High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up

Autores
Amor, Aranzazu; Rodriguez, Esperanza; Saugar, José M.; Arroyo, Ana; López-Quintana, Beatriz; Abera, Bayeh; Yimer, Mulat; Yizengaw, Endalew; Zewdie, Derejew; Ayehubizu, Zimman; Hailu, Tadesse; Mulu, Wondemagegn; Echazú, Adriana; Krolewieki, Alejandro J.; Aparicio, Pilar; Herrador, Zaida; Anegagrie, Melaku; Benito, Agustín
Año de publicación
2016
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Soil-transmitted helminthiases (hookworms, Ascaris lumbricoides and Trichuris trichiura) are extremely prevalent in school-aged children living in poor sanitary conditions. Recent epidemiological data suggest that Strongyloides stercoralis is highly unreported. However, accurate data are essential for conducting interventions aimed at introducing control and elimination programmes. Methods: We conducted a cross-sectional survey of 396 randomly selected school-aged children in Amhara region in rural area in north-western Ethiopia, to assess the prevalence of S. stercoralis and other intestinal helminths. We examined stools using three techniques: conventional stool concentration; and two S. stercoralis-specific methods, i.e. the Baermann technique and polymerase chain reaction. The diagnostic accuracy of these three methods was then compared. Results: There was an overall prevalence of helminths of 77.5%, with distribution differing according to school setting. Soil-transmitted helminths were recorded in 69.2%. Prevalence of S. stercoralis and hookworm infection was 20.7 and 54.5%, respectively, and co-infection was detected in 16.3% of cases. Schistosoma mansoni had a prevalence of 15.7%. Prevalence of S. stercoralis was shown 3.5% by the conventional method, 12.1% by the Baermann method, and 13.4% by PCR, which thus proved to be the most sensitive. Conclusions: Our results suggest that S. stercoralis could be overlooked and neglected in Ethiopia, if studies of soil-transmitted helminths rely on conventional diagnostic techniques alone. A combination of molecular and stool microscopy techniques yields a significantly higher prevalence. In view of the fact that current control policies for triggering drug administration are based on parasite prevalence levels, a comprehensive diagnostic approach should instead be applied to ensure comprehensive control of helminth infections.
Fil: Amor, Aranzazu. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Rodriguez, Esperanza. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Saugar, José M.. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Arroyo, Ana. Hospital Universitario la Paz - Carlos III; España
Fil: López-Quintana, Beatriz. Hospital Universitario la Paz - Carlos III; España
Fil: Abera, Bayeh. Bahir Dar University; Etiopía
Fil: Yimer, Mulat. Bahir Dar University; Etiopía
Fil: Yizengaw, Endalew. Bahir Dar University; Etiopía
Fil: Zewdie, Derejew. Bahir Dar University; Etiopía
Fil: Ayehubizu, Zimman. Bahir Dar University; Etiopía
Fil: Hailu, Tadesse. Bahir Dar University; Etiopía
Fil: Mulu, Wondemagegn. Bahir Dar University; Etiopía
Fil: Echazú, Adriana. Universidad Nacional de Salta. Sede Regional Orán. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Krolewieki, Alejandro J.. Universidad Nacional de Salta. Sede Regional Orán. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Aparicio, Pilar. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Herrador, Zaida. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Anegagrie, Melaku. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Benito, Agustín. Universidad Carlos III de Madrid. Instituto de Salud; España
Materia
BAERMANN TECHNIQUE
ETHIOPIA
MOLECULAR TECHNIQUES
NEGLECTED
SOIL-TRANSMITTED HELMINTHS
STRONGYLOIDES STERCORALIS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/37498

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network_name_str CONICET Digital (CONICET)
