Feacal Examination of Children Attending Hajiyya Gambo Sawaba General Hospital, Zaria.
Department of Human Anatomy, Faculty of Medicine, Ahmadu Bello University Zaria. Nigeria
Elite International School of Health Academy, Zaria. Nigeria
Dept of microbiology Faculty of Med.Lab.Sciences Usmanu Danfodio University Sokoto Nigeria
Ankuma S J., Ojih M.A
Department, of Medical Microbiology Ahmadu Bello University Teaching Hospital Shika- Zaria.
Correspondences to: E-mail: email@example.com
Intestinal protozoa and faeco-oral transmitted helminths (STH) constitute major health problems, especially in the tropical and sub-tropical regions. They can be the cause of a wide spectrum of clinical problems ranging from apparently symptomless infections to life-threatening conditions such as intestinal obstruction as in Ascaris infestation, failure to thrive as well as anaemia if not properly treated. In this study, results of 100 stool samples of children 1 to 10 year that visited GSGH between January 2014 and January 2015, were collected from the laboratory record book, and analyzed using simple percentages. The results showed that male patient (54.4%) ware more than the female patient (46.0 %). It also showed that the total age range of 1-5 year is 22 (40.74%), while that of age 6-10 years is 32 (59.25%), This study also shows that the highest parasitic infection in this study is Ascaris lumbricoid (66.67%), followed by E.vermicularis (16.67%). The percentage infection of the Ascaris lumbricoid, is more in female children (66.67%) between 6-10 years, than the male children (33.33%) of the same age range. It is suggested that children with intestinal parasites should be treated periodically treated and ensure personal hygiene and clean environment.
Key Word: Intestinal protozoa, faeco-oral, parasites and infections
Intestinal parasitic infections are globally endemic and have been described as constituting the greatest single worldwide cause of illness and disease Mehraj et al, (2008). IPIs are linked to lack of sanitation, lack of access to safe water and improper hygiene; therefore, they occur wherever there is poverty. Intestinal parasitic infections deprive the poorest of the poor of health, contributing to economic instability and social marginalization. The poor people of under developed nations experience a cycle where under nutrition and repeated infections lead to excess morbidity that can continue from generation to generation. People of all ages are affected by this cycle of prevalent parasitic infections; however, children are the worst affected Mehraj et al, (2008). Intestinal protozoa and faeco-oral transmitted helminths (STH) constitute major health problems, especially in the tropical and sub-tropical regions (Savioli et al;1992)
They can be the cause of a wide spectrum of clinical problems ranging from apparently symptomless infections to life-threatening conditions such as intestinal obstruction as in Ascaris infestation, failure to thrive as well as anaemia if not properly treated. Feaces are the solid, semi-solid formed or unformed waste product of the animal’s digestives system including Bacteria and parasites excreted out of the body.Feases vary significantly in appearances i.e size, color and texture, according to the state of digestive system, diet and general health. Normally stool is semi-solid, with a mucus coating. Stool examinations helps in easy detection and identification of parasite example; the larvae, ciliate, flagellates and trophozoite of amoeba. Ova and cyst may also be detected by using wet saline preparation method. For a number of years, the centers for disease control (D C) has recommended that the routine parasite logical examination of a fecal specimen should consist of a direct microscopic examination in both saline and iodine, a concentration examination and a permanently stained smear. However, timely processing within 1 hour of passage of a fresh specimen will give better result.
MATERIALS AND METHODS
The area of study is Zaria local government. There is high commercial activity in the local Government, this is evidence by the presence of large central markets and Government academic institutions and several health Institution both federal and state owned, including the Hajia Gambo Sawaba General Hospital, Zaria City. The population of the study covered 100 children under ages of 1-10year who attended Hajiya Gambo Sawaba General Hospital between 20014 and 20015 respectively. Data was collected from the available laboratory record book of parasitology and micro biology laboratories from January 2014 to January.2015. The data collected was analyzed and presented using frequency distribution table and result express in percentage.
from January 2014 to January.2015. The data collected was analyzed and presented using frequency distribution table and result express in percentage.
Results and discussion
Table 3 above showed the result both males and females that were infected with parasites. The tables generally suggest that, the children between 6-10year are more frequently infected with high number of parasite [83.33%], when compared to that of children between the ages of 1-5years, which showed low paracetaemia of only (1) [16.66%] of infections.
In this study of 100 stool samples of children age one to ten that visited GSGH between January 2014 and January 2015, the male patient (54.4%) ware more than the female patient (46.0 %). The result also showed that the age range of 1-5 is 22 (40.74%), while that of age 6-10 years is 32 (59.25%), implying that children between the age of 6-10 frequent the hospital more that the children of age 1 to 5 year. This study also shows that the highest parasitic infection in this study is Ascaris lumbricoid (66.67%), followed by E.vermicularis (16.67%). The percentage infection of the Ascaris lumbricoid, is more in female children (66.67%) between 6-10 years, than the male children (33.33%) of the same age range.
