Intestinal parasites in children from native communities of Salta, Argentina
Main Article Content
Introduction: Intestinal parasites (IPs) mainly affect vulnerable populations, emphasizing the need for intervention in endemic areas.
Objective: To identify the species of IPs present, determine their prevalence, and assess the relationship with socio-economic characteristics and anthropometric nutritional status from a panoramic perspective.
Methods: Observational, correlational, and cross-sectional study on children and adolescents (1-15 years old) in Tartagal (Salta) over one year. IP infection was determined through fecal analysis using sedimentation techniques (Teleman), Baerman's culture, and Kato Katz. Demographic and socio-economic data were collected through a standardized survey. Height, weight, brachial, and cephalic circumference were measured. T-tests were used to assess differences, and Chi-square and linear correlation coefficients were used to evaluate association and logistic regressions for risk.
Results: 55.4% of children and adolescents presented IPs, with Giardia lamblia and Hymenolepis nana being the most prevalent species. 31.9% of them had excess malnutrition. Risk factors for IP presence included age, overcrowding, and walking barefoot while owning a refrigerator, animal pens, proper water storage, and belonging to the Guarani ethnicity acted as protective factors. Areas with high building vulnerability and limited access to public services were observed.
Conclusions: No association was observed between anthropometric nutritional status and the presence of IPs. However, an association was evident between socio-economic conditions and the risk of IP presence.
- Intestinal parasites
- indigenous peoples
- neglected diseases
- spatial analysis
- Giardia lamblia
Durán-Pincay Y, Rivero-Rodríguez Z, Bracho-Mora A. Prevalencia de parasitosis intestinales en niños del Cantón Paján, Ecuador. Kasmera. 2019;47(1): 44-49.
Indelman P, Echenique C, Bertorini G, Racca L, Gomez C, Luque A, et al. Parasitosis intestinales en una población pediátrica de la ciudad de Rosario, Santa Fe, Argentina. Acta Bioquim Clin Latinoam 2011; 45: 32934.
Benjamin-Chung J, Crider YS, Mertens A, Ercumen A, Pickering AJ, Lin A, et al. Household finished f looring and soil-transmitted helminth and Giardia infections among children in rural Bangladesh and Kenya: a prospective cohort study. Lancet Glob Health 2021;9:e301-8. https://doi.org/10.1016/S2214-109X(20)30523-4 DOI: https://doi.org/10.1016/S2214-109X(20)30523-4
Hotez PJ. Ten global "hotspots" for the neglected tropical diseases. PLoS Negl Trop Dis. 2014; 8(5): e2496. https://doi.org/10.1371/journal.pntd.0002496 DOI: https://doi.org/10.1371/journal.pntd.0002496
Yeshanew S, Bekana T, Truneh Z, Tadege M, Abich E, Dessie H. Soil-transmitted helminthiasis and undernutrