Highlights
- •The overall prevalence rate of schistosomiasis and soil-transmitted helminth infections were 19.9% and 64.4% respectively.
- •58.1% of the pupils were found positive for at least either Schistosomiasis or soil-transmitted helminth infection.
- •Mixed infection was observed in 11.0% of the school children.
- •Overall, prevalence of infection was higher in males than in females for all Schistosoma and STH infections.
Abstract
Background
Schistosomiasis and Soil-transmitted helminthiasis cause considerable morbidity and
mortality in developing countries, especially among children. To this end it, a cross-sectional
survey to determine the pattern of Schistosomiasis and Soil-transmitted helminthiasis
co-infection was undertaken among primary school pupils in Oduma Community in Enugu
State, Nigeria.
Methods
Fresh urine and stool samples were collected from pupils. The urine and stool samples
were examined using sedimentation and Kat-Katz techniques respectively.
Results
Of the 236 pupils examined, 137 (58.1%) were found positive for at least one helminth
infection. Ascaris lumbricoides was the most prevalent soil-transmitted helminth (STH),
with a prevalence rate of 40.3%, followed by Trichuris trichiura (15.3%) and hookworm
(8.9%). Infection with Schistosoma haematobium was detected in 13.6% of the pupils
while Schistosoma mansoni infection prevalence was 7.2%. Age group 4 -7 years recorded
the highest prevalence for S. haematobium, A. lumbricoides, T. Trichiura and hookworm
infections. Multiple infections were also recorded, with 22.9% having double infections
and 2.5% having triple infections. The most common double infection was A. lumbricoides
with T. trichiura (8.9%), while the most common triple infection was A. lumbricoides,
S. haematobium and hookworm (1.7%).
Conclusion
The results from the present study revealed an evident need for the systematic and
sustained administration of school-based chemotherapy program targeting the control
of STH infection and Schistosomiasis using Albendazole and Praziquantel respectively
in the community, instead of a one-off approach that was carried out.
Keywords
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Article info
Publication history
Published online: January 22, 2019
Accepted:
December 19,
2018
Received in revised form:
December 17,
2018
Received:
July 24,
2018
Identification
Copyright
© 2018 Australasian College for Infection Prevention and Control. Published by Elsevier B.V. All rights reserved.