Universidad Peruana Cayetano Heredia

Hymenolepis nana Impact Among Children in the Highlands of Cusco, Peru: An Emerging Neglected Parasite Infection

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dc.contributor.author Cabada, Miguel-M.
dc.contributor.author Morales Fernández, María Luisa
dc.contributor.author Lopez, Martha
dc.contributor.author Reynolds, Spencer-T.
dc.contributor.author Vilchez, Elizabeth-C.
dc.contributor.author Lescano Guevara, Andres Guillermo
dc.contributor.author Gotuzzo Herencia, José Eduardo
dc.contributor.author García Lescano, Héctor Hugo
dc.contributor.author White, A. Clinton-Jr
dc.date.accessioned 2019-02-06T14:45:11Z
dc.date.available 2019-02-06T14:45:11Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5036
dc.description.abstract Hymenolepis nana is the most common cestode infection in the world. However, limited information is available regarding its impact on affected populations. We studied the epidemiology and symptoms associated with hymenolepiasis among children 3-16 years old in 16 rural communities of the highlands of the Cusco region in Peru. Information on demographics, socioeconomic status, symptoms as reported by parents, and parasitological testing was obtained from the database of an ongoing Fasciola hepatica epidemiologic study. A total of 1,230 children were included in the study. Forty-five percent were infected with at least one pathogenic intestinal parasite. Giardia spp. (22.9%) was the most common, followed by Hymenolepis (17.4%), Fasciola (14.1%), Ascaris lumbricoides (6.1%), and Strongyloides stercoralis (2%). The prevalence of Hymenolepis infection varied by community, by other parasitic infections, and by socioeconomic status. However, only years of education of the mother, use of well water, and age less than 10 years were associated with Hymenolepis infection in the multivariate analysis. Hymenolepis nana infection was associated with diarrhea, jaundice, headaches, fever, and fatigue. Children with > 500 eggs/g of stool were more likely to have symptoms of weight loss, jaundice, diarrhea, and fever. Hymenolepis nana infection and age were the only factors retained in the multivariate analysis modeling diarrhea. Hymenolepiasis is a common gastrointestinal helminth in the Cusco region and is associated with significant morbidity in children in rural communities. The impact caused by the emergence of Hymenolepis as a prevalent intestinal parasite deserves closer scrutiny. en_US
dc.language.iso eng
dc.publisher American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Animals en_US
dc.subject Ascaris lumbricoides/isolation & purification en_US
dc.subject Child en_US
dc.subject Child, Preschool en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Fasciola hepatica/isolation & purification en_US
dc.subject Feces/parasitology en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Hymenolepiasis/diagnosis/epidemiology en_US
dc.subject Hymenolepis nana/isolation & purification en_US
dc.subject Intestinal Diseases, Parasitic/diagnosis/epidemiology en_US
dc.subject Male en_US
dc.subject Multivariate Analysis en_US
dc.subject Peru/epidemiology en_US
dc.subject Prevalence en_US
dc.subject Socioeconomic Factors en_US
dc.subject Strongyloides stercoralis/isolation & purification en_US
dc.title Hymenolepis nana Impact Among Children in the Highlands of Cusco, Peru: An Emerging Neglected Parasite Infection en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.4269/ajtmh.16-0237
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn 1476-1645


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