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Abstract
Fecal samples were collected from ( 396 ) children aged from( 0 – 120 ) months and were examined by direct wet preparation and floatation method . Data relating to sociodemographic , environment and host were also collected by questionnaire. Giardia lamblia were present in faces of ( 94) diarrheic children ( 23 . 7% ) . The age group ( 24 – 48) month had the highest rate of infection ( 33 .3% ). Male had higher rate of infection than female ( 24. 7% vs 22.5% ) respectively .
Living in rural area , low education level of mothers , drinking raw or municipal water , hot seasons ,living with four or more house hold children were significantly associated with Giardia lamblia infection ( p < 0.05 ). Based on the results of this study , it is concluded that the high prevalence of Giardia lamblia infection among children with acute diarrhea is a significant public health problem in Thi-Qar.
Article Details
References
- - Walsh JA , Warren KS. Selective primary health care: an interim strategy for disease control in developing countries . N Engl J Med 1979 ; 301 : 967 – 74 .
- - Snyder JD, Merson MH . The magnitude of global problem of acute diarrheal disease : a review of active surveillance data . Bull World Health Organ . 1982 ; 60 : 605 -13 .
- - Keating JP. Giardiasis In : Fiegin RD, Cherry JD, eds. Text book of pediatric Infectious diseases, 4th ed . Philadelphia , WB Saunders 1998 : 2400- 3.
- - Ortega YR , Adam RD . Giardia : over view and update clinical infectious diseases 1997 ; 25 : 245 – 50 .
- - Reitmeyer M , Robertson S . Giardiasis .Chief medical resident clinical medicine conferences 1996- 97 . Charlottesville, Virginia , university of Virginia ,1997 .
- - Brown HW , Neva FA . Basic clinical parasitology , 5th ed , Appleton Century Croft , New York , 1983: 43- 46 .
- - Dubey R et al . Intestinal giardiasis : an unusual cause for hypoproteineimia . Indian J of gastroenterology 2000; 19(1) : 365-73.
- - WHO . Interdisciplinary consultation on development of national food safety program . WHO 1992; 19 / E/ L : 1- 2 .
- - Mahdi NK , Sharief M. Giardia lamblia and gastroenteritis in preschool children in Basra . Indian J of parasitology 1988 ; 12 (2) : 339 – 342 .
- - Al- Jeboori TI , Shafiq M A. Intestinal parasite in Baghdad : Survey in two districts . J Fac Med Baghdad 1967; 9:73 – 83 .
- - Al- Dabagh MA , Shaheen AS ,Zeki LA , Abdullah M. Giardiasis in group of preschool age children in Iraq .J Fac Med Baghdad , 1967 ; 9 (2) : 73 – 78 .
- - Al-Saeed AT , Issa SH .Frequency of Giardia lamblia among children in Dohok , northern Iraq .East Medit Health J, 2006 ; 12 (5) : 555 – 561 .
- - World Health Organization 1988 : persistent diarrhea in children in developing countries . Memorandum from WHO meeting .Bull WHO, 66 ,708- 717 .
- - New man RD , Moore SR , Lima AM et al .A longitudinal study of Giardia lamblia in north –east Brazilian children. Trop Med Int Health 2001 ; 6 : 624 – 634 .
- - Magambo Jk , Zeyhle E, Wachira TM. Prevalence of intestinal parasite among children in southern Sudan . East Afr Med J 1998 ; 75 : 383 – 90 .
- - Ozelik S , poyraz O , Saygi G , Ozturkcan S . prevalence of intestinal parasite in children of the orphan – age in Sivas , Turkey . Ind pediatr 1995;32: 230 – 232 .
- - Al – Eissa YA, Assuhaimi SA , Abdullah AM et al .prevalence of intestinal parasite in Saudi children: a community based study . J Trop Pediatr 1995 ; 41 : 47 – 9 .
- - Chavalittamrong B , Jirapinyo P . Intestinal parasites in pediatric patients with diarrheal disease in Bangkok . South East Asian J Trop Med Public Health 1984; 15 : 385 – 8 .
- - Filipinas F , Corazon C et al . Prevalence rates of Giardia and Cryptosporidium among diarrheic patients in the Philippines . South East Asian J Trop Med Public Health 2008; 39 : 991 – 999 .
- - Hellard ME et al . Prevalence of enteric pathogens among community based asymptomatic individuals . Journal of gastroenterology and hepatology 2000 ; 15 (3) : 290 - 3 .
- - Chunge RN , Nagelkerken N, Karumba PN et al . Longitudinal study of young children in Kenya : intestinal parasitic infection with special reference to Giardia lamblia , it´s prevalence , incidence and duration and association with diarrhea and with other parasite. Acta Trop 1991 ;50 :39– 49.
