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Prevalence and Associated Factors of Intestinal Parasitic Infections Among Pulmonary Tuberculosis Patients in Harar Town, Eastern Ethiopia

Received: 13 September 2022     Accepted: 18 October 2022     Published: 28 October 2022
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Abstract

Co-infection of intestinal parasites (IPs) and tuberculosis (TB) in humans is an important public health problem in developing countries where both diseases are common. However, there are limited studies on the epidemiology of this co-infection elsewhere in Ethiopia and particularly none in the current study area. Therefore, the aim of this study was to determine the prevalence and associated factors of intestinal parasitic infections (IPIs) among pulmonary tuberculosis (PTB) patients in Harar Town, Eastern Ethiopia. Health facility based cross-sectional study was carried out from July 01 to August 30, 2021. PTB patients were enrolled in the study using non-random consecutive sampling technique. A structured questionnaire using face to face interview and checklist were used to collect data on socio-demographic, clinical and associated factors to IPIs. Height and weight were measured to calculate body mass index (BMI). About 3-5grams of stool sample was collected and processed using direct saline mount, formol-ether concentration, modified Ziehl-Neelsen staining and Kato-Katz technique following standard procedures. All data were entered into Epi-Data version 3.1 and exported to SPSS version 25.0 software for analysis. Descriptive statistics, binary logistic regression, odds ratio and 95% confidence interval were used during data analysis. A p-value of <0.05 was considered as statistically significant. The overall IPI rate among a total of 277 PTB patients included in the study was 28.5%. Intestinal helminths and protozoa infections accounted 16.2% and 12.3%, respectively. Double parasite species infection was observed in 1.8% of study participants. A. lumbricoides accounted for the highest frequency (7.2%), followed by G. lamblia (5.4%) and E. histolytica/dispar (4.3%). Presence of dirt in fingernail (AOR=3.04, 95% CI: 1.12-8.22, p = 0.029), having raised livestock at home (AOR=5.53, 95% CI: 1.58-19.38, p = 0.016) and BMI < 18.5 (AOR = 8.56, 95% CI: 3.88-18.88, p = 0.000) were associated factors for IPIs among PTB patients. High infection rate of IPs, predominantly A. lumbricoides was observed among PTB patients. Therefore, routine screening and prompt treatment for IPIs among PTB patients was recommended in order to ensure good TB prognosis.

Published in International Journal of Infectious Diseases and Therapy (Volume 8, Issue 4)
DOI 10.11648/j.ijidt.20220704.11
Page(s) 53-65
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Intestinal Parasitic Infection, Pulmonary Tuberculosis, Harar, Ethiopia

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    Ukash Umer, Teferi Eshetu, Abebaw Tiruneh, Belay Merkeb, Mulugeta Getachew, et al. (2022). Prevalence and Associated Factors of Intestinal Parasitic Infections Among Pulmonary Tuberculosis Patients in Harar Town, Eastern Ethiopia. International Journal of Infectious Diseases and Therapy, 8(4), 53-65. https://doi.org/10.11648/j.ijidt.20220704.11

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    Ukash Umer; Teferi Eshetu; Abebaw Tiruneh; Belay Merkeb; Mulugeta Getachew, et al. Prevalence and Associated Factors of Intestinal Parasitic Infections Among Pulmonary Tuberculosis Patients in Harar Town, Eastern Ethiopia. Int. J. Infect. Dis. Ther. 2022, 8(4), 53-65. doi: 10.11648/j.ijidt.20220704.11

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    AMA Style

    Ukash Umer, Teferi Eshetu, Abebaw Tiruneh, Belay Merkeb, Mulugeta Getachew, et al. Prevalence and Associated Factors of Intestinal Parasitic Infections Among Pulmonary Tuberculosis Patients in Harar Town, Eastern Ethiopia. Int J Infect Dis Ther. 2022;8(4):53-65. doi: 10.11648/j.ijidt.20220704.11

