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Prevalence of Intestinal Parasites Co-infection and Associated Factors Among Pulmonary Tuberculosis Patients in Adama Town, East Shoa, Oromia, Ethiopia

Received: 26 December 2021    Accepted: 15 January 2022    Published: 26 January 2022
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Abstract

Tuberculosis and parasitic infections are co-endemic in many parts of the world. The treatments of many patients with tuberculosis are under the influence of Intestinal parasite infection that worsens the progression of this disease. Hence, adequate information on co-infection rate is needed to undertake the integrated prevention and control program. Therefore this study aimed to assess the prevalence of intestinal parasite co-infection and associated factors among pulmonary tuberculosis patients in Adama Town, East shoa, Oromia, Ethiopia. A facility based cross sectional study was conducted from November 2018 up to January 2019 using multi stage random sampling technique. Data on socio-demographic characteristics and potential risk factors for intestinal parasite co-infection was collected by standardized semi structured interviewer administered questionnaire. One gram stool samples for direct saline microscopy, formol-ether concentration technique and modified acid fast staining was collected and processed in accordance to the standard parasitological techniques and procedures at Adama Science and Technology University Higher Health Center Laboratory. Data entry was done by EPI info version 7, and analyzed using SPSS version 22.0. Pearson chi-square and multiple logistic regression models were used to identify associated factors. Overall co-infection rate of intestinal parasites was 75 (21.4%) (95% CI: 17.1-25.4). Protozoans’ account 40 (11.4%) and Helminthes were 35 (10.0%). The predominate isolates were Entamoeba histolytica 30 (40%) and Ascaris lumbricoides12 (16.0%) from protozoans and helminthes, respectively. Eating raw vegetables/ fruits without washing or peeling [AOR]: 5.311 (2.089-13.506), habit of not using soup [AOR]: 11.238 (3.134-40.296) and Body mass index<18.5 kg/m2 [AOR]: 15.337 (5.860-40.142) were significant determinants of intestinal parasite among pulmonary tuberculosis patient. In general overall co-infection rate of intestinal parasites in this study was high (21.4%). Therefore, integrating screening and mass deworming of parasite into existing tuberculosis program should be considered.

Published in Science Journal of Public Health (Volume 10, Issue 1)
DOI 10.11648/j.sjph.20221001.12
Page(s) 10-20
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intestinal Parasite Co-infection, Pulmonary Tuberculosis, Adama, Ethiopia

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    Legese Lemma, Teklu Shiferraw, Godana Arero, Chala Diriba Feyissa, Lemlem Kebede. (2022). Prevalence of Intestinal Parasites Co-infection and Associated Factors Among Pulmonary Tuberculosis Patients in Adama Town, East Shoa, Oromia, Ethiopia. Science Journal of Public Health, 10(1), 10-20. https://doi.org/10.11648/j.sjph.20221001.12

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    Legese Lemma; Teklu Shiferraw; Godana Arero; Chala Diriba Feyissa; Lemlem Kebede. Prevalence of Intestinal Parasites Co-infection and Associated Factors Among Pulmonary Tuberculosis Patients in Adama Town, East Shoa, Oromia, Ethiopia. Sci. J. Public Health 2022, 10(1), 10-20. doi: 10.11648/j.sjph.20221001.12

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    AMA Style

    Legese Lemma, Teklu Shiferraw, Godana Arero, Chala Diriba Feyissa, Lemlem Kebede. Prevalence of Intestinal Parasites Co-infection and Associated Factors Among Pulmonary Tuberculosis Patients in Adama Town, East Shoa, Oromia, Ethiopia. Sci J Public Health. 2022;10(1):10-20. doi: 10.11648/j.sjph.20221001.12

