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Archives de pédiatrie
Volume 26, n° 1
pages 34-37 (janvier 2019)
Doi : 10.1016/j.arcped.2018.11.006
Received : 8 May 2018 ;  accepted : 10 November 2018
Research papers

Epidemiological and clinical profile of intestinal parasitosis of children in rural areas in Central African Republic
 

G. Tékpa a, d, , V. Fikouma b, d, E. Gbangba-Ngaï c, d, B.O. Bogning Mejiozem a, S. Ningatouloum Nazita a, B. Koffi d, e
a Department of Infectious Diseases, Hôpital de l’Amitié, Bangui, Central African Republic 
b Department of Internal Medicine, Hôpital Communautaire, Bangui, Central African Republic 
c Army Health Service, Central African Republic 
d Faculty of Health Sciences of Bangui University, Central African Republic 
e National Laboratory of Clinical Biology and Public Health of Bangui, Central African Republic 

Corresponding author at: Department of Infectious Diseases, Hôpital de l’Amitié, avenue de l’indépendance, Bangui, Central African Republic.Department of Infectious Diseases, Hôpital de l’Amitiéavenue de l’indépendanceBanguiCentral African Republic
Abstract
Objective

To describe the epidemiological and clinical profile of intestinal parasites in children in rural Central African Republic.

Patients and methods

We conducted a multicenter cross-sectional study in Central African Republic rural areas. Children seen as outpatients regardless of the reason for consultation were included in the study after parental consent. Each stool sample sent to the laboratory in a plastic pot was subjected to a direct co-examination with physiological water.

Results

A total of 102 children were included in the study, of whom 53 were boys (51.96%), the median age was 4 years (3 months; 15 years old). They had a primary level of education in 31.37% of cases, 76.47% came from Health Region 1. Drilling was the source of drinking water in 61.76% of cases and the backwater was used for bathing by 26.47% of children. Abdominal pain was observed in 55 children (53.92%). The prevalence of intestinal parasitosis was 88.23%. Of 122 identified parasites, 96 were helminths (78.69%) and 26 were protozoa (21.31%). Of the three protozoan species isolated, Entamoeba histolytica was found in 15 cases (14.70%). The most common helminthiasis was Ascaris lumbricoides (40.19%). The frequency of parasitic infection was 92% in children aged from 5 to 9 years. Mono-parasitism was observed in 52.94% versus 33.33% for poly-parasitism.

Conclusion

Intestinal parasitosis is a public health problem in Central African Republic rural areas. Improving access to drinking water for populations could reduce the magnitude of these diseases.

The full text of this article is available in PDF format.

Keywords : Central African Republic, Child, Intestinal parasitosis, Rural area




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