spelling High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-upAmor, AranzazuRodriguez, EsperanzaSaugar, José M.Arroyo, AnaLópez-Quintana, BeatrizAbera, BayehYimer, MulatYizengaw, EndalewZewdie, DerejewAyehubizu, ZimmanHailu, TadesseMulu, WondemagegnEchazú, AdrianaKrolewieki, Alejandro J.Aparicio, PilarHerrador, ZaidaAnegagrie, MelakuBenito, AgustínBAERMANN TECHNIQUEETHIOPIAMOLECULAR TECHNIQUESNEGLECTEDSOIL-TRANSMITTED HELMINTHSSTRONGYLOIDES STERCORALIShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Soil-transmitted helminthiases (hookworms, Ascaris lumbricoides and Trichuris trichiura) are extremely prevalent in school-aged children living in poor sanitary conditions. Recent epidemiological data suggest that Strongyloides stercoralis is highly unreported. However, accurate data are essential for conducting interventions aimed at introducing control and elimination programmes. Methods: We conducted a cross-sectional survey of 396 randomly selected school-aged children in Amhara region in rural area in north-western Ethiopia, to assess the prevalence of S. stercoralis and other intestinal helminths. We examined stools using three techniques: conventional stool concentration; and two S. stercoralis-specific methods, i.e. the Baermann technique and polymerase chain reaction. The diagnostic accuracy of these three methods was then compared. Results: There was an overall prevalence of helminths of 77.5%, with distribution differing according to school setting. Soil-transmitted helminths were recorded in 69.2%. Prevalence of S. stercoralis and hookworm infection was 20.7 and 54.5%, respectively, and co-infection was detected in 16.3% of cases. Schistosoma mansoni had a prevalence of 15.7%. Prevalence of S. stercoralis was shown 3.5% by the conventional method, 12.1% by the Baermann method, and 13.4% by PCR, which thus proved to be the most sensitive. Conclusions: Our results suggest that S. stercoralis could be overlooked and neglected in Ethiopia, if studies of soil-transmitted helminths rely on conventional diagnostic techniques alone. A combination of molecular and stool microscopy techniques yields a significantly higher prevalence. In view of the fact that current control policies for triggering drug administration are based on parasite prevalence levels, a comprehensive diagnostic approach should instead be applied to ensure comprehensive control of helminth infections.Fil: Amor, Aranzazu. Universidad Carlos III de Madrid. Instituto de Salud; EspañaFil: Rodriguez, Esperanza. Universidad Carlos III de Madrid. Instituto de Salud; EspañaFil: Saugar, José M.. Universidad Carlos III de Madrid. Instituto de Salud; EspañaFil: Arroyo, Ana. Hospital Universitario la Paz - Carlos III; EspañaFil: López-Quintana, Beatriz. Hospital Universitario la Paz - Carlos III; EspañaFil: Abera, Bayeh. Bahir Dar University; EtiopíaFil: Yimer, Mulat. Bahir Dar University; EtiopíaFil: Yizengaw, Endalew. Bahir Dar University; EtiopíaFil: Zewdie, Derejew. Bahir Dar University; EtiopíaFil: Ayehubizu, Zimman. Bahir Dar University; EtiopíaFil: Hailu, Tadesse. Bahir Dar University; EtiopíaFil: Mulu, Wondemagegn. Bahir Dar University; EtiopíaFil: Echazú, Adriana. Universidad Nacional de Salta. Sede Regional Orán. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Krolewieki, Alejandro J.. Universidad Nacional de Salta. Sede Regional Orán. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Aparicio, Pilar. Universidad Carlos III de Madrid. Instituto de Salud; EspañaFil: Herrador, Zaida. Universidad Carlos III de Madrid. Instituto de Salud; EspañaFil: Anegagrie, Melaku. Universidad Carlos III de Madrid. Instituto de Salud; EspañaFil: Benito, Agustín. Universidad Carlos III de Madrid. Instituto de Salud; EspañaBioMed Central2016-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/37498Amor, Aranzazu; Rodriguez, Esperanza; Saugar, José M.; Arroyo, Ana; López-Quintana, Beatriz; et al.; High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up; BioMed Central; Parasites and Vectors; 9; 1; 1-2016; 1-91756-3305CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1186/s13071-016-1912-8info:eu-repo/semantics/altIdentifier/url/https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-016-1912-8info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:47:47Zoai:ri.conicet.gov.ar:11336/37498instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:47:47.914CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
title High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
spellingShingle High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
Amor, Aranzazu
BAERMANN TECHNIQUE
ETHIOPIA
MOLECULAR TECHNIQUES
NEGLECTED
SOIL-TRANSMITTED HELMINTHS
STRONGYLOIDES STERCORALIS
title_short High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
title_full High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
title_fullStr High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
title_full_unstemmed High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
title_sort High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up
dc.creator.none.fl_str_mv Amor, Aranzazu
Rodriguez, Esperanza
Saugar, José M.
