Skip to main content
Top
Published in: BMC Infectious Diseases 1/2019

Open Access 01-12-2019 | Entamoeba Histolytica | Research article

Prevalence of feco-oral transmitted protozoan infections and associated factors among university students in Ethiopia: a cross-sectional study

Authors: Behailu Hawulte Ayele, Ayele Geleto, Desalegn Admassu Ayana, Muhedin Redi

Published in: BMC Infectious Diseases | Issue 1/2019

Login to get access

Abstract

Background

An estimated 60% of the world’s population is infected with one form of intestinal parasites. Amoebiasis and giardiasis are among the leading intestinal protozoan infections that affected mankind. However, literature that shows the magnitude of the problem among university students in Ethiopia is at scarce. Therefore, this study was aimed at assessing the prevalence of feco-oral transmitted protozoan infections and associated factors among sport festival participant universities in Ethiopia.

Methods

A cross-sectional study design was conducted among 483 randomly selected university sport festival participant students. A self-administered questionnaire was used to collect the data. Stool specimens were examined using direct wet mount and formol-ether concentration techniques. The data were entered into Epi Info version 6.04 and were analyzed using SPSS version 20.0 statistical software. Multivariable logistic regression analysis was done to control the possible confounders and an odds ratio with a 95% confidence interval at p < 0.05 was used to identify an association between variables.

Result

The overall prevalence of intestinal protozoan infections was 140(28.9%) with the predominantly higher prevalence of E. histolytica/E. dispar 95(19.7%). The female respondents were at lower risk of infections compared to their male counterparts (AOR = 0.48, 95% CI: 0.22, 0.97]. Participants with educated father (AOR = 0.62, 95% CI: 0.12, 0.86) and those who received pocket money of > 347 Ethiopian Birr (~ 14 USD) per month (AOR = 0.20, 95% CI: 0.12, 0.74) were at lower risk of infections. However, being married (AOR = 1.42, 95% CI: 1.10, 2.23), rural resident (AOR = 1.82, 95% CI: 1.21, 3.32) and university stay for two or more years (AOR = 2.21, 95%CI: 1.48, 3.87) were more likely to be infected with protozoan infections.

