LABORATORY DIAGNOSIS OF ASCARIS LUMBRICOIDES INFESTATION IN PAEDIATRIC POPULATION IN TWO MUNICIPALITIES IN BOSNIA AND HERZEGOVINA

  • Velma Rebić Faculty of Medicine University of Sarajevo, Department of Medical Microbiology, Sarajevo, Bosnia and Herzegovina
  • Emina Hadzimuratovic Department of Neonatology, Pediatric Clinic, Clinical Center Universityof Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Sajra Vincevic-Smajlovic Department of Clinical Microbiology, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Kadrija Abduzaimovic General Hospital Tešanj, Tešanj, Bosnia and Herzegovina
  • Selma Kahvic Public Institution Health Center Tesanj, Tesanj, Bosnia and Herzegovina
  • Mufida Aljicevic Faculty of Medicine, University of Sarajevo, Department of Medical Microbiology, Sarajevo, Bosnia and Herzegovina
  • Amela Dzubur-Alic Faculty of Medicine, University of Sarajevo, Department of Public Health, Sarajevo, Bosnia and Herzegovina
  • Edna Supur Faculty of Medicine University of Sarajevo, Department of Public Health, Sarajevo, Bosnia and Herzegovina
Keywords: Ascaris lumbricoides, Ascariasis, infestation, children

Abstract


Introduction: Ascaris lumbricoides is a widely spread helminthic infection, predominantly affecting children, making them the most commonly infected population group. The objective of this study is to assess the prevalence of Ascaris lumbricoides infestation in two municipalities, Tešanj and Maglaj, and to investigate the occurrence of Ascaris lumbricoides infections in the pediatric population, focusing particularly on preschool children.

Materials and Methods: The study involved the collection of 1409 fecal samples from the Tešanj and Maglaj areas, gathered over a 6-month period, spanning from September 2018 to February 2019. The processing of these samples was conducted in the Microbiology Laboratory of Tešanj General Hospital.

Results: Out of the total 1409 samples, 129 (9.16%) tested positive for Ascaris lumbricoides infestation. In Tešanj, where 1198 samples were collected, 106 (8.85%) tested positive, while in Maglaj, 211 samples were collected, with 23 (10.9%) testing positive. Notably, the majority of positive cases in both Tešanj and Maglaj were preschool-age children, accounting for 88.68% and 86.96%, respectively. The study did not identify any statistically significant correlation between age and gender distribution among those with positive test results in either Tešanj or Maglaj.

Conclusion: Based on the study results, which have highlighted the infestation of preschool children with Ascaris lumbricoides in two municipalities in our country, it is imperative to implement preventive measures aimed at reducing the incidence of infection.

Author Biographies

Velma Rebić, Faculty of Medicine University of Sarajevo, Department of Medical Microbiology, Sarajevo, Bosnia and Herzegovina

ORCID: 0000-0001-9966-0030

Emina Hadzimuratovic, Department of Neonatology, Pediatric Clinic, Clinical Center Universityof Sarajevo, Sarajevo, Bosnia and Herzegovina

ORCID: 0000-0002-3745-6832

Sajra Vincevic-Smajlovic, Department of Clinical Microbiology, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina

ORCID: 0000-0001-9502-0175

Amela Dzubur-Alic, Faculty of Medicine, University of Sarajevo, Department of Public Health, Sarajevo, Bosnia and Herzegovina

ORCID: 0000-0003-0132-1116

Edna Supur, Faculty of Medicine University of Sarajevo, Department of Public Health, Sarajevo, Bosnia and Herzegovina

ORCID: 0000-0002-8067-793X

References

Inyang B, Koshy FS, George K, Poudel P, Chalasani R, Goonathilake MR et al. An overview of Ascariasis involvement in gallbladder disease: a systematic review of case reports. Cureus. 2022;14(12):e32545. doi: 10.7759/cureus.32545.

Leung AKC, Leung AAM, Wong AHC, Hon KL. Human Ascariasis: an updated review. Recent Pat Inflamm Allergy Drug Discov. 2020;14(2):133-45. doi:10.2174/1872213X14666200705235757.

Veesenmeyer AF. Important Nematodes in children. Pediatr Clin North Am. 2022;69(1):129-39. doi: 10.1016/j.pcl.2021.08.005.

Chopra P, Shekhar S, Dagar VK, Pandey S. Prevalence and risk factors of soil-transmitted helminthic infections in the pediatric population in India: a systematic review and meta-analysis. J Lab Physicians. 2022;15(1):4-19. doi: 10.1055/s-0042-1751319.

Khan MN, Khan I, Alvi E, Ahmad I. Intestinal intussusception due to entrapped Ascaris lumbricoides in a 13-year-old male patient. Cureus. 2023;15(1):e33909. doi: 10.7759/cureus.33909.

Samir K, Subash T, Subash A, Bilal H, Shah HH, Dave T. Noninvasive diagnosis of Ascaris lumbricoides in the common bile duct: a pediatric case report of acute pancreatitis. Clin Case Rep. 2023;11(9):e7940. doi: 10.1002/ccr3.7940.

Jourdan PM, Lamberton PHL, Fenwick A, Addiss DG. Soil-transmitted helminth infections. Lancet. 2018;391(10117):252-65. doi: 10.1016/S0140-6736(17)31930-X.

Kranjčić-Zec FI, Mitrović MS, Arsić Arsenijević SV, Džamić MA. Medicinska parazitologija i mikologija: laboratorijski priručnik. Partenon, Beograd, 1999.

de Lima Corvino DF, Horrall S. Ascariasis. 2023 Jul 17. In: Stat Pearls. Treasure Island (FL): StatPearls Publishing; 2023.

Taylor-Robinson DC, Maayan N, Donegan S, Chaplin M, Garner P. Public health deworming programmes for soil-transmitted helminths in children living in endemic areas. Cochrane Database Syst Rev. 2019;9(9):CD000371. doi: 10.1002/14651858.CD000371.pub7.

Kassaw MW, Abebe AM, Tlaye KG, Zemariam AB, Abate BB. Prevalence and risk factors of intestinal parasitic infestations among preschool children in Sekota town, Waghimra zone, Ethiopia. BMC Pediatr. 2019;19(1):437. doi: 10.1186/s12887-019-1774-2.

Arinola GO, Morenikeji OA, Akinwande KS, Alade AO, Olateru-Olagbegi O, Alabi PE et al. Serum micronutrients in helminth-infected pregnant women and children: suggestions for differential supplementation during anti-helminthic treatment. Ann Glob Health. 2015;81(5):705-10. doi: 10.1016/j.aogh.2015.10.001.

Curtale F, Pokhrel RP, Tilden RL, Higashi G. Intestinal helminths and xerophthalmia in Nepal. A case-control study. J Trop Pediatr. 1995;41(6):334-7. doi: 10.1093/tropej/41.6.334.

Albonico M, Allen H, Chitsulo L, Engels D, Gabrielli AF, Savioli L. Controlling soil-transmitted helminthiasis in pre-school-age children through preventive chemotherapy. PLoS Negl Trop Dis. 2008;2(3):e126. doi: 10.1371/journal.pntd.0000126.

Silver ZA, Kaliappan SP, Samuel P, Venugopal S, Kang G, Sarkar R et al. Geographical distribution of soil transmitted helminths and the effects of community type in South Asia and South East Asia - A systematic review. PLoSNegl Trop Dis. 2018;12(1):e0006153.doi: 10.1371/journal.pntd.0006153.

Dudlová A, Juriš P, Jurišová S, Jarčuška P, Krčméry V. Epidemiology and geographical distribution of gastrointestinal parasitic infection in humans in Slovakia. Helminthologia. 2016;53(4): 309-17. doi:10.1515/helmin-2016-0035.

Ganguly S, Barkataki S, Karmakar S, Sanga P, Boopathi K, Kanagasabai K et al. High prevalence of soil-transmitted helminth infections among primary school children, Uttar Pradesh, India, 2015. Infect Dis Poverty. 2017;6(1):139. doi: 10.1186/s40249-017-0354-7.

Galgamuwa LS, Iddawela D, Dharmaratne SD. Prevalence and intensity of Ascarislumbricoides infections in relation to undernutrition among children in a tea plantation community, Sri Lanka: a cross-sectional study. BMC Pediatr. 2018;18(1):13. doi: 10.1186/s12887-018-0984-3.

Yang D, Yang Y, Wang Y, Yang Y, Dong S, Chen Y et al. Prevalence and risk factors of Ascaris lumbricoides, Trichuris trichiura and Cryptosporidium infections in elementary school children in southwestern China: a school-based cross-sectional study. Int J Environ Res Public Health. 2018;15(9):1809. doi: 10.3390/ijerph15091809.

Muñoz-Antoli C, Gozalbo M, Pavón A, Pérez P, Toledo R, Esteban JG. Enteroparasites in preschool children on the pacific region of Nicaragua. Am J Trop Med Hyg. 2018;98(2):570-5. doi: 10.4269/ajtmh.17-0551.

Published
2024/01/13
Section
Original article