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A survey of intestinal parasites including associated risk factors in humans in Panama
•In Panama, a high percentage of the population live in poverty.•We developed a cross-sectional study to assess intestinal parasite prevalence.•There is a high prevalence of fecal–oral transmitted parasites in Panama, being the most frequent parasite Blastocystis hominis.•Except in the indigenous po...
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Published in: | Acta tropica 2015-07, Vol.147, p.54-63 |
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Main Authors: | , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | •In Panama, a high percentage of the population live in poverty.•We developed a cross-sectional study to assess intestinal parasite prevalence.•There is a high prevalence of fecal–oral transmitted parasites in Panama, being the most frequent parasite Blastocystis hominis.•Except in the indigenous population, people between 0 and 15 years old are the most affected by intestinal parasites.•Areas with seasonal floods and lack of hygienic sanitation are risk factors for intestinal parasitism in Panama.
Intestinal parasitic infections are among the most common infections worldwide, leading to illness with serious and long lasting implications in children and immunocompromised people. Transmission of intestinal parasites is more frequent in tropical and sub-tropical areas where sanitation is poor and socioeconomic conditions are deficient. Panama is a country where climate and social conditions could be reflected in a high number of people infected with intestinal parasites. The presence, prevalence, and distribution of intestinal parasites in this country have been approached to date only in very restricted areas and population groups, but the impact of intestinal parasite infections at the national level is unknown.
We conducted a cross-sectional survey between 2008 and 2010 to determine the prevalence of intestinal parasites across Panama. Overall, 14 municipalities in seven provinces of Panama were surveyed. The presence of eggs, cysts, and larvae was assessed by microscopy in 1123 human fecal samples using a concentration technique. A questionnaire to identify risk factors associated with the frequency of intestinal parasites in the study population was also prepared and performed. Overall, 47.4% of human samples presented parasites. Variables including community type, age group, occupation, co-presence of commensals and socioeconomic factors (use of shoes and type of sanitation) were significantly associated with intestinal parasites (p |
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ISSN: | 0001-706X 1873-6254 |
DOI: | 10.1016/j.actatropica.2015.03.024 |