Conclusion

The prevalence of intestinal protozoan infection among students who attend higher educational institutions was very high. Infection prevention strategies should be undertaken at respective universities with special focus to senior students and students from the rural area.
Appendix
Available only for authorised users
Literature
1.
go back to reference WHO. Prevention and Control of intestinal parasitic infections. Report of a WHO expert committee. World Health Organ Tech Rep Ser. 1987;749:1–86. WHO. Prevention and Control of intestinal parasitic infections. Report of a WHO expert committee. World Health Organ Tech Rep Ser. 1987;749:1–86.
2.
go back to reference Chacon-Cruz E. Intestinal Protozoal Diseases. eMedicine J. 2003;3(5):1–11. Chacon-Cruz E. Intestinal Protozoal Diseases. eMedicine J. 2003;3(5):1–11.
3.
go back to reference Romano Ngui SI, Chuen CS, Mahmud R, Lim YAL. Prevalence and risk factors of intestinal parasitism in rural and remote West Malaysia. PLoS Negl Trop Dis. 2011;5(3):e974.CrossRef Romano Ngui SI, Chuen CS, Mahmud R, Lim YAL. Prevalence and risk factors of intestinal parasitism in rural and remote West Malaysia. PLoS Negl Trop Dis. 2011;5(3):e974.CrossRef
5.
go back to reference Fletcher SM, Stark D, Ellis J. Prevalence of gastrointestinal pathogens in sub-Saharan Africa: systematic review and meta-analysis. J Public Health in Africa. 2011;2(2):e30.CrossRef Fletcher SM, Stark D, Ellis J. Prevalence of gastrointestinal pathogens in sub-Saharan Africa: systematic review and meta-analysis. J Public Health in Africa. 2011;2(2):e30.CrossRef
6.
go back to reference Samuel LSJ, Reed SL. Microbes and microbial toxins: paradigms for MicrobialMucosal interactions. Entamoeba histolytica: parasite-host interactions. Am J Physiol Gastrointest Liver Physiol. 2001;280:1049–54.CrossRef Samuel LSJ, Reed SL. Microbes and microbial toxins: paradigms for MicrobialMucosal interactions. Entamoeba histolytica: parasite-host interactions. Am J Physiol Gastrointest Liver Physiol. 2001;280:1049–54.CrossRef
8.
go back to reference Alemayehu M. Lecture notes on communicable disease control Addis Abeba the Carter Center, Ethiopia Ministry of Health, and Ethiopia ministry of education; 2004. Alemayehu M. Lecture notes on communicable disease control Addis Abeba the Carter Center, Ethiopia Ministry of Health, and Ethiopia ministry of education; 2004.
9.
go back to reference VIC H. Communicable disease epidemiology and surveillance. Melbourne: Victoria Department of Health and Human Services; 2015. VIC H. Communicable disease epidemiology and surveillance. Melbourne: Victoria Department of Health and Human Services; 2015.
11.
go back to reference Choy SH, Al-Mekhlafi HM, Mahdy MAK, Nasr NN, Sulaiman M, Lim YAL, et al. Prevalence and associated risk factors of Giardia infection among indigenous communities in rural Malaysia. Sci Rep. 2014;4:6909.CrossRef Choy SH, Al-Mekhlafi HM, Mahdy MAK, Nasr NN, Sulaiman M, Lim YAL, et al. Prevalence and associated risk factors of Giardia infection among indigenous communities in rural Malaysia. Sci Rep. 2014;4:6909.CrossRef
12.
go back to reference Anim-Baidoo I, Narh CA, Oddei D, Brown CA, Enweronu-Laryea C, Bandoh B, et al. Giardia lamblia infections in children in Ghana. Pan Afr Med J. 2016;24:211–7.CrossRef Anim-Baidoo I, Narh CA, Oddei D, Brown CA, Enweronu-Laryea C, Bandoh B, et al. Giardia lamblia infections in children in Ghana. Pan Afr Med J. 2016;24:211–7.CrossRef
13.
go back to reference Pires SM, Fischer-Walker CL, Lanata CF, Devleesschauwer B, Hall AJ, Kirk MD, et al. Aetiology-specific estimates of the global and regional incidence and mortality of Diarrhoeal diseases commonly transmitted through food. PLoS One. 2015;10(12):e0142927.CrossRef Pires SM, Fischer-Walker CL, Lanata CF, Devleesschauwer B, Hall AJ, Kirk MD, et al. Aetiology-specific estimates of the global and regional incidence and mortality of Diarrhoeal diseases commonly transmitted through food. PLoS One. 2015;10(12):e0142927.CrossRef
14.
