ABSTRACT

Objective:

Intestinal parasitic infections (IPI) are considered as one of the most important public health problems that cause morbidity and mortality. For this reason, to determine their prevalence it is critical for prevention. This study aimed to determine the prevalence of intestinal parasites.

Methods:

In our study, a total of 4.957 patients registered to our hospital with gastrointestinal symptoms between January 2016 and December 2019 were retrospectively analysed. Their stool samples were examined macroscopically and microscopically. In the microscopy, native-lugol and formol ethyl acetate concentration methods were used. Crypto-Giardia-Entamoeba antigen test was applied. All cases were evaluated in terms of age, gender, year and season.

Results:

In our study group, 239 (4.8%) patients were detected as positive for intestinal parasites. Among these patients, 129 (54%) were male and 110 (46%) were female. No statistically significant difference was found between IPI and gender (p=0.228). Blastocystis hominis (76.2%) and Giardia intestinalis (12.1%) were the most common parasites. According to age groups, most intestinal parasites are found in 16-45 years old and least in 0-15-years-old (p=0.0001). A significant increase was found in positive intestinal parasite cases especially after 2018 (p=0.0001). Our study determined that intestinal parasites were observed most frequently in autumn (p=0.033).

Conclusion:

The prevalence of IPI in our country is low. However, due to the increasing trend of IPI since 2018, necessary measures must be implemented to prevent further increase in the number of cases. In addition, reasons behind the rising cases of intestinal parasites during the autumn months in which rainfall begins require further investigation.

Keywords: Northern Cyprus, intestinal, parasite, prevalence, epidemiology

References

Taş Cengiz Z, Yılmaz H, Beyhan YE, Çiçek M. A Comprehensive Retrospective Study: Intestinal Parasites in Human in Van Province. Turkiye Parazitol Derg 2019; 43: 70-3.

Tüzemen NÜ, Alver O, Ener B. Uludağ Üniversitesi Parazitoloji Laboratuvarında 2011-2015 Yılları Arasında İncelenen Dışkı Örneklerinde Paraziter İnfeksiyon Sıklığının Araştırılması. FLORA 2017; 22: 160-5.

Langbang D, Dhodapkar R, Parija SC, Premarajan KC, Rajkumari N. Prevalence of intestinal parasites among rural and urban population in Puducherry, South India - A community-based study. J Family Med Prim Care 2019; 8: 1607-12.

Kırkoyun Uysal H, Akgül O, Purisa S, Oner YA. İstanbul Üniversitesi İstanbul Tıp Fakültesi’nde 25 Yıllık İntestinal Parazit Prevalansı: Retrospektif Bir Çalışma [Twenty-five years of intestinal parasite prevalence in İstanbul University, İstanbul Faculty of Medicine: a retrospective study]. Turkiye Parazitol Derg 2014; 38: 97-101.

Taş Cengiz Z, Beyhan YE, Çiçek M, Yılmaz H. Bir üniversite hastanesi parazitoloji laboratuvarında belirlenen intestinal ve hepatik parazitler. Dicle Tıp Dergisi 2015; 42: 350-4.

Fırat P, Geçit İ, Depecik F, Karadan M, Karcı E, Karaman Ü et al. Bir devlet hastanesi çalışanlarında bağırsak parazitlerinin görülme sıklığı. Dicle Tıp Dergisi 2010; 37: 267-71.

Gülmez D, Sarıbaş Z, Akyön Y, Ergüven S. Hacettepe Üniversitesi Tıp Fakültesi Parazitoloji Laboratuvarı 2003-2012 Yılları Sonuçları: 10 Yıllık Değerlendirme [The results of Hacettepe University Faculty of Medicine Parasitology Laboratory in 2003-2012: evaluation of 10 years]. Turkiye Parazitol Derg 2013; 37: 97-101.

Pektaş B, Aksoy Gökmen A, İnci A, Biten AA, Keşli R, Ülker T. Bir Eğitim Araştırma Hastanesi’nde üç yıllık bağırsak parazitlerinin dağılımı: Retrospektif bir Çalışma. J Clin Exp Invest 2015; 6: 269-73.

Bayındır Bilman F, Yetik M. Bağırsak Parazitlerinin Epidemiyolojisi: Beş Yıllık Değerlendirme. İKSSTD 2019; 11: 184-9.

Yula E, Deveci Ö, İnci M, Tekin A. Bir Devlet Hastanesinde intestinal parazit dağılımı ve etiyolojik analiz raporu. J Clin Exp Invest 2011; 2: 74-9.