Arroyo, Ana
López-Quintana, Beatriz
Abera, Bayeh
Yimer, Mulat
Yizengaw, Endalew
Zewdie, Derejew
Ayehubizu, Zimman
Hailu, Tadesse
Mulu, Wondemagegn
Echazú, Adriana
Krolewieki, Alejandro J.
Aparicio, Pilar
Herrador, Zaida
Anegagrie, Melaku
Benito, Agustín
author Amor, Aranzazu
author_facet Amor, Aranzazu
Rodriguez, Esperanza
Saugar, José M.
Arroyo, Ana
López-Quintana, Beatriz
Abera, Bayeh
Yimer, Mulat
Yizengaw, Endalew
Zewdie, Derejew
Ayehubizu, Zimman
Hailu, Tadesse
Mulu, Wondemagegn
Echazú, Adriana
Krolewieki, Alejandro J.
Aparicio, Pilar
Herrador, Zaida
Anegagrie, Melaku
Benito, Agustín
author_role author
author2 Rodriguez, Esperanza
Saugar, José M.
Arroyo, Ana
López-Quintana, Beatriz
Abera, Bayeh
Yimer, Mulat
Yizengaw, Endalew
Zewdie, Derejew
Ayehubizu, Zimman
Hailu, Tadesse
Mulu, Wondemagegn
Echazú, Adriana
Krolewieki, Alejandro J.
Aparicio, Pilar
Herrador, Zaida
Anegagrie, Melaku
Benito, Agustín
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv BAERMANN TECHNIQUE
ETHIOPIA
MOLECULAR TECHNIQUES
NEGLECTED
SOIL-TRANSMITTED HELMINTHS
STRONGYLOIDES STERCORALIS
topic BAERMANN TECHNIQUE
ETHIOPIA
MOLECULAR TECHNIQUES
NEGLECTED
SOIL-TRANSMITTED HELMINTHS
STRONGYLOIDES STERCORALIS
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Soil-transmitted helminthiases (hookworms, Ascaris lumbricoides and Trichuris trichiura) are extremely prevalent in school-aged children living in poor sanitary conditions. Recent epidemiological data suggest that Strongyloides stercoralis is highly unreported. However, accurate data are essential for conducting interventions aimed at introducing control and elimination programmes. Methods: We conducted a cross-sectional survey of 396 randomly selected school-aged children in Amhara region in rural area in north-western Ethiopia, to assess the prevalence of S. stercoralis and other intestinal helminths. We examined stools using three techniques: conventional stool concentration; and two S. stercoralis-specific methods, i.e. the Baermann technique and polymerase chain reaction. The diagnostic accuracy of these three methods was then compared. Results: There was an overall prevalence of helminths of 77.5%, with distribution differing according to school setting. Soil-transmitted helminths were recorded in 69.2%. Prevalence of S. stercoralis and hookworm infection was 20.7 and 54.5%, respectively, and co-infection was detected in 16.3% of cases. Schistosoma mansoni had a prevalence of 15.7%. Prevalence of S. stercoralis was shown 3.5% by the conventional method, 12.1% by the Baermann method, and 13.4% by PCR, which thus proved to be the most sensitive. Conclusions: Our results suggest that S. stercoralis could be overlooked and neglected in Ethiopia, if studies of soil-transmitted helminths rely on conventional diagnostic techniques alone. A combination of molecular and stool microscopy techniques yields a significantly higher prevalence. In view of the fact that current control policies for triggering drug administration are based on parasite prevalence levels, a comprehensive diagnostic approach should instead be applied to ensure comprehensive control of helminth infections.
