Soil-Transmitted Helminth Infections and Anemia in Schoolchildren from Corn Island Archipelago (RAAS, Nicaragua)

Carla Muñoz-Antoli Departamento Parasitología, Facultad Farmacia, Universidad Valencia, Burjassot, Valencia, España;

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Paloma Pérez Departamento Parasitología, Facultad Farmacia, Universidad Valencia, Burjassot, Valencia, España;

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Aleyda Pavón Departamento Bioanálisis Clínico, Instituto Politécnico de la Salud (IPS-Polisal), Universidad Nacional Autónoma de Nicaragua, Managua, Nicaragua

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Rafael Toledo Departamento Parasitología, Facultad Farmacia, Universidad Valencia, Burjassot, Valencia, España;

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Jose-Guillermo Esteban Departamento Parasitología, Facultad Farmacia, Universidad Valencia, Burjassot, Valencia, España;

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The prevalence and intensity of soil-transmitted helminth (STH) infections in schoolchildren from Corn Islands (Nicaragua) were examined to detect mono- or poly-STH infected children, measuring different intensity levels, and to elucidate measurably increased odds of being anemic. A total of 341 stool samples provided by 2- to 15-year-old children were examined using a concentration technique and a Kato–Katz slide. Intensity of infection was expressed as eggs per gram (epg) of feces to classify light, moderate, or heavy intensity infection. A finger-prick blood sample was obtained from each student in the field. Soil-transmitted helminth prevalence was 54.3%, with Trichuris trichiura as the most prevalent species (48.9%). The combination T. trichiura/Ascaris lumbricoides (12.6%) was the most common. When T. trichiura or A. lumbricoides appeared as a single infection, light or moderate intensity infections were seen, whereas when multiple species were identified, heavy infections were present. Anemia was detected in those with any kind of STH infection (42.7%), with statistically significant differences (P = 0.004) when compared with uninfected individuals (28.2%). Polyparasite infection with one parasite species at moderate intensity and the other parasite species at light intensity or absent was found to be a significant factor for the odds of being anemic (odds ratio = 2.07). The present study reveals a high level of STH transmission requiring a deworming control program in Corn Islands and pointing to the need of improving the education and sanitary conditions of the population to avoid environmental contamination and reinfection.

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Author Notes

Address correspondence to Carla Muñoz-Antoli, Departamento Parasitología, Facultad de Farmacia, Universidad de Valencia, Avda. Vicent Andrés Estellés s/n, Burjassot, Valencia 46100, Spain. E-mail: carla.munoz@uv.es

Financial support: This work was supported by Proyecto de Cooperación al Desarrollo del Vicerrectorado de Relaciones Internacionales y Cooperación from the Universitat de València-Estudi General (Valencia, Spain), by PROMETEO2014-083 Fase II from Conselleria d’Educació, Generalitat valenciana (Valencia, Spain), and by No. RD16/0027/0023, red de Investigación Cooperativa en Enfermedades Tropicales-RICET, IV National Program of I+D+I 2017-20121, ISCIII-Subdirección General de Redes y Centros de Investigación Cooperativa from the Ministerio de Sanidad y Consumo (Madrid, Spain).

Ethical approval: This study was performed in collaboration with IPS-Polisal, approved by the UNAN-Managua, and supervised by Centro Nacional de Diagnóstico y Referencia of the Nicaraguan Ministry of Health.

Authors’ addresses: Carla Muñoz-Antoli, Paloma Pérez, Rafael Toledo, and Jose-Guillermo Esteban, Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Burjassot, Valencia, Spain, E-mails: carla.munoz@uv.es, escobedo@alumni.uv.es, rafael.toledo@uv.es, and jguillermo.esteban@uv.es. Aleyda Pavón, Departamento Bionálisis Clínico, Instituto Politécnico de la Salud (IPS-Polisal), Universidad Nacional Autónoma de Nicaragua, Managua, Nicaragua, E-mail: aleydapr@yahoo.com.

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