Factors Associated with High Prevalence of Intestinal Protozoan Infections among Patients in Sanaa City, Yemen 英文参考文献.docVIP

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Factors Associated with High Prevalence of Intestinal Protozoan Infections among Patients in Sanaa City, Yemen 英文参考文献.doc

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Factors Associated with High Prevalence of Intestinal Protozoan Infections among Patients in Sanaa City, Yemen 英文参考文献

FactorsAssociatedwithHighPrevalenceofIntestinal ProtozoanInfectionsamongPatientsinSana’aCity, Yemen NaelahA.Alyousefi1*,MohammedA.K.Mahdy1,2,RohelaMahmud1,YvonneA.L.Lim1* 1DepartmentofParasitology,FacultyofMedicine,UniversityofMalaya,KualaLumpur,Malaysia,2DepartmentofParasitology,FacultyofMedicine,Sana’aUniversity, Sana’a,Yemen Abstract Background:IntestinalprotozoandiseasesinYemenareasignificanthealthproblemwithprevalencerangingfrom18%to 27%.Thepresentstudyisacross-sectionalstudyaimedatdeterminingthefactorsassociatedwiththehighprevalenceof intestinalprotozoaninfectionsamongpatientsseekinghealthcareinSana’aCity,thecapitalofYemen. Methodology/PrincipalFindings:Stoolsampleswerecollectedfrom503patientsagedbetween1and80yearsold;219 weremalesand284females.Biodatawerecollectedviapretestedstandardquestionnaire.Faecalsampleswereprocessed and examined for (oo)cysts or ova using a wet mount preparation after formal-ether concentration technique. Cryptosporidium oocysts were detected using the Ziehl-Neelsen staining technique. The overall prevalence of intestinal protozoan infections was 30.9%. Infection rates of Giardia duodenalis, Entamoeba histolytica/dispar and Cryptosporidium were17.7%,17.1%and1%,respectively.OtherparasitesdetectedincludedAscarislumbricoides(2.4%),Schistosomamansoni (0.3%), Hymenolepis nana (1.4%) and Enterobius vermicularis (0.4%). Multivariate analysis using forward stepwise logistic regression based on intestinalprotozoan infectionsshowed thatcontact withanimals(OR=1.748, 95%CI=1.168–2.617) and taking bath less than twice a week (OR=1.820, 95% CI=1.192–2.779) were significant risk factors of protozoan infections. Conclusions/Significance:Thispresentstudyindicatedthatintestinalprotozoaninfectionsarestillapublichealthproblem in Yemen, with Giardia and Entamoeba infections being most common. Statistical analysis indicated that low personal hygieneandcontactwithanimalswereimportantpredictorsforintestinalprotozoaninfections.Ashighlightedinthisstudy, ino