DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20193601

Intestinal parasitic infections and prevalence of anaemia among tribal school going children: a one year study

Sarvepalli Vijaya Kumar, krishnan Ramalingam

Abstract


Background: Intestinal parasitic infections are one of the neglected tropical diseases listed by world health organization. Parasitic infections among school going tribal children cause significant anaemia and malnutrition. Our study mainly focused on estimating the prevalence of intestinal parasitic infections and focused on iron deficiency anaemia among the tribal school going children.

Methods: A prospective study for one year was conducted at a tertiary care hospital and study group was tribal children from hostels and schools. Ethical committee approval was obtained and study included collection of socio demographic data, anthropometric data, stool examination for intestinal parasitic infections, Hb% estimation by “Hemocue globinometer Hb 301 System” a portable hemometer for Hb estimation. S. iron, S. transferrin and Total iron binding capacity were also estimated. Statistical analysis was performed by using SPSS version 20 and analyzed. P value <0.05 was considered significant.

Results: This 428 study participants with 66.36% boys and 33.64% girls were enrolled. The prevalence of parasitic infections was 42.06%. Protozoal infections were 41.11% when compared to helminthic infections (26.67%) and mixed infections in 32.22%.  Entamoeba histolytica was the predominant protozoal parasite identified (30%) and Ascaris lumbricoides among the helminthic infection (13.3%). Presence of anaemia in the present study population was 11.21% and among the study group with parasitic infections it was 66.67%.

Conclusion: To conclude, regular deworming practices, awareness regarding hand washing practices, iron and folic acid supplementation irrespective of nutritional status and health education could significantly reduce the incidence of anaemia associated with intestinal parasitic infections.

 


Keywords


Anaemia, Ascaris lumbricoides, Entamoeba histolytica, Hemocue globinometer

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References


Resolution WHA65.6. Comprehensive implementation plan on maternal, infant and young child nutrition. In: Sixth-fifth World Health Assembly, Geneva, 21-26 May 2012.

Brooker S. Estimating the global distribution and disease burden of intestinal nematode infections: Adding up the numbers - a review. Int J Parasitol. 2010 Aug 15;40(10):1137-44.

Hall A, Hewitt G, Tuffrey V, de Silva N. A review and meta-analysis of the impact of intestinal worms on child growth and nutrition. Matern Child Nutr. 2008 Apr;4:118-236.

Tsuyuoka R, Bailey JW, Guimarães AM, Gurgel RQ, Cuevas LE. Anemia and intestinal parasitic infections in primary school students in Aracaju, Sergipe, Brazil. Cad Saude Publica. 1999 Apr;15(2):413-21.

Okyay P, Ertug S, Gultekin B, Onen O, Beser E. Intestinal parasites prevalence and related factors in school children, a western city sample‑Turkey. BMC Public Health. 2004 Dec;4(1):64.

Kotian S, Sharma M, Juyal D, Sharma N. Intestinal parasitic infection‑intensity, prevalence and associated risk factors, a study in the general population from the Uttarakhand hills. Int J Med Public Health. 2014;4(4):422‑5.

Mareeswaran N, Savitha AK, Gopalakrishnan S. Prevalence of intestinal parasites among urban and rural population in Kancheepuram district of Tamil Nadu. Int J Community Med Public Health 2018;5(6):2585‑9.

Rai L, Saud B, Paudel G, Dhungana G. Prevalence of intestinal parasitic infection among rural area school children of Lokhim VDC, Nepal. J Microbiol Exp. 2017;4(1):00102.

Ashok R, Suguneswari G, Satish K, Kesavaram V. Prevalence of intestinal parasitic infection in school going children in Amalapuram, Andhra Pradesh, India. Shiraz E‑Med J. 2013;14(4):e16652.

Chajhlana SPS, Mahabhasyam RN, Varaprasada MSM. Nutritional deficiencies among school children in urban areas of Hyderabad, Telangana, India. Int J Community Med Public Health 2017;4:607-12.

Shariff ZM, Bond JT, Johnson NE. Nutrition and educational achievement of urban primary schoolchildren in Malaysia. Asia Pacific J Clin Nutri. 2000 Dec 29;9(4):264-73.

Amare B, Ali J, Moges B, Yismaw G, Belyhun Y, Gebretsadik S, Woldeyohannes D, Tafess K, Abate E, Endris M, Tegabu D. Nutritional status, intestinal parasite infection and allergy among school children in Northwest Ethiopia. BMC pediatr. 2013 Dec;13(1):7.

Egger RJ, Hofhuis EH, Bloem MW, Chusilp K, Wedel M, Intarakhao C, et al. Association between intestinal parasitoses and nutritional status in 3-8-year-old children in northeast Thailand. Trop geogr med. 1990 Oct;42(4):312-23.

Rati S, Jawadagi S. Prevalence of anemia among adolescent girls studying in selected schools. IJSR 2014;3:1237‑42.

Garba CM, Mbofung CM. Relationship between malnutrition and parasitic infection among school children in the Adamawa Region of Cameroon.. Pak. J. Nutr. 2010:9(11):1094-9.

Melwani V, Dubey M, Khan A, Toppo M, Choudhary Y, Priya A. A study to assess the prevalence of anaemia amongst adolescent girls residing in selected slum of Bhopal city. Int J Community Med Public Health. 2018 Feb 24;5(3):1096-9.

Soman SK, Areekal B, Murali AJ, Varghese RG. Adolescent anaemia its prevalence and determinants: A cross‑sectional study from south Kerala, India. Int J Community Med Public Health. 2017 Jul 22;4(8):2750-6.