FREQUENCY OF PARASITIC INFESTATION IN FAECAL SPECIMENS

Authors

  • Arif Maqsood Ali
  • Tariq Masud
  • Shazia Arif

Abstract

Background: Parasitic infestation is very common in developing countries. Major factors of worm infestation are poor socio-economic status, large family size, low educational level, and poor hygiene and sanitation. These parasites lead to nutritional deficiencies and various diseases. A few studies have been carried out in Pakistan and this study tries to find out the frequency of parasitic infestation in our setup. Methods: A cross sectional study was carried out from December 2011 to February 2012 in Pakistan Aeronautical Complex (PAC) Hospital Kamra. Patients were asked to pass stool specimen in a universal container provided to them from the laboratory. Stool specimens were examined within half an hour by direct light microscopy of faecal smears in normal saline. The laboratory diagnosis was based on the demonstration of ova/cysts or trophozoites. Data were analysed by SPSS-10 and frequency of various parameters was determined. Results: A total of 543 faecal specimens were tested. Specimens found positive for ova/cysts were 295 (54%). Ascaris lumbricoides was the most frequent parasitic infestation in all faecal specimens followed by Taenia saginata. Thirty percent of food handlers were harbouring different parasitic infections. Diarrhoea/dysentery, medical examination of food handlers and for secondment abroad was the most frequent indication for faecal examination. Conclusion: High frequency of parasitic infestation in our set up especially of Taenia species requires measures to improve hygiene, water and sanitation. Meat and its products should be obtained from medically fit animals and meat cooked thoroughly before being consumed.Keywords: Anaemia, Ascaris lumbricoides, helminths, intestinal parasites, Taenia saginata

References

Adedayo O, Nasiiro R. Intestinal parasitoses. J Natl Med Assoc 2004;96:93–6.

Small EA, Tice AD, Zheng X. Intestinal parasites of the Pacific. Hawaii Med J 2003;62:216–9.

Farook MU, Sudharmini S, Remadevi S, Vijayakumar K. Intestinal helminthic infestations among tribal populations of Kottoor and Achankovil areas in Kerala (India). J Commun Dis 2002;34:171–8.

Bethony J, Brooks S, Albonico M, Geiger SM, Loukas A, Diemert D, et al. Soil transmitted helminth infections: ascariasis, trichuriasis hookworm. Lancet 2006;367:1521–32.

Utzinger J, Becker SL, Knopp S, Blum J, Neumayr AL, Keiser J, et al. Neglected tropical diseases: diagnosis,clinical management, treatment and control. Swiss Med Wkly 2012;142:w13727.

Pullan RL, Brooker SJ. The global limits and population at risk of soil-transmitted helminth infections in 2010. Parasit Vectors 2012;5:81.

Hotez PJ, Molyneux DH, Fenwick A, Ottesen E, Ehrlich Sachs ES, Sachs JD. Incorporating a rapid-impact package for neglected tropical diseases with programs for HIV/AIDS, tuberculosis, and malaria. PLoS Med 2006;3:e102.

Hotez PJ. Nuclear weapons and neglected diseases the “Ten thousand to one gap”. PLoS Negl Trop Dis 2010;4:e680.

Mehmood K, Sherwani MIK, Ahmed M, Hussain M. Safdar S, Baitu M. Parasitic infestation in children of disrtict Vehari: An undeveloped area of Pakistan. Pak J Med Res 2009;48(1):15–8.

Shad JA, Lee YR. Pancreatitis due to Ascaris lumbricoides: Second occurrence after 2 years. South Med J 2001;94:78–80.

Ahmed AK, Malik B, Shaheen B, Yasmeen G, Dan JB, Mona AK, et al. Frequency of intestinal parasitic infestation in children of 5-12 years of age in Abbottabad. J Ayub Med Coll Abbottabad 2003;15(2)28–30.

Wani SA, Ahmed F, Zargar SA, Dar PA, Dar ZA, Jan TR. Intestinal helminthes in a population of children from Kashmir valley, India. J Helminthol 2008;82:313–7.

Alam M, Khattak Al, Talha M. Anemia and intestinal parasitic infestation in school children in Skardu. Pak Armed Forces Med J 2007;57(1):77–81.

Khan A, Sultan A, Dan AMK, Rashid H, Najmi SAA. A study of prevalence, distribution and risk factors of intestinal helminth infestation in District Bagh (Azad Kashmir). Pak Armed Forces Med J 2004;54:243–8.

Mohammad KA, Koshak EA. A prospective study on parasites among expatriate workers in Al- Baha from 209-201, Saudi Arabia. J Egypt Sos Parasitol 2011;41:423–32.

Wandra T, Sutisn P, Dharmawan NS, Margono SS, Sudewi R, Suroso T, et al. High prevalence of Taenia saginata taeniasis and status of Taenia solium cysticercosis in Bali, Indonesia. Trans R Soc Med Hyg 2006;100:346–53.

Khan W, Nisa NU, Khan A, Naqvi SMHM. Endemicity of intestinal parasites with special reference to nematodes in individuals related to education(students, staff & workers) in Swat KP, Pakistan. Pak J Nematol 2012;30(1):77–85.

Babiker MA, Ali MS, Ahmed ES. Frequency of intestinal parasites among food handlers, Sudan. East Mediterr Health J 2009;15:1098–04.

Abu Madi MA, Behnke JM, Ismail A. Pattern of infection with intestinal parasite in Qatar among food handlers & housemaids from different geographical regions of origin. Acta Trop 2008;106:213–20

Published

2014-03-01