Cargando…

Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire

Schistosomiasis is a parasitic disease affecting more than 250 million people, primarily in sub-Saharan Africa. In Côte d’Ivoire both Schistosoma haematobium (causing urogenital schistosomiasis) and Schistosoma mansoni (causing intestinal schistosomiasis) co-exist. This study aimed to determine the...

Descripción completa

Detalles Bibliográficos
Autores principales: Angora, Etienne K., Boissier, Jérôme, Menan, Hervé, Rey, Olivier, Tuo, Karim, Touré, Andre O., Coulibaly, Jean T., Méité, Aboulaye, Raso, Giovanna, N’Goran, Eliézer K., Utzinger, Jürg, Balmer, Oliver
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789509/
https://www.ncbi.nlm.nih.gov/pubmed/31340504
http://dx.doi.org/10.3390/tropicalmed4030110
_version_ 1783458634485727232
author Angora, Etienne K.
Boissier, Jérôme
Menan, Hervé
Rey, Olivier
Tuo, Karim
Touré, Andre O.
Coulibaly, Jean T.
Méité, Aboulaye
Raso, Giovanna
N’Goran, Eliézer K.
Utzinger, Jürg
Balmer, Oliver
author_facet Angora, Etienne K.
Boissier, Jérôme
Menan, Hervé
Rey, Olivier
Tuo, Karim
Touré, Andre O.
Coulibaly, Jean T.
Méité, Aboulaye
Raso, Giovanna
N’Goran, Eliézer K.
Utzinger, Jürg
Balmer, Oliver
author_sort Angora, Etienne K.
collection PubMed
description Schistosomiasis is a parasitic disease affecting more than 250 million people, primarily in sub-Saharan Africa. In Côte d’Ivoire both Schistosoma haematobium (causing urogenital schistosomiasis) and Schistosoma mansoni (causing intestinal schistosomiasis) co-exist. This study aimed to determine the prevalence of S. haematobium and S. mansoni and to identify risk factors among schoolchildren in the western and southern parts of Côte d’Ivoire. From January to April 2018, a cross-sectional study was carried out including 1187 schoolchildren aged 5–14 years. Urine samples were examined by a filtration method to identify and count S. haematobium eggs, while stool samples were subjected to duplicate Kato-Katz thick smears to quantify eggs of S. mansoni and soil-transmitted helminths. Data on sociodemographic, socioeconomic, and environmental factors were obtained using a pretested questionnaire. Multivariate logistic regression was employed to test for associations between variables. We found a prevalence of S. haematobium of 14.0% (166 of 1187 schoolchildren infected) and a prevalence of S. mansoni of 6.1% (66 of 1089 schoolchildren infected). In the southern part of Côte d’Ivoire, the prevalence of S. haematobium was 16.1% with a particularly high prevalence observed in Sikensi (35.6%), while S. mansoni was most prevalent in Agboville (11.2%). Swimming in open freshwater bodies was the main risk factor for S. haematobium infection (adjusted odds ratio (AOR) = 127.0, 95% confidence interval (CI): 25.0–634.0, p < 0.001). Fishing and washing clothes in open freshwater bodies were positively associated with S. haematobium and S. mansoni infection, respectively. Preventive chemotherapy using praziquantel should be combined with setting-specific information, education, and communication strategies in order to change children’s behavior, thus avoiding contact with unprotected open freshwater.
format Online
Article
Text
id pubmed-6789509
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-67895092019-10-16 Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire Angora, Etienne K. Boissier, Jérôme Menan, Hervé Rey, Olivier Tuo, Karim Touré, Andre O. Coulibaly, Jean T. Méité, Aboulaye Raso, Giovanna N’Goran, Eliézer K. Utzinger, Jürg Balmer, Oliver Trop Med Infect Dis Article Schistosomiasis is a parasitic disease affecting more than 250 million people, primarily in sub-Saharan Africa. In Côte d’Ivoire both Schistosoma haematobium (causing urogenital schistosomiasis) and Schistosoma mansoni (causing intestinal schistosomiasis) co-exist. This study aimed to determine the prevalence of S. haematobium and S. mansoni and to identify risk factors among schoolchildren in the western and southern parts of Côte d’Ivoire. From January to April 2018, a cross-sectional study was carried out including 1187 schoolchildren aged 5–14 years. Urine samples were examined by a filtration method to identify and count S. haematobium eggs, while stool samples were subjected to duplicate Kato-Katz thick smears to quantify eggs of S. mansoni and soil-transmitted helminths. Data on sociodemographic, socioeconomic, and environmental factors were obtained using a pretested questionnaire. Multivariate logistic regression was employed to test for associations between variables. We found a prevalence of S. haematobium of 14.0% (166 of 1187 schoolchildren infected) and a prevalence of S. mansoni of 6.1% (66 of 1089 schoolchildren infected). In the southern part of Côte d’Ivoire, the prevalence of S. haematobium was 16.1% with a particularly high prevalence observed in Sikensi (35.6%), while S. mansoni was most prevalent in Agboville (11.2%). Swimming in open freshwater bodies was the main risk factor for S. haematobium infection (adjusted odds ratio (AOR) = 127.0, 95% confidence interval (CI): 25.0–634.0, p < 0.001). Fishing and washing clothes in open freshwater bodies were positively associated with S. haematobium and S. mansoni infection, respectively. Preventive chemotherapy using praziquantel should be combined with setting-specific information, education, and communication strategies in order to change children’s behavior, thus avoiding contact with unprotected open freshwater. MDPI 2019-07-23 /pmc/articles/PMC6789509/ /pubmed/31340504 http://dx.doi.org/10.3390/tropicalmed4030110 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Angora, Etienne K.
Boissier, Jérôme
Menan, Hervé
Rey, Olivier
Tuo, Karim
Touré, Andre O.
Coulibaly, Jean T.
Méité, Aboulaye
Raso, Giovanna
N’Goran, Eliézer K.
Utzinger, Jürg
Balmer, Oliver
Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire
title Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire
title_full Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire
title_fullStr Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire
title_full_unstemmed Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire
title_short Prevalence and Risk Factors for Schistosomiasis among Schoolchildren in two Settings of Côte d’Ivoire
title_sort prevalence and risk factors for schistosomiasis among schoolchildren in two settings of côte d’ivoire
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789509/
https://www.ncbi.nlm.nih.gov/pubmed/31340504
http://dx.doi.org/10.3390/tropicalmed4030110
work_keys_str_mv AT angoraetiennek prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT boissierjerome prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT menanherve prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT reyolivier prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT tuokarim prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT toureandreo prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT coulibalyjeant prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT meiteaboulaye prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT rasogiovanna prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT ngoraneliezerk prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT utzingerjurg prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire
AT balmeroliver prevalenceandriskfactorsforschistosomiasisamongschoolchildrenintwosettingsofcotedivoire