Title: Prevalence of intestinal parasitic infections and attributable factors among patients presenting with gastro-intestinal symptoms at a tertiary care center in Northern India: a prospective cohort study

Authors: Dr Neelima Singh, Dr Richa Sinha, Dr Randhir Kumar, Dr Sweta Muni, Dr Kumar Saurabh, Dr Namrata Kumari

 DOI: https://dx.doi.org/10.18535/jmscr/v11i1.22

Abstract

Introduction: Intestinal parasitic infection is prevalent globally and is a major cause of morbidity especially in developing countries. This study was undertaken to assess the magnitude of parasitic infection among patients presenting with abdominal complains.

Material and Method: All non-repeat stool samples were collected from suspected patients, were processed and evaluated microscopically over a period of two years (June 2018 - May 2020). Demographic details, stool characteristics and possible attributing factors were analysed using appropriate statistical tests.

Results: Of the 1773 stool samples, fifty-six (3.15%) tested positive for intestinal parasites, most common organisms being E.histolytica (n=18,32.14%) and Giardia lamblia (n=15,26.79%). Source of drinking water, use of sanitary latrines, type of occupation, type of residence (rural/urban) or literacy status did not affect the positivity rates. However, male gender, consistency of stool, presence of mucus, presence of foul smell and occult blood positivity was significantly associated with detection of intestinal parasites.

Conclusion: Young males (21-40 years) presenting with diarrhoea with presence of occult blood and offensive odour are more likely to be affected by parasitic infection. Improvement in personal hygiene and availability of safe drinking water with government initiatives can help in adequate control.

Keywords: Intestinal parasitic infection, neglected tropical disease, hemospot test.

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Corresponding Author

Dr. Richa Sinha

Assistant Professor, Sanjay Gandhi Postgraduate Institute of Medical Sciences