go back to reference Younas M, Shah S, Talaat A. Frequency of Giardia lamblia infection in children with recurrent abdominal pain. JPMA J Pak Med Assoc. 2008;58(4):171–4.PubMed Younas M, Shah S, Talaat A. Frequency of Giardia lamblia infection in children with recurrent abdominal pain. JPMA J Pak Med Assoc. 2008;58(4):171–4.PubMed
15.
go back to reference Haileeyesus Adamu BP. Intestinal protozoan infections among HIV positive persons with and without antiretroviral treatment (ART) in selected ART centers in Adama, Afar and DireDawa, Ethiopia. Ethiop J Health Dev. 2009;23(2):133–40. Haileeyesus Adamu BP. Intestinal protozoan infections among HIV positive persons with and without antiretroviral treatment (ART) in selected ART centers in Adama, Afar and DireDawa, Ethiopia. Ethiop J Health Dev. 2009;23(2):133–40.
16.
go back to reference Yemane B. Epidemiology of Health and Disease in Ethiopia. Uttar Pradesh, India: Shama Books Printing Press; 2005. Yemane B. Epidemiology of Health and Disease in Ethiopia. Uttar Pradesh, India: Shama Books Printing Press; 2005.
17.
go back to reference Asegid A, Desalegn A. Prevalence of intestinal protozoan among students visiting Wollega University students’ clinic. Adv Med Biol Sci Res. 2015;3(1):36–42. Asegid A, Desalegn A. Prevalence of intestinal protozoan among students visiting Wollega University students’ clinic. Adv Med Biol Sci Res. 2015;3(1):36–42.
18.
go back to reference Aschalew G, Belay A, Bethel N, Betrearon S, Atnad Y, Meseret A, et al. Prevalence of intestinal parasitic infections and risk factors among schoolchildren at the University of Gondar Community School, Northwest Ethiopia: a cross-sectional study. BMC Public Health. 2013;13(304). https://doi.org/10.1186/1471-2458-13-304. Aschalew G, Belay A, Bethel N, Betrearon S, Atnad Y, Meseret A, et al. Prevalence of intestinal parasitic infections and risk factors among schoolchildren at the University of Gondar Community School, Northwest Ethiopia: a cross-sectional study. BMC Public Health. 2013;13(304). https://​doi.​org/​10.​1186/​1471-2458-13-304.
19.
go back to reference Bernard OA. INOaSEY. Prevalence of pathogenic protozoa infection in humans and their associated risk factors in Benue state, Nigeria. Int J Public Health Epidemiol. 2014;3(2):7–16. Bernard OA. INOaSEY. Prevalence of pathogenic protozoa infection in humans and their associated risk factors in Benue state, Nigeria. Int J Public Health Epidemiol. 2014;3(2):7–16.
22.
go back to reference Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Emory University, Rollins School of Public Health.Version. 3.01, updated 2013/04/06. www.OpenEpi.com. Accessed 18 May 2019. Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Emory University, Rollins School of Public Health.Version. 3.01, updated 2013/04/06. www.​OpenEpi.​com. Accessed 18 May 2019.
23.
go back to reference Cheesbrough M. In: Technology TH, editor. District laboratory practice in tropical countries. 2nd ed. New York: Cambridge University Press; 2009. Cheesbrough M. In: Technology TH, editor. District laboratory practice in tropical countries. 2nd ed. New York: Cambridge University Press; 2009.
24.
go back to reference Tigabu EPB, Endeshaw T. Prevalence of giardiasis and cryptosporidiosis among children in relation to water sources in selected village of Pawi special district in BenishangulGumuz region, northwestern Ethiopia. Ethiop J Health Dev. 2010;24:205–13. Tigabu EPB, Endeshaw T. Prevalence of giardiasis and cryptosporidiosis among children in relation to water sources in selected village of Pawi special district in BenishangulGumuz region, northwestern Ethiopia. Ethiop J Health Dev. 2010;24:205–13.
25.
go back to reference Ngele KK. The prevalence of intestinal protozoan parasites among the undergraduate students of Akanu Ibiam Federal Polytechnic, Unwana, Ebonyi state Nigeria. Int J Sci Nat. 2012;3(4):876–8. Ngele KK. The prevalence of intestinal protozoan parasites among the undergraduate students of Akanu Ibiam Federal Polytechnic, Unwana, Ebonyi state Nigeria. Int J Sci Nat. 2012;3(4):876–8.
26.