Fil: Amor, Aranzazu. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Rodriguez, Esperanza. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Saugar, José M.. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Arroyo, Ana. Hospital Universitario la Paz - Carlos III; España
Fil: López-Quintana, Beatriz. Hospital Universitario la Paz - Carlos III; España
Fil: Abera, Bayeh. Bahir Dar University; Etiopía
Fil: Yimer, Mulat. Bahir Dar University; Etiopía
Fil: Yizengaw, Endalew. Bahir Dar University; Etiopía
Fil: Zewdie, Derejew. Bahir Dar University; Etiopía
Fil: Ayehubizu, Zimman. Bahir Dar University; Etiopía
Fil: Hailu, Tadesse. Bahir Dar University; Etiopía
Fil: Mulu, Wondemagegn. Bahir Dar University; Etiopía
Fil: Echazú, Adriana. Universidad Nacional de Salta. Sede Regional Orán. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Krolewieki, Alejandro J.. Universidad Nacional de Salta. Sede Regional Orán. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Aparicio, Pilar. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Herrador, Zaida. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Anegagrie, Melaku. Universidad Carlos III de Madrid. Instituto de Salud; España
Fil: Benito, Agustín. Universidad Carlos III de Madrid. Instituto de Salud; España
description Background: Soil-transmitted helminthiases (hookworms, Ascaris lumbricoides and Trichuris trichiura) are extremely prevalent in school-aged children living in poor sanitary conditions. Recent epidemiological data suggest that Strongyloides stercoralis is highly unreported. However, accurate data are essential for conducting interventions aimed at introducing control and elimination programmes. Methods: We conducted a cross-sectional survey of 396 randomly selected school-aged children in Amhara region in rural area in north-western Ethiopia, to assess the prevalence of S. stercoralis and other intestinal helminths. We examined stools using three techniques: conventional stool concentration; and two S. stercoralis-specific methods, i.e. the Baermann technique and polymerase chain reaction. The diagnostic accuracy of these three methods was then compared. Results: There was an overall prevalence of helminths of 77.5%, with distribution differing according to school setting. Soil-transmitted helminths were recorded in 69.2%. Prevalence of S. stercoralis and hookworm infection was 20.7 and 54.5%, respectively, and co-infection was detected in 16.3% of cases. Schistosoma mansoni had a prevalence of 15.7%. Prevalence of S. stercoralis was shown 3.5% by the conventional method, 12.1% by the Baermann method, and 13.4% by PCR, which thus proved to be the most sensitive. Conclusions: Our results suggest that S. stercoralis could be overlooked and neglected in Ethiopia, if studies of soil-transmitted helminths rely on conventional diagnostic techniques alone. A combination of molecular and stool microscopy techniques yields a significantly higher prevalence. In view of the fact that current control policies for triggering drug administration are based on parasite prevalence levels, a comprehensive diagnostic approach should instead be applied to ensure comprehensive control of helminth infections.
publishDate 2016
dc.date.none.fl_str_mv 2016-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/37498
Amor, Aranzazu; Rodriguez, Esperanza; Saugar, José M.; Arroyo, Ana; López-Quintana, Beatriz; et al.; High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up; BioMed Central; Parasites and Vectors; 9; 1; 1-2016; 1-9
1756-3305
CONICET Digital
CONICET
url http://hdl.handle.net/11336/37498
identifier_str_mv Amor, Aranzazu; Rodriguez, Esperanza; Saugar, José M.; Arroyo, Ana; López-Quintana, Beatriz; et al.; High prevalence of Strongyloides stercoralis in school-aged children in a rural highland of north-western Ethiopia: the role of intensive diagnostic work-up; BioMed Central; Parasites and Vectors; 9; 1; 1-2016; 1-9
1756-3305
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
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info:eu-repo/semantics/altIdentifier/url/https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-016-1912-8
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dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
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