S Nundu Sabiti1, M-N Aloni2, S-W-L Linsuke3, M-B Ekila4, H-T Situakibanza5, K Polman6, P-T Lutumba3. 1. Département de médecine tropicale, faculté de médecine, université de Kinshasa, Kinshasa, République démocratique du Congo; Institut national de recherche biomédicale, Kinshasa, République démocratique du Congo. Electronic address: sabitisabin@yahoo.fr. 2. Division d'hémato-oncologie et de néphrologie, département de pédiatrie, faculté de médecine, université de Kinshasa, Kinshasa, République démocratique du Congo. 3. Département de médecine tropicale, faculté de médecine, université de Kinshasa, Kinshasa, République démocratique du Congo; Institut national de recherche biomédicale, Kinshasa, République démocratique du Congo. 4. Unité d'infectiologie, département de médecine interne, cliniques universitaires de Kinshasa, faculté de médecine, université de Kinshasa, Kinshasa, République démocratique du Congo. 5. Département de médecine tropicale, faculté de médecine, université de Kinshasa, Kinshasa, République démocratique du Congo. 6. Unité d'helminthologie, Institut de médecine tropicale, Anvers, Belgique.
Abstract
BACKGROUND: Data on geohelminth infections in children in the Democratic Republic of Congo are sparse. The objective of this study was to document and compare the profile and prevalence in children living in Kinshasa. METHODS: A prospective cohort study was conducted from May to October 2009 in children in the Biyela health area in Kinshasa, Democratic Republic of Congo. Stool samples were collected from representative members of these two populations and analyzed for geohelminths (GH) using the Kato-Katz technique. RESULTS: In this series, 438 school-age children were included. There were 235 children recruited in schools and 203 in households (77.8%). Overall prevalence of geohelminths was 66.9%. The specific prevalence was 69.4% in children recruited in schools and 64.0% in children recruited in households. The frequency of Ascaris lumbricoides, Trichuris trichiura, and Ancylostoma species were, respectively, 56.2%, 38.7%, and 1.7% in schools and 39.9%, 51.7%, and 1.0% in households. A. lumbricoides was significantly more prevalent in schools (56.2% vs 39.9%; OR=2.0; 95%CI: 1.3-3.0), T. trichiura was significantly less prevalent in schools (38.7% vs 51.7%; OR=0.6; 95% CI: 0.4-0.9). There were no significant differences in the prevalence of Ancylostoma between schools and households. CONCLUSION: GH is a health problem among Biyela children. Preventive measures and education of the population need to be emphasized in attempts to reduce the prevalence of geohelminths in these children.
BACKGROUND: Data on geohelminth infections in children in the Democratic Republic of Congo are sparse. The objective of this study was to document and compare the profile and prevalence in children living in Kinshasa. METHODS: A prospective cohort study was conducted from May to October 2009 in children in the Biyela health area in Kinshasa, Democratic Republic of Congo. Stool samples were collected from representative members of these two populations and analyzed for geohelminths (GH) using the Kato-Katz technique. RESULTS: In this series, 438 school-age children were included. There were 235 children recruited in schools and 203 in households (77.8%). Overall prevalence of geohelminths was 66.9%. The specific prevalence was 69.4% in children recruited in schools and 64.0% in children recruited in households. The frequency of Ascaris lumbricoides, Trichuris trichiura, and Ancylostoma species were, respectively, 56.2%, 38.7%, and 1.7% in schools and 39.9%, 51.7%, and 1.0% in households. A. lumbricoides was significantly more prevalent in schools (56.2% vs 39.9%; OR=2.0; 95%CI: 1.3-3.0), T. trichiura was significantly less prevalent in schools (38.7% vs 51.7%; OR=0.6; 95% CI: 0.4-0.9). There were no significant differences in the prevalence of Ancylostoma between schools and households. CONCLUSION: GH is a health problem among Biyela children. Preventive measures and education of the population need to be emphasized in attempts to reduce the prevalence of geohelminths in these children.
Authors: Etienne K Angora; Jérôme Boissier; Hervé Menan; Olivier Rey; Karim Tuo; Andre O Touré; Jean T Coulibaly; Aboulaye Méité; Giovanna Raso; Eliézer K N'Goran; Jürg Utzinger; Oliver Balmer Journal: Trop Med Infect Dis Date: 2019-07-23