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  • @article{10.11648/j.ijidt.20220704.11,
      author = {Ukash Umer and Teferi Eshetu and Abebaw Tiruneh and Belay Merkeb and Mulugeta Getachew and Kinfu Yazachew},
      title = {Prevalence and Associated Factors of Intestinal Parasitic Infections Among Pulmonary Tuberculosis Patients in Harar Town, Eastern Ethiopia},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {8},
      number = {4},
      pages = {53-65},
      doi = {10.11648/j.ijidt.20220704.11},
      url = {https://doi.org/10.11648/j.ijidt.20220704.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20220704.11},
      abstract = {Co-infection of intestinal parasites (IPs) and tuberculosis (TB) in humans is an important public health problem in developing countries where both diseases are common. However, there are limited studies on the epidemiology of this co-infection elsewhere in Ethiopia and particularly none in the current study area. Therefore, the aim of this study was to determine the prevalence and associated factors of intestinal parasitic infections (IPIs) among pulmonary tuberculosis (PTB) patients in Harar Town, Eastern Ethiopia. Health facility based cross-sectional study was carried out from July 01 to August 30, 2021. PTB patients were enrolled in the study using non-random consecutive sampling technique. A structured questionnaire using face to face interview and checklist were used to collect data on socio-demographic, clinical and associated factors to IPIs. Height and weight were measured to calculate body mass index (BMI). About 3-5grams of stool sample was collected and processed using direct saline mount, formol-ether concentration, modified Ziehl-Neelsen staining and Kato-Katz technique following standard procedures. All data were entered into Epi-Data version 3.1 and exported to SPSS version 25.0 software for analysis. Descriptive statistics, binary logistic regression, odds ratio and 95% confidence interval were used during data analysis. A p-value of A. lumbricoides accounted for the highest frequency (7.2%), followed by G. lamblia (5.4%) and E. histolytica/dispar (4.3%). Presence of dirt in fingernail (AOR=3.04, 95% CI: 1.12-8.22, p = 0.029), having raised livestock at home (AOR=5.53, 95% CI: 1.58-19.38, p = 0.016) and BMI A. lumbricoides was observed among PTB patients. Therefore, routine screening and prompt treatment for IPIs among PTB patients was recommended in order to ensure good TB prognosis.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Prevalence and Associated Factors of Intestinal Parasitic Infections Among Pulmonary Tuberculosis Patients in Harar Town, Eastern Ethiopia
    AU  - Ukash Umer
    AU  - Teferi Eshetu
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    AU  - Belay Merkeb
    AU  - Mulugeta Getachew
    AU  - Kinfu Yazachew
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    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
    SP  - 53
    EP  - 65
    PB  - Science Publishing Group
    SN  - 2578-966X
    UR  - https://doi.org/10.11648/j.ijidt.20220704.11
    AB  - Co-infection of intestinal parasites (IPs) and tuberculosis (TB) in humans is an important public health problem in developing countries where both diseases are common. However, there are limited studies on the epidemiology of this co-infection elsewhere in Ethiopia and particularly none in the current study area. Therefore, the aim of this study was to determine the prevalence and associated factors of intestinal parasitic infections (IPIs) among pulmonary tuberculosis (PTB) patients in Harar Town, Eastern Ethiopia. Health facility based cross-sectional study was carried out from July 01 to August 30, 2021. PTB patients were enrolled in the study using non-random consecutive sampling technique. A structured questionnaire using face to face interview and checklist were used to collect data on socio-demographic, clinical and associated factors to IPIs. Height and weight were measured to calculate body mass index (BMI). About 3-5grams of stool sample was collected and processed using direct saline mount, formol-ether concentration, modified Ziehl-Neelsen staining and Kato-Katz technique following standard procedures. All data were entered into Epi-Data version 3.1 and exported to SPSS version 25.0 software for analysis. Descriptive statistics, binary logistic regression, odds ratio and 95% confidence interval were used during data analysis. A p-value of A. lumbricoides accounted for the highest frequency (7.2%), followed by G. lamblia (5.4%) and E. histolytica/dispar (4.3%). Presence of dirt in fingernail (AOR=3.04, 95% CI: 1.12-8.22, p = 0.029), having raised livestock at home (AOR=5.53, 95% CI: 1.58-19.38, p = 0.016) and BMI A. lumbricoides was observed among PTB patients. Therefore, routine screening and prompt treatment for IPIs among PTB patients was recommended in order to ensure good TB prognosis.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • School of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia

  • School of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, Ethiopia

  • School of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, Ethiopia

  • Department of Medical Laboratory Science, College of Health Science, Salale University, Fiche, Ethiopia

  • Department of Medical Laboratory Science, College of Medicine and Health Science, Ambo University, Ambo, Ethiopia

  • Department of Medical Laboratory Science, Institute of Health Science, Wallaga University, Nekemte, Ethiopia

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