Repositório Científico do Instituto Nacional de Saúde >
Departamento de Doenças Infecciosas >
DDI - Artigos em revistas internacionais >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10400.18/725

Título: Prevalence and risk factors for Giardia duodenalis infection among children: A case study in Portugal
Autor: Júlio, Cláudia
Vilares, Anabela
Oleastro, Mónica
Ferreira, Idalina
Gomes, Salomé
Monteiro, Lurdes
Nunes, Baltazar
Tenreiro, Rogério
Ângelo, Helena
Palavras-chave: Giardia Duodenalis
Prevalence
Risk Factors
Children
Portugal
Infecções Gastrointestinais
Issue Date: Jan-2012
Editora: BioMed Central
Citação: Parasit Vectors. 2012 Jan 27;5:22
Resumo: Background: Giardia duodenalis is a widespread parasite of mammalian species, including humans. The prevalence of this parasite in children residing in Portugal is currently unknown. This study intended to estimate G. duodenalis infection prevalence and identify possible associated risk factors in a healthy paediatric population living in the District of the Portuguese capital, Lisbon. Methods: Between February 2002 and October 2008, 844 children were randomly selected at healthcare centres while attending the national vaccination program. A stool sample and a questionnaire with socio-demographic data were collected from each child. Giardia infection was diagnosed by direct examination of stools and antigen detection by ELISA. Results: The population studied revealed a gender distribution of 52.8% male and 47.2% female. Age distribution was 47.4% between 0-5 years and 52.6% between 6-15 years. The prevalence of Giardia infection was 1.9% (16/844) when estimated by direct examination and increased to 6.8% (57/844) when ELISA results were added. The prevalence was higher among children aged 0-5 years (7.8%), than among older children (5.8%), and was similar among genders (6.9% in boys and 6.5% in girls). The following population-variables were shown to be associated risk factors for G. duodenalis infection: mother’s educational level (odds ratio (OR)= 4.49; confidence interval (CI): 1.20-16.84), father’s educational level (OR = 12.26; CI: 4.08-36.82), presence of Helicobacter pylori infection (OR = 1.82; CI: 1.05-3.15), living in houses with own drainage system (OR = 0.10; CI: 0.02-0.64) and reported household pet contact, especially with dogs (OR = 0.53; CI: 0.31-0.93). Conclusion: The prevalence of giardiasis in asymptomatic children residing in the region of Lisbon is high. Several risk factors were associated with Giardia prevalence and highlight the importance of parents’ education and sanitation conditions in the children’s well being. The association between G. duodenalis and H. pylori seems an important issue deserving further investigation in order to promote prevention or treatment strategies
Arbitragem científica: yes
URI: http://hdl.handle.net/10400.18/725
ISSN: 1756-3305
Versão do Editor: http://www.parasitesandvectors.com/content/5/1/22
Appears in Collections:DEP - Artigos em revistas internacionais
DDI - Artigos em revistas internacionais

Files in This Item:

File Description SizeFormat
1756-3305-5-22.pdf279,89 kBAdobe PDFView/Open
Statistics
FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpaceOrkut
Formato BibTex mendeley Endnote Logotipo do DeGóis 

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

  © 2010 www.insa.pt - Todos os direitos reservados | Feedback Ministério da Saúde
Promotores do RCAAP   Financiadores do RCAAP

Fundação para a Ciência e a Tecnologia Universidade do Minho   Governo Português Ministério da Educação e Ciência PO Sociedade do Conhecimento (POSC) Portal oficial da União Europeia