go back to reference CCOaNB O. Intestinal parasites among undergraduate students of Michael Okpara University of Agriculture, Umudike Abia state, Nigeria. World Appl Sci J. 2013;25(8):1171–3. CCOaNB O. Intestinal parasites among undergraduate students of Michael Okpara University of Agriculture, Umudike Abia state, Nigeria. World Appl Sci J. 2013;25(8):1171–3.
27.
go back to reference Mazigo HD, Ambrose EE, Zinga M, Bahemana E, Mnyone LL, Kweka EJ, Heukelbach J. Prevalence of intestinal parasitic infections among patients attending Bugando medical Centre in Mwanza, North-Western Tanzania: a retrospective study. Tanzan J Health Res. 2010;12(3). Mazigo HD, Ambrose EE, Zinga M, Bahemana E, Mnyone LL, Kweka EJ, Heukelbach J. Prevalence of intestinal parasitic infections among patients attending Bugando medical Centre in Mwanza, North-Western Tanzania: a retrospective study. Tanzan J Health Res. 2010;12(3).
28.
go back to reference Seifu A, Amy S, Manyahleshal A. Water supply and sanitation in Amhara Region. In: Learning and Communication Research Report, Bahir Dar, Ethiopia; 2012. Seifu A, Amy S, Manyahleshal A. Water supply and sanitation in Amhara Region. In: Learning and Communication Research Report, Bahir Dar, Ethiopia; 2012.
29.
go back to reference Ethiopia WA. Regional water supply and sanitation coverage in Ethiopia: according to 2001 EFY reports; 2010. Ethiopia WA. Regional water supply and sanitation coverage in Ethiopia: according to 2001 EFY reports; 2010.
30.
go back to reference Aklilu A, Kahase D, Dessalegn M, Tarekegn N, Gebremichael S, Zenebe S, et al. Prevalence of intestinal parasites, salmonella and shigella among apparently health food handlers of Addis Ababa University student’s cafeteria, Addis Ababa, Ethiopia. BMC Res Notes. 2015;8:17. https://doi.org/10.1186/s13104-014-0967-x.CrossRef Aklilu A, Kahase D, Dessalegn M, Tarekegn N, Gebremichael S, Zenebe S, et al. Prevalence of intestinal parasites, salmonella and shigella among apparently health food handlers of Addis Ababa University student’s cafeteria, Addis Ababa, Ethiopia. BMC Res Notes. 2015;8:17. https://​doi.​org/​10.​1186/​s13104-014-0967-x.CrossRef
31.
go back to reference Simon Mariwah KH, Kasim A. The impact of gender and physical environment on the handwashing behaviour of university students in Ghana. Trop Med Int Health. 2012;17(4):447–54.CrossRef Simon Mariwah KH, Kasim A. The impact of gender and physical environment on the handwashing behaviour of university students in Ghana. Trop Med Int Health. 2012;17(4):447–54.CrossRef
33.
go back to reference Zaglool DAKY, Gazzaz ZJ, Dhafar KO, Shaker HA, et al. Prevalence of intestinal parasites among patients of Al-Noor specialist hospital, Makkah, Saudi Arabia. Oman Med J. 2011;26:182–5.CrossRef Zaglool DAKY, Gazzaz ZJ, Dhafar KO, Shaker HA, et al. Prevalence of intestinal parasites among patients of Al-Noor specialist hospital, Makkah, Saudi Arabia. Oman Med J. 2011;26:182–5.CrossRef
34.
go back to reference Al-Rifaai JM, Al Haddad AM, Qasem JA. Personal hygiene among college students in Kuwait: a health promotion perspective. J Educ Health Promot. 2018;7:92.CrossRef Al-Rifaai JM, Al Haddad AM, Qasem JA. Personal hygiene among college students in Kuwait: a health promotion perspective. J Educ Health Promot. 2018;7:92.CrossRef
35.
go back to reference Prah J, Abdulai M, Lasim O, Ampofo-Asiama A. Assessment of hygiene Practices; 2018. Prah J, Abdulai M, Lasim O, Ampofo-Asiama A. Assessment of hygiene Practices; 2018.
36.
go back to reference Mainous AG, Kohrs FP. A comparison of health status between rural and urban adults. J Community Health. 1995;20(5):423–31.CrossRef Mainous AG, Kohrs FP. A comparison of health status between rural and urban adults. J Community Health. 1995;20(5):423–31.CrossRef
Metadata
Title
Prevalence of feco-oral transmitted protozoan infections and associated factors among university students in Ethiopia: a cross-sectional study
Authors
Behailu Hawulte Ayele
Ayele Geleto
Desalegn Admassu Ayana
Muhedin Redi
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2019
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-019-4095-z

Other articles of this Issue 1/2019

BMC Infectious Diseases 1/2019 Go to the issue