- - Isaac – Rentou JL , Lewis LF ,Ong CS , Nulsen MF . A second community outbreak of water born giardiasis in Canada and serological investigation of patient . Tran R Soc Trop Med Hyg 1994 ; 88:395-9 .
- - Faubert G. Immune response to G. duodenalis . Clin Microbiol Rev 2000; 13 : 35 – 54 .
- - Gifuentes E, Goomez M, Blumenthal U et al . Risk factors for G. intestinalis infection in agricultural villages practicing waste water irrigation in Mexico . Am J Trop Med Hyg 2000; 62 : 388- 92.
- - Jassim BA , Al – Dujaily AA, Saleh MM . prevalence of intestinal parasite in school children of Kirkuk city, Iraq . J Bio Sci Res 1986 ; 17 :119 – 125.
- - Spinelli R, Brandonisio O, Serio G et al . Intestinal parasites in healthy subjects in Albania . Eur J Epidemio 2006 ; 21 : 161 -166 .
- - Okyay P, Ertng S , Gultekin B, Onen O ,Berser E. Intestinal parasites prevalence and related risk factors in school children , a western city sample Turkey. BMC public Health 2004 ;4: 64 .
- - Karrar ZA, Rahim FA . prevalence and risk factors of parasitic infection among under five Sudanese children a community based study .East Afr Med J 1995; 72: 103 – 9.
- - Rinne S, Rodas EJ , Galer – Unti R , Glickman N, Glickman LT . prevalence and risk factors for protozon and nematode among children in Ecuadorian highland community . Tran R Soc Trop Med Hgy 2005 ; 99: 585 – 92 .
- - Hacettepe university institute of population studies : Turkish demographic health survey (TDHS) Ankara , 1998.
- - Jakubowski W. Giardia and Cryptosporidium .The details safe drinking water act seminar U.S . Environmental protection Agency ,1997.
- - Zuckerman U, Armen R, Tzipori S, Gold D . Evaluation of portable differential continuous flow centrifuge for concentration of Cryptosporidium oocyst and Giardia cyst from water . J App Microbiol 1999; 86 : 955- 61.
- - Faust EC , Beaver PC , Jung RC. Animal agents and vectors of human disease . 4th ed . Philadelphia: Lea and Febiger , 1978 ; 225 – 7.
- - Hoque ME , Hope VT , Scragg R , Kjellstron T .Children at risk of giardiasis in Auckland : a case – control analysis . Epidemiol Intec 2003 ; 131 : 655 – 62
- - Kent Gp ,Greenspan JR ,Herndon JL et al .Epidemic giardiasis caused by a contaminated public water supply . Amr J public Health 1988; 78 : 139 – 143 .
References
- Walsh JA , Warren KS. Selective primary health care: an interim strategy for disease control in developing countries . N Engl J Med 1979 ; 301 : 967 – 74 .
- Snyder JD, Merson MH . The magnitude of global problem of acute diarrheal disease : a review of active surveillance data . Bull World Health Organ . 1982 ; 60 : 605 -13 .
- Keating JP. Giardiasis In : Fiegin RD, Cherry JD, eds. Text book of pediatric Infectious diseases, 4th ed . Philadelphia , WB Saunders 1998 : 2400- 3.
- Ortega YR , Adam RD . Giardia : over view and update clinical infectious diseases 1997 ; 25 : 245 – 50 .
- Reitmeyer M , Robertson S . Giardiasis .Chief medical resident clinical medicine conferences 1996- 97 . Charlottesville, Virginia , university of Virginia ,1997 .
- Brown HW , Neva FA . Basic clinical parasitology , 5th ed , Appleton Century Croft , New York , 1983: 43- 46 .
- Dubey R et al . Intestinal giardiasis : an unusual cause for hypoproteineimia . Indian J of gastroenterology 2000; 19(1) : 365-73.
- WHO . Interdisciplinary consultation on development of national food safety program . WHO 1992; 19 / E/ L : 1- 2 .
- Mahdi NK , Sharief M. Giardia lamblia and gastroenteritis in preschool children in Basra . Indian J of parasitology 1988 ; 12 (2) : 339 – 342 .
- Al- Jeboori TI , Shafiq M A. Intestinal parasite in Baghdad : Survey in two districts . J Fac Med Baghdad 1967; 9:73 – 83 .
- Al- Dabagh MA , Shaheen AS ,Zeki LA , Abdullah M. Giardiasis in group of preschool age children in Iraq .J Fac Med Baghdad , 1967 ; 9 (2) : 73 – 78 .
