%和5.47%。母亲/监护人在喂孩子前不洗手的儿童感染几率是洗手者的五倍多（比值比=5.26，置信区间=2.28-12.2，<0.001）。不穿鞋的儿童比穿鞋的儿童感染几率更高（比值比=14.5，置信区间=5.77-36.5，<0.001）。本研究确定了几个危险因素，其中便后接触孩子前洗手、喂孩子前洗手、儿童饮食和穿鞋习惯是IPIs的主要预测因素。由于本研究观察到的IPIs患病率是五岁以下儿童的；提高母亲/监护人对如何保持卫生、IPIs的传播途径和健康影响以及正确喂养孩子以避免风险的认识至关重要。