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  • @article{10.11648/j.sjph.20221001.12,
      author = {Legese Lemma and Teklu Shiferraw and Godana Arero and Chala Diriba Feyissa and Lemlem Kebede},
      title = {Prevalence of Intestinal Parasites Co-infection and Associated Factors Among Pulmonary Tuberculosis Patients in Adama Town, East Shoa, Oromia, Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {10},
      number = {1},
      pages = {10-20},
      doi = {10.11648/j.sjph.20221001.12},
      url = {https://doi.org/10.11648/j.sjph.20221001.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20221001.12},
      abstract = {Tuberculosis and parasitic infections are co-endemic in many parts of the world. The treatments of many patients with tuberculosis are under the influence of Intestinal parasite infection that worsens the progression of this disease. Hence, adequate information on co-infection rate is needed to undertake the integrated prevention and control program. Therefore this study aimed to assess the prevalence of intestinal parasite co-infection and associated factors among pulmonary tuberculosis patients in Adama Town, East shoa, Oromia, Ethiopia. A facility based cross sectional study was conducted from November 2018 up to January 2019 using multi stage random sampling technique. Data on socio-demographic characteristics and potential risk factors for intestinal parasite co-infection was collected by standardized semi structured interviewer administered questionnaire. One gram stool samples for direct saline microscopy, formol-ether concentration technique and modified acid fast staining was collected and processed in accordance to the standard parasitological techniques and procedures at Adama Science and Technology University Higher Health Center Laboratory. Data entry was done by EPI info version 7, and analyzed using SPSS version 22.0. Pearson chi-square and multiple logistic regression models were used to identify associated factors. Overall co-infection rate of intestinal parasites was 75 (21.4%) (95% CI: 17.1-25.4). Protozoans’ account 40 (11.4%) and Helminthes were 35 (10.0%). The predominate isolates were Entamoeba histolytica 30 (40%) and Ascaris lumbricoides12 (16.0%) from protozoans and helminthes, respectively. Eating raw vegetables/ fruits without washing or peeling [AOR]: 5.311 (2.089-13.506), habit of not using soup [AOR]: 11.238 (3.134-40.296) and Body mass index2 [AOR]: 15.337 (5.860-40.142) were significant determinants of intestinal parasite among pulmonary tuberculosis patient. In general overall co-infection rate of intestinal parasites in this study was high (21.4%). Therefore, integrating screening and mass deworming of parasite into existing tuberculosis program should be considered.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Intestinal Parasites Co-infection and Associated Factors Among Pulmonary Tuberculosis Patients in Adama Town, East Shoa, Oromia, Ethiopia
    AU  - Legese Lemma
    AU  - Teklu Shiferraw
    AU  - Godana Arero
    AU  - Chala Diriba Feyissa
    AU  - Lemlem Kebede
    Y1  - 2022/01/26
    PY  - 2022
    N1  - https://doi.org/10.11648/j.sjph.20221001.12
    DO  - 10.11648/j.sjph.20221001.12
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 10
    EP  - 20
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20221001.12
    AB  - Tuberculosis and parasitic infections are co-endemic in many parts of the world. The treatments of many patients with tuberculosis are under the influence of Intestinal parasite infection that worsens the progression of this disease. Hence, adequate information on co-infection rate is needed to undertake the integrated prevention and control program. Therefore this study aimed to assess the prevalence of intestinal parasite co-infection and associated factors among pulmonary tuberculosis patients in Adama Town, East shoa, Oromia, Ethiopia. A facility based cross sectional study was conducted from November 2018 up to January 2019 using multi stage random sampling technique. Data on socio-demographic characteristics and potential risk factors for intestinal parasite co-infection was collected by standardized semi structured interviewer administered questionnaire. One gram stool samples for direct saline microscopy, formol-ether concentration technique and modified acid fast staining was collected and processed in accordance to the standard parasitological techniques and procedures at Adama Science and Technology University Higher Health Center Laboratory. Data entry was done by EPI info version 7, and analyzed using SPSS version 22.0. Pearson chi-square and multiple logistic regression models were used to identify associated factors. Overall co-infection rate of intestinal parasites was 75 (21.4%) (95% CI: 17.1-25.4). Protozoans’ account 40 (11.4%) and Helminthes were 35 (10.0%). The predominate isolates were Entamoeba histolytica 30 (40%) and Ascaris lumbricoides12 (16.0%) from protozoans and helminthes, respectively. Eating raw vegetables/ fruits without washing or peeling [AOR]: 5.311 (2.089-13.506), habit of not using soup [AOR]: 11.238 (3.134-40.296) and Body mass index2 [AOR]: 15.337 (5.860-40.142) were significant determinants of intestinal parasite among pulmonary tuberculosis patient. In general overall co-infection rate of intestinal parasites in this study was high (21.4%). Therefore, integrating screening and mass deworming of parasite into existing tuberculosis program should be considered.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Departement of Medical Laboratory, Adama Science and Technology University, Adama, Ethiopia

  • Department of Biomedical Science, Adama Hospital Medical College, Adama, Ethiopia

  • Departments of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Higher Health Center, Adama Science & Technology University, Adama, Ethiopia

  • Department of HIV/AIDS Prevention and Control Office, Adama Science and Technology University, Adama, Ethiopia

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