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Status and Risk Factors of Strongyloides stercoralis Infection in Rural Communities of Xayaburi Province, Lao PDR

  • Senephansiri, Phasouk (National TB Reference Laboratory, National Tuberculosis Control Programme, Ministry of Health, Vientiane Capital) ;
  • Laummaunwai, Porntip (Department of Parasitology, Faculty of Medicine, Khon Kaen University) ;
  • Laymanivong, Sakorn (Center of Malariology, Parasitology and Entomology, Ministry of Health) ;
  • Boonmar, Thidarut (Department of Parasitology, Faculty of Medicine, Khon Kaen University)
  • 투고 : 2017.04.03
  • 심사 : 2017.08.08
  • 발행 : 2017.10.31

초록

The present study was performed to reveal the current status and risk factors of Strongyloides stercoralis infections in the villages of Kenethao district, Xayaburi Province, Lao PDR. Fecal specimens were collected and examined for S. stercoralis using Koga-agar plate culture technique. Among 516 individuals, the prevalence of S. stercoralis and hookworm infection was 44.2% and 17.1%, respectively. Co-infection was detected in 13.2% of the cases. The prevalence did not significantly differ between males and females (P=0.193). However, the prevalence of S. stercoralis infection increased significantly with age (P=0.041). Of the risk factors examined, both performing farming activities (P=0.001) and walking barefoot when going outside of the house (P=0.003) showed significant correlations with S. stercoralis infections. Our results suggest that S. stercoralis is highly endemic in this area. The National Helminth Control Program of Lao PDR should take actions to control S. stercoralis infection. In addition, provision of health education about the benefits of wearing shoes would be important for reducing infection in the study area. Moreover, the application of high-sensitivity diagnostic approaches is needed to obtain the true impact of S. stercoralis infections in all rural communities in order to provide surveillance activities in Lao PDR.

