Autor(es):
Nhambirre, Ofélia Luís ; Cossa-Moiane, Idalécia ; Bauhofer, Adilson Fernando Loforte ; Chissaque, Assucênio ; Lobo, Maria Luisa ; Matos, Olga ; de Deus, Nilsa
Data: 2022
Identificador Persistente: http://hdl.handle.net/10362/148414
Origem: Repositório Institucional da UNL
Assunto(s): children; diarrhea; intestinal parasites; Mozambique; R Medicine; QR Microbiology; RJ101 Child Health. Child health services; Immunology and Allergy; Molecular Biology; Immunology and Microbiology(all); Microbiology (medical); Infectious Diseases; Gastroenterology; Pediatrics, Perinatology, and Child Health; Parasitology; SDG 3 - Good Health and Well-being
Descrição
Funding Information: Funding: This work was supported by funds from the European Foundation Initiative for African Research into Neglected Tropical Diseases (EFINTD, grant number 98539), the World Health Organization, Deutsche Forschungsgemeinschaft (DFG, grant number JO369/5-1) and The Global Vaccine Alliance Initiative through Health System Strengthening. O.N., PhD, is supported by Camões— Instituto da Cooperação e da Língua. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
Diarrhea remains a public health problem in Mozambique, even with control strategies being implemented. This analysis aimed to determine the proportion and factors associated with intestinal parasitic infection (IPI) in children up to 14 years old with diarrheal disease, in the southern, central and northern regions of Mozambique. A single diarrheal sample of 1424 children was collected in hospitals and examined using the formol-ether concentration and modified Ziehl–Neelsen techniques to identify intestinal parasites using optical microscopy. Sociodemographic characteristics were obtained by questionnaires. Descriptive statistics and cross-tabulation were performed, and p-values <0.05 were considered statistically significant. A single IPI was detected in 19.2% (273/1424) of the children. Cryptosporidium spp. was the most common parasite (8.1%; 115/1424). Polyparasitism was seen in 26.0% (71/273), with the co-infection of Ascaris lumbricoides and Trichuris trichiura (26.8%; 19/71) being the most common. Age and province were related to IPI (p-value < 0.05). The highest occurrence of IPI was observed in the wet period (October to March), with 21.9% (140/640), compared to the dry period (April to September), with 16.9% (131/776) (p-value = 0.017). Cryptosporidium spp. and the combination of A. lumbricoides/T. trichiura were the main intestinal parasites observed in children hospitalized with diarrhea in Mozambique.