- Al-Saeed AT , Issa SH .Frequency of Giardia lamblia among children in Dohok , northern Iraq .East Medit Health J, 2006 ; 12 (5) : 555 – 561 .
- World Health Organization 1988 : persistent diarrhea in children in developing countries . Memorandum from WHO meeting .Bull WHO, 66 ,708- 717 .
- New man RD , Moore SR , Lima AM et al .A longitudinal study of Giardia lamblia in north –east Brazilian children. Trop Med Int Health 2001 ; 6 : 624 – 634 .
- Magambo Jk , Zeyhle E, Wachira TM. Prevalence of intestinal parasite among children in southern Sudan . East Afr Med J 1998 ; 75 : 383 – 90 .
- Ozelik S , poyraz O , Saygi G , Ozturkcan S . prevalence of intestinal parasite in children of the orphan – age in Sivas , Turkey . Ind pediatr 1995;32: 230 – 232 .
- Al – Eissa YA, Assuhaimi SA , Abdullah AM et al .prevalence of intestinal parasite in Saudi children: a community based study . J Trop Pediatr 1995 ; 41 : 47 – 9 .
- Chavalittamrong B , Jirapinyo P . Intestinal parasites in pediatric patients with diarrheal disease in Bangkok . South East Asian J Trop Med Public Health 1984; 15 : 385 – 8 .
- Filipinas F , Corazon C et al . Prevalence rates of Giardia and Cryptosporidium among diarrheic patients in the Philippines . South East Asian J Trop Med Public Health 2008; 39 : 991 – 999 .
- Hellard ME et al . Prevalence of enteric pathogens among community based asymptomatic individuals . Journal of gastroenterology and hepatology 2000 ; 15 (3) : 290 - 3 .
- Chunge RN , Nagelkerken N, Karumba PN et al . Longitudinal study of young children in Kenya : intestinal parasitic infection with special reference to Giardia lamblia , it´s prevalence , incidence and duration and association with diarrhea and with other parasite. Acta Trop 1991 ;50 :39– 49.
- Isaac – Rentou JL , Lewis LF ,Ong CS , Nulsen MF . A second community outbreak of water born giardiasis in Canada and serological investigation of patient . Tran R Soc Trop Med Hyg 1994 ; 88:395-9 .
- Faubert G. Immune response to G. duodenalis . Clin Microbiol Rev 2000; 13 : 35 – 54 .
- Gifuentes E, Goomez M, Blumenthal U et al . Risk factors for G. intestinalis infection in agricultural villages practicing waste water irrigation in Mexico . Am J Trop Med Hyg 2000; 62 : 388- 92.
- Jassim BA , Al – Dujaily AA, Saleh MM . prevalence of intestinal parasite in school children of Kirkuk city, Iraq . J Bio Sci Res 1986 ; 17 :119 – 125.
- Spinelli R, Brandonisio O, Serio G et al . Intestinal parasites in healthy subjects in Albania . Eur J Epidemio 2006 ; 21 : 161 -166 .
- Okyay P, Ertng S , Gultekin B, Onen O ,Berser E. Intestinal parasites prevalence and related risk factors in school children , a western city sample Turkey. BMC public Health 2004 ;4: 64 .
- Karrar ZA, Rahim FA . prevalence and risk factors of parasitic infection among under five Sudanese children a community based study .East Afr Med J 1995; 72: 103 – 9.
- Rinne S, Rodas EJ , Galer – Unti R , Glickman N, Glickman LT . prevalence and risk factors for protozon and nematode among children in Ecuadorian highland community . Tran R Soc Trop Med Hgy 2005 ; 99: 585 – 92 .
- Hacettepe university institute of population studies : Turkish demographic health survey (TDHS) Ankara , 1998.
- Jakubowski W. Giardia and Cryptosporidium .The details safe drinking water act seminar U.S . Environmental protection Agency ,1997.
- Zuckerman U, Armen R, Tzipori S, Gold D . Evaluation of portable differential continuous flow centrifuge for concentration of Cryptosporidium oocyst and Giardia cyst from water . J App Microbiol 1999; 86 : 955- 61.
- Faust EC , Beaver PC , Jung RC. Animal agents and vectors of human disease . 4th ed . Philadelphia: Lea and Febiger , 1978 ; 225 – 7.
- Hoque ME , Hope VT , Scragg R , Kjellstron T .Children at risk of giardiasis in Auckland : a case – control analysis . Epidemiol Intec 2003 ; 131 : 655 – 62
- Kent Gp ,Greenspan JR ,Herndon JL et al .Epidemic giardiasis caused by a contaminated public water supply . Amr J public Health 1988; 78 : 139 – 143 .