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New insights of Microsporidial infection among asymptomatic aboriginal population in Malaysia

Studies on microsporidial infection mostly focus on immunodeficiency or immunosuppressive individuals. Therefore, this cross-sectional study describes the prevalence and risk factors of microsporidiosis among asymptomatic individuals in Malaysia. Four hundred and forty seven stool samples were colle...

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Published in:PloS one 2013-08, Vol.8 (8), p.e71870-e71870
Main Authors: Shahrul Anuar, Tengku, M Al-Mekhlafi, Hesham, Md Salleh, Fatmah, Moktar, Norhayati
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description Studies on microsporidial infection mostly focus on immunodeficiency or immunosuppressive individuals. Therefore, this cross-sectional study describes the prevalence and risk factors of microsporidiosis among asymptomatic individuals in Malaysia. Four hundred and forty seven stool samples were collected and examined for microsporidia after staining with Gram-chromotrope Kinyoun. Demographic, socioeconomic, environmental, and behavioral information were collected by using a pre-tested questionnaire. Overall, 67 (15%) samples were positive for microsporidia. The prevalence of infection was significantly higher among individuals aged more than 15 years compared to those aged
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Therefore, this cross-sectional study describes the prevalence and risk factors of microsporidiosis among asymptomatic individuals in Malaysia. Four hundred and forty seven stool samples were collected and examined for microsporidia after staining with Gram-chromotrope Kinyoun. Demographic, socioeconomic, environmental, and behavioral information were collected by using a pre-tested questionnaire. Overall, 67 (15%) samples were positive for microsporidia. The prevalence of infection was significantly higher among individuals aged more than 15 years compared to those aged &lt;15 years (OR = 1.97, 95% CI = 1.08, 3.62; P = 0.028). Furthermore, logistic regression analysis confirmed that the presence of other family members infected with microsporidia (OR = 8.45; 95% CI = 4.30, 16.62; P&lt;0.001) and being a consumer of raw vegetables (OR = 2.05; 95% CI = 1.15, 3.66; P = 0.016) were the significant risk factors of this infection. These findings clearly show that exposure to microsporidia is common among Aboriginal population. Further studies using molecular approach on microsporidia isolates from asymptomatic individuals is needed to determine species-specific. 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subjects Acquired immune deficiency syndrome
Adolescent
Adult
Age Distribution
AIDS
Asymptomatic Infections - epidemiology
Child
Cross-Sectional Studies
Demographics
Enterocytozoon bieneusi
Epidemiology
Feces - microbiology
Female
Health risks
HIV
Human immunodeficiency virus
Humans
Immunodeficiency
Immunosuppression
Infections
Malaysia - epidemiology
Male
Microsporidia
Microsporidia - isolation & purification
Microsporidiosis
Microsporidiosis - epidemiology
Native peoples
Parasites
Population studies
Prevalence
Regression analysis
Risk analysis
Risk Factors
Spores, Fungal - isolation & purification
Vegetables
Young Adult
Zoonoses
title New insights of Microsporidial infection among asymptomatic aboriginal population in Malaysia
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