The tables generally suggest that, the children between 6-10year are more frequently infected with high number of parasite [83.33%], when compared to that of children between the ages of 1-5years, which showed low paracetaemia of only (1) [16.66%] of infections. A similar trend was reported by Jombo et al;2007, in which the bulk of parasitic infestation occurred in the 8-15 years age group. High prevalence of intestinal parasitic infestation is apt to occur in low socio-economic condition, characterised by inadequate water supply and poor sanitary disposal of faeces (Meremikwu et al1995; Al-Agha and Teodorescu 2000). The higher prevalence rate of intestinal parasitism in this study might be attributed to the poor hygienic practice and sanitary environment. The indiscriminate disposal of human wastes and unhygienic way of life might have been predisposing factors. The predominance of Ascaris lumbricoides in this study is in consonance with other reports (Eneanya and Anikwue, 2005). This observation is similar to the finning of Damen et al 2007 on the study of Prevalence of Intestinal Parasites among Pupils in Rural North Eastern, Nigeria, where the age group of 6-8 years had the highest prevalence (85.7%). Thy also observed that the distribution of intestinal parasites showed Ascaris lumbricoides to have the highest prevalence of (19.1%). Similarly, a study by Uwaezuoke et al;2006, on the prevalence of intestinal parasites was conducted among school children in Owerri Municipality of Imo State, Nigeria, between February and September 2003 reported that of the 1511 children examined, 721 (47.7%) were infected with intestinal parasites. The parasites encountered showed Ascaris lumbricoides (18.5%) to be the highest, followed by Trichuris truchiura (10.7%), Entamoeba histolytica (7.3%), Strongyloides stercoralis (6.0%), and Hookworm (5.3%). Uwaezuoke et al;2006 observed that although the prevalence of intestinal parasites was higher among males (50.3%) than in the females (45.7%), it was not significant (p<0.05), this observation is in contrast to our finding in this study.
This study showed a high prevalence of intestinal parasitic (Ascaris lumbricoides) infection in the stool
samples of femae children (age 6-10 year) attending Gambo Sawaba General Hospital kofan Gaya Zaria.
It is suggested that children with intestinal parasites should be treated periodically using broad spectrum or multi-agent drug combinations because of the multiple parasitism susceptibility in children. Public enlightenment and emphasis on personal hygiene and clean environment may be necessary in the prevention and control of parasitic infections among children in rural areas.
I appreciate the management and laboratory staff of GSGH, Zaria for the support and permission to carry out this study.
1. Cheesbrough M. Medical Parasitology. Medical Laboratory Mannual or Tropical Countries Sheck Wah Tong Printing press ltd Hong Kong low price edition. 1991
2. Salako A.A. Effects of portable water availability on intestinal parasitism among rural school children with sewage disposal facilities in the Mjidum and Owutu sub- urban community of Lagos state. Nigeria Medical practioner. 2001;39:3–4.
3. Agwu N. A. Incidence of intestinal helminthiasis in school children in Aba urban city, Abia state, Nigeria, International Journal. Environmental Health and Human Development. 2001;1:47–51.
4. Meremikwu M.M., Antia-Obong O.E., Asindi A.A., Ejezie G.C. Prevalence and Intensity of intestinal Helminthiasis in Pre-School children of peasant farmers in Calabar, Nigeria. Nigerian Journal of medicine. 1995;2:40–44.
5. Al-Agha R, Teodorescu I. Intestinal parasites infections and anaemia in primary schools children in G29 Gonernorates Palestine. Roum- Arch- Microbiol- Immunol. 2000;59(1-2):131–143. [PubMed]
6. Luka S.A., Ajogi I., Umoh J.U. Helminthosis among primary schools in Lere local Government Area Kaduna state, Nigeria. The Nigerian Journal of parasitology. 2000;21:109–116.
7. Eneanya C.I., Anikwue C. A school based intestinal helminthiasis programme in Nigeria: Perceptions, attitude and acceptability to community members. Nigerian Journal of parasitology. 2005;26:55–60.
8. Jombo G.T.A., Egah D.Z., Akuson J.T., Mbaawuga E.M. Human intestinal parasitism in a rural settlement of Northern Nigeria, A Survey. Nigeria Medical practioner. 2007;1/2:11–15.
9. Uwaezuoke JC., Udujih OS., Onyeka PIK (2006). Prevalence of intestinal parasites among school children in Owerri municipality, Imo state, Nigeria International Journal of Natural and Applied Sciences Vol 2, No 3 (2006)
10. Savioli L., Bundy DAP and Tomkins A (1992).
Intestinal parasitic infections: a soluble. public health problem. Trans R Soc Trop Med Hyg. ;86:353–354
11. Mehraj V, Hatcher J, Akhtar S, Rafique G, Beg MA (2008) Prevalence and Factors Associated with Intestinal Parasitic Infection among Children in an Urban Slum of Karachi. PLoS ONE 3(11): e3680. doi:10.1371/journal.pone.0003680