Kiani H, Haghighi A, Rostami A, Azargashb E, Tabaei SJ, Solgi A, et al. Prevalence, rsk factors and symptoms associated to intestinal parasıte infections among patients with gastrointestınal disorders in nahavand, western ıran. Rev Inst Med Trop Sao Paulo 2016; 58 :42.

Butera E, Mukabutera A, Nsereko E, Munyanshongore C, Rujeni N, Mwikarago IE, et al. Prevalence and risk factors of intestinal parasites among children under two years of age in a rural area of Rutsiro district, Rwanda - a cross-sectional study. Pan Afr Med J 2019; 32: 11.

Dudlova A, Juris P, Jurisova S, Jarcuska P, Krcmery V. Epidemiology and geographical distribution of gastrointestinal parasitic infection in humans in Slovakia. Helminthologia 2016; 53: 309-17.

Jaran AS. Prevalence and seasonal variation of human intestinal parasites in patients attending hospital with abdominal symptoms in northern Jordan. East Mediterr Health J 2017; 22: 756-60.

Korzeniewski K. Prevalence of intestinal parasitic infections in the population of Central Asia on the example of inhabitants of Eastern Afghanistan. Przegl Epidemiol 2016; 70: 563-73.

Çetinkaya Ü, Yazar S, Kuk S, Ateş S, Hamamcı B, Gedikbaş T et al. Erciyes Üniversitesi Tıp Fakültesi Tıbbi Parazitoloji Anabilim Dalı Laboratuvarında 2009-2010 Yılları Arasında Saptanan Bağırsak Parazitlerinin Dağılımı. Kafkas Univ Vet Fak Derg 2012; 18 (Suppl-A): 93-6.

Pestehchian N, Nazari M, Haghighi A, Salehi M, Yosefi HA, Khosravi N. Prevalence of Intestinal Parasitic Infection Among Inhabitants and Tribes of Chelgerd, Iran, 2008-2009. J Clin Diagn Res 2015; 9: LC01-4.

Masucci L, Graffeo R, Bani S, Bugli F, Boccia S, Nicolotti N, et al. Intestinal parasites isolated in a large teaching hospital, Italy, 1 May 2006 to 31 December 2008. Euro Surveill 2011; 16: 19891.

Sitotaw B, Mekuriaw H, Damtie D. Prevalence of intestinal parasitic infections and associated risk factors among Jawi primary school children, Jawi town, north-west Ethiopia. BMC Infect Dis 2019; 19: 341.

Inceboz T, Usluca S, Over L, Yalçın G, Tuncay S, Ozkoç S. Dokuz Eylül Üniversitesi Hastanesi’ne 2005-2009 Yılları Arasında Başvuran Olgularda Blastocystis hominis Epidemiyolojisinin Araştırılması [The epidemiology research of Blastocystis hominis in the Dokuz Eylül University Medical Faculty Hospital between 2005 and 2009]. Turkiye Parazitol Derg 2011; 35: 72-6.

Tamer GS, Calişkan S, Willke A. Kocaeli Universitesi Tip Fakültesi Hastanesi Parazitoloji Laboratuvarina Başvuran Hastalarda Bağirsak Parazitlerinin Dağilimi [Distribution of intestinal parasites among patients who presented at the parasitology laboratory of the Kocaeli University School of Medicine Hospital]. Turkiye Parazitol Derg 2008; 32: 126-9.

Turgay N, Unver-Yolasığmaz A, Oyur T, Bardak-Özcem S, Töz S. İzmir ve Çevresinde Bir Yılda (Mayıs 2009-Nisan 2010) Saptanan Bağırsak Parazitlerinin Aylara Göre Dağılımı-Asid Fast ve Modifiye Trichrome Boyama Sonuçları [Monthly distribution of intestinal parasites detected in a part of western Turkey between May 2009-April 2010-results of acid fast and modified trichrome staining methods]. Turkiye Parazitol Derg 2012; 36: 71-4.

Ekşi F, Doğan Y, Özdemir G, Zer Y, Bayram A, Karslıgil T. Gaziantep Üniversitesi Tıp Fakültesi Hastanesi’nde Bir Yıllık Sürede Gaita Örneklerinde Saptanan Bağırsak Parazitlerinin Dağılımı. Fırat Tıp Derg 2013; 18: 235-8.

K.K.T.C. Meteoroloji Dairesi. Kuzey Kıbrıs’ın Genel Hava Durumu. Erişim: 25 Şubat 2020. http://kktcmeteor.org/meteorolojikbilgi/kibris-iklimi

Epidemiology of Intestinal Parasites in a University Hospital in Northern Cyprus: A 4-year Retrospective Experience

ABSTRACT

References