<p>Malnutrition and intestinal parasitic infections are among the major public health concerns linked with increased risk of morbidity and mortality especially in developing countries. This study sought to determine the prevalence and associated risk factors of intestinal parasitic infections in malnourished children admitted in Komfo Anokye Teaching Hospital and Maternal and Child Health Hospital in the Kumasi Metropolis. A cross-sectional study was conducted, with a total of 150 malnourished children who were selected using the simple purposive sampling technique. A questionnaire was administered to collect data on socio-demographic characteristics and risk factors associated with the prevalence of intestinal parasites. Stool samples were collected and examined using the formol ether sedimentation technique. A generalized linear model (GLM) was employed to assess the impact of age, sex, and various other risk factors on the likelihood of intestinal parasite infection in malnourished children. The overall prevalence of intestinal parasitic infection was 55.3%. The protozoan parasites identified included <i>Giardia intestinalis</i> and <i>Entamoeba sp.</i> while helminths identified were <i>Ascaris lumbricoides, Strongyloides stercoralis</i>, <i>Trichuris trichiura</i> and hookworm. <i>Strongyloides stercoralis</i> (25.3%) was the most prevalent. The prevalence of intestinal parasitic infections was significantly related to age categories 1 to 2&#xa0;years, 2 to 3 and 4 to 5&#xa0;years old, rural residence, divorced marital status, and use of alcohol-based sanitizer. This study revealed that intestinal parasitic infections were prevalent among malnourished children in the study area. Soil-transmitted helminths had a higher prevalence in the children compared to protozoan infections. Marital status, residence, age and the use of hand sanitizer had a significant association with intestinal parasitic infections.</p>

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Malnutrition and intestinal parasitic infections: a cross‑sectional survey of hospitalized malnourished children in the Kumasi Metropolis, Ghana

  • Sandra Siawbea Gyarteng Mensah,
  • John Asiedu Larbi

摘要

Malnutrition and intestinal parasitic infections are among the major public health concerns linked with increased risk of morbidity and mortality especially in developing countries. This study sought to determine the prevalence and associated risk factors of intestinal parasitic infections in malnourished children admitted in Komfo Anokye Teaching Hospital and Maternal and Child Health Hospital in the Kumasi Metropolis. A cross-sectional study was conducted, with a total of 150 malnourished children who were selected using the simple purposive sampling technique. A questionnaire was administered to collect data on socio-demographic characteristics and risk factors associated with the prevalence of intestinal parasites. Stool samples were collected and examined using the formol ether sedimentation technique. A generalized linear model (GLM) was employed to assess the impact of age, sex, and various other risk factors on the likelihood of intestinal parasite infection in malnourished children. The overall prevalence of intestinal parasitic infection was 55.3%. The protozoan parasites identified included Giardia intestinalis and Entamoeba sp. while helminths identified were Ascaris lumbricoides, Strongyloides stercoralis, Trichuris trichiura and hookworm. Strongyloides stercoralis (25.3%) was the most prevalent. The prevalence of intestinal parasitic infections was significantly related to age categories 1 to 2 years, 2 to 3 and 4 to 5 years old, rural residence, divorced marital status, and use of alcohol-based sanitizer. This study revealed that intestinal parasitic infections were prevalent among malnourished children in the study area. Soil-transmitted helminths had a higher prevalence in the children compared to protozoan infections. Marital status, residence, age and the use of hand sanitizer had a significant association with intestinal parasitic infections.