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. 2015 Sep;39(3):377-84.
doi: 10.1007/s12639-013-0378-2. Epub 2013 Nov 1.

Prevalence and risk factors associated with the presence of Soil-Transmitted Helminths in children studying in Municipal Corporation of Delhi Schools of Delhi, India

Sobhana Ranjan  1 , Santosh Jain Passi  2 , Som Nath Singh  3
Affiliations

Prevalence and risk factors associated with the presence of Soil-Transmitted Helminths in children studying in Municipal Corporation of Delhi Schools of Delhi, India

Sobhana Ranjan et al. J Parasit Dis. 2015 Sep.

Abstract

To determine the type, prevalence, intensity and the potential risk factors for helminths infection harboured by primary school aged children from selected schools of Delhi, India. Stool samples collected from 347 boys and girls studying in grades I-IV (aged 5-15 years) were examined by the semi-quantitative Kato-Katz method for presence of eggs of soil-transmitted helminths. Questionnaire data on the potential risk factors, associated variables and consequences of infection were categorized as individual, household, hygiene/sanitation related and behavioural factors. Associations between infection and these factors were assessed by multiple logistic regressions. The overall prevalence of infection with any of the helminths was 29.7 %. The prevalence of single infection with Ascaris lumbricoides was 8.1 % while that of hookworm and Trichuris trichiura was 3.7 % each. Strongest predictors for the helminths presence were never deworming (OR = 1.76; 95 % CI: 1.05, 2.95), no facility for defection (OR = 4.31; 95 % CI: 1.22, 15.22), using left hand for cleaning anal region (OR = 2.01; 95 % CI: 1.18, 3.43) and not reporting pain in stomach (OR = 1.93; 95 % CI: 1.14, 3.26). Though the infection intensities were low, we highlighted some of the potential risk factors that increase the susceptibility to these infections. Periodic deworming along with improvement in hygiene and sanitation practices through concerted efforts, not only from the school infrastructure but also the community at large, will help prevent helminths transmission and reinfection.

Keywords: Ascaris lumbricoides; Hookworm; Kato-Katz technique; Risk factors; Soil-transmitted helminths; Trichuris trichiura.

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