키워드

참고문헌

  1. Hotez PJ, Molyneux DH, Fenwick A, Ottesen E, Ehrlich Sachs S, Sachs JD. Incorporating a rapid-impact package for neglected tropical diseases with programs for HIV/AIDS, tuberculosis, and malaria. PLoS Med 2006; 3: e102. https://doi.org/10.1371/journal.pmed.0030102
  2. Olsen A, van Lieshout L, Marti H, Polderman T, Polman K, Steinmann P, Stothard R, Thybo S, Verweij JJ, Magnussen P. Strongyloidiasis-the most neglected of the neglected tropical diseases? Trans R Soc Trop Med Hyg 2009; 103: 967-972. https://doi.org/10.1016/j.trstmh.2009.02.013
  3. Foreman EB, Abraham PJ, Garland JL. Not your typical Strongyloides infection: a literature review and case study. South Med J 2006; 99: 847-852. https://doi.org/10.1097/01.smj.0000203813.70054.3c
  4. Ly MN, Bethel SL, Usmani AS, Lambert DR. Cutaneous Strongyloides stercoralis infection: an unusual presentation. J Am Acad Dermatol 2003; 49 (suppl): 157-160.
  5. Vadlamudi RS, Chi DS, Krishnaswamy G. Intestinal strongyloidiasis and hyperinfection syndrome. Clin Mol Allergy 2006; 4: 8. https://doi.org/10.1186/1476-7961-4-8
  6. Koczka CP, Hindy P, Goodman A, Gress F. Strongyloidiasis: a diagnosis more common than we think. Eur J Gastroenterol Hepatol 2012; 24: 860862.
  7. Khieu V, Srey S, Schar F, Muth S, Marti H, Odermatt P. Strongyloides stercoralis is a cause of abdominal pain, diarrhea and urticaria in rural Cambodia. BMC Res Notes 2013; 6: 200. https://doi.org/10.1186/1756-0500-6-200
  8. Marcos LA, Terashima A, Dupont HL, GotuzzoE. Strongyloides hyperinfection syndrome: an emerging global infectious disease. Trans R Soc Trop Med Hyg 2008; 102: 314-318. https://doi.org/10.1016/j.trstmh.2008.01.020
  9. Vadlamudi RS, Chi DS, Krishnaswamy G. Intestinal strongyloidiasis and hyperinfection syndrome. Clin Mol Allergy 2006; 4: 8. https://doi.org/10.1186/1476-7961-4-8
  10. Basile A, Simzar S, Bentow J, Antelo F, Shitabata P, Peng SK, Craft N. Disseminated Strongyloides stercoralis: hyperinfection during medical immunosuppression. J Am Acad Dermatol 2010; 63: 896-902. https://doi.org/10.1016/j.jaad.2009.09.037
  11. Jongwutiwes S, Charoenkorn M, Sitthichareonchai P, Akaraborvorn P, Putaporntip C. Increased sensitivity of routine laboratory detection of Strongyloides stercoralis and hookworm by agar-plate culture. Trans R Soc Trop Med Hyg 1999; 93: 398-400. https://doi.org/10.1016/S0035-9203(99)90132-3
  12. Sato Y, Kobayashi J, Toma H, Shiroma Y. Efficacy of stool examination for detection of Strongyloides infection. Am J Trop Med Hyg 1995; 53: 248-250. https://doi.org/10.4269/ajtmh.1995.53.248
  13. Vonghachack Y, Sayasone S, Bouakhasith D, Taisayavong K, Akkavong K, Odermatt P. Epidemiology of Strongyloides stercoralis on Mekong islands in southern Laos. Acta Trop 2015; 141: 289-294. https://doi.org/10.1016/j.actatropica.2014.09.016
  14. Sayasone S, Vonghajack Y, Vanmany M, Rasphone O, Tesana S, Utzinger J, Akkhavong K, Odermatt P. Diversity of human intestinal helminthiasis in Lao PDR. Trans R Soc Trop Med Hyg 2009; 103: 247-254. https://doi.org/10.1016/j.trstmh.2008.10.011
  15. Khieu V, Schiar F, Marti H, Bless PJ, Char MC, Muth S, Odermatt P. Prevalence and risk factors of Strongyloides stercoralis in Takeo Province, Cambodia. Parasit Vector 2014; 7: 221. https://doi.org/10.1186/1756-3305-7-221
  16. Khieu V, Schar F, Forrer A, Hattendorf J, Marti H, Duong S, Vounatsou P, Muth S, Odermatt P. High prevalence and spatial distribution of Strongyloides stercoralis in rural Cambodia. PLoS Negl Trop Dis 2014; 8: e2854. https://doi.org/10.1371/journal.pntd.0002854
  17. Schar F, Inpankaew T, Traub RJ, Khieu V, Dalsgaard A, Chimnoi W, Chhoun C, Sok D, Marti H, Muth S, Odermatt P. The prevalence and diversity of intestinal parasitic infections in humans and domestic animals in a rural Cambodian village. Parasitol Int 2014; 63: 597-603. https://doi.org/10.1016/j.parint.2014.03.007
  18. Jongsuksuntigul P, Intapan PM, Wongsaroj T, Nilpan S, Singthong S, Veerakul S, Maleewong, W. Prevalence of Strongyloides stercoralis infection in northeastern Thailand (agar plate culture detection). J Med Assoc Thai 2003; 86: 737-741.
  19. Steinmann P, Zhou XN, Du ZW., Jiang JY, Wang LB, Wang XZ, Li LH, Marti H, Utzinger J. Occurrence of Strongyloides stercoralis in Yunnan Province, China, and comparison of diagnostic methods. PLoS Negl Trop Dis 2007; 1: e75. https://doi.org/10.1371/journal.pntd.0000075

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  8. Status of Strongyloidiasis in Japan, 2000-2017 vol.103, pp.2, 2017, https://doi.org/10.4269/ajtmh.19-0969
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  10. Where was my patient born? The Intersection of tropical medicine and migrant health vol.34, pp.5, 2017, https://doi.org/10.1097/qco.0000000000000773
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