Prevalence of Intestinal Parasitic Infection and Associated Factors among Adama Science and Technology University Student Adama Town, Oromia, Ethiopia

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Abstract

Introduction: University students who live together in campuses and share different materials for their day-to-day activities may expose them to intestinal parasitic infections. As far as our knowledge is concerned, there is insufficient information on the magnitude of parasitic infections among students at Adama Science and Technology University Objectives: To determine Prevalence of intestinal parasitic infection and associated factors among Adama University Student Adama Town, Oromia, Ethiopia. Methods: A cross sectional study was conducted among 483 students attending higher health center at Adama University Student by using systematic random sampling technique. Data on socio-demographic characteristics and potential associated factors for Intestinal parasitic infection was collected by structured interviewer administered questionnaire. One-gram stool samples for direct saline microscopy was collected and processed in accordance to the standard parasitological techniques and procedures at Adama Science and Technology University Higher Health Center Laboratory. Data entry and analysis was done using SPSS version 20.0.Chi- square test and multiple logistic regression was used to identify associated factors. Association between variables were considered statistically significant only if a two-sided P-value <0.05 at 95% confidence level. Results: This study demonstrates the overall prevalence of intestinal parasite among student accounts 20.1% (95%CI; 16.8, 23.8). Two protozoa and three helminthes spp were detected from total stool sample examined. The predominate parasite isolated were E.histolotica 63(13.0%) followed by G.lamblia 27(5.6%), Taenia spp 3(0.6%), Hookworm 2(0.4%) and H.nana 2(0.4%) respectively. being rural residence[AOR]: 2.69, 95% CI: (1.22,5.9)], lower parental educational status(illiterate [AOR]: 5.5, 95% CI: (1.99,15.5)] and primary[AOR]: 3.75, 95% CI: (1.5,9.34)], food source from private cafeterias[AOR]: 2.46, 95% CI: (1.15,5.2)], not hand washing before food and after defecation[AOR]: 4.9, 95% CI: (1.96,12.3)], Habit of eating raw vegetables and fruit[AOR]: 4.8, 95% CI:(2.28,10.1)], walking with bare foot[AOR]: 13.2, 95% CI: (5.4,32.4)], not trimming finger nail [AOR]: 6.85, 95% CI: (3.2,14.6)] and not using soap [AOR]: 7.53, 95% CI: (3.2,17.8)]were significantly associated with parasitic infection. Conclusions and Recommendations: The present study demonstrated the frequencies of intestinal parasitic infections among students were found to be high. Residence, educational status of parents, hand washing before meal and after defection, eating raw vegetables and fruit, walking with bare foot was significant predictors of parasitic infection: Hence all students should wash their hand before meal and after defecation, consume cooked vegetables, avoid walking with barefoot and trim their fingernail and university should improve and sustain inspection and food handler screening of private cafeterias.
埃塞俄比亚奥罗米亚阿达玛镇阿达玛科技大学学生肠道寄生虫感染患病率及相关因素
导读:在校大学生在日常生活中共用不同的材料,可能会导致肠道寄生虫感染。就我们所知,关于阿达玛科技大学学生中寄生虫感染程度的信息不足目的:确定埃塞俄比亚奥罗米亚阿达玛镇阿达玛大学学生肠道寄生虫感染的患病率及其相关因素。方法:采用系统随机抽样方法,对阿道玛大学高等保健中心483名在校生进行横断面调查。通过结构化问卷调查收集肠道寄生虫感染的社会人口学特征和潜在相关因素的数据。根据安道麦科技大学高等卫生中心实验室的标准寄生虫学技术和程序,收集1克粪便样本用于直接生理盐水显微镜。数据录入和分析采用SPSS 20.0版本。采用卡方检验和多元逻辑回归来确定相关因素。只有当双侧p值在95%置信水平上<0.05时,变量之间的关联才被认为具有统计学意义。结果:本研究显示,学生肠道寄生虫的总体患病率为20.1% (95%CI;16.8, 23.8)。总粪便标本检出原虫2种,寄生虫3种。分离到的主要寄生虫为组织弓形虫63只(13.0%),其次为兰氏弓形虫27只(5.6%)、带绦虫3只(0.6%)、钩虫2只(0.4%)和纳氏弓形虫2只(0.4%)。农村居民[AOR]: 2.69, 95% CI:(1.22,5.9)],父母受教育程度较低(文盲[AOR]: 5.5, 95% CI:(1.99,15.5)]和小学[AOR]: 3.75, 95% CI:(1.5,9.34)],食物来源来自私人食堂[AOR]: 2.46, 95% CI:(1.15,5.2)],进食前和排就后不洗手[AOR]: 4.9, 95% CI:(1.96,12.3)],习惯吃生蔬菜和水果[AOR]: 4.8, 95% CI:(2.28,10.1)],赤脚走路[AOR]: 13.2, 95% CI:(5.4,32.4)],不修剪指甲[AOR]:6.85, 95% CI:(3.2,14.6)]和不使用肥皂[AOR]: 7.53, 95% CI:(3.2,17.8)]与寄生虫感染显著相关。结论与建议:本研究表明,学生肠道寄生虫感染的发生率较高。住所、父母的教育程度、饭前和便后洗手、吃生蔬菜和水果、光脚走路是寄生虫感染的重要预测因素:因此,所有学生都应该在饭前和便后洗手,食用煮熟的蔬菜,避免光脚走路并修剪指甲,大学应该改善和维持对私人食堂的检查和食品处理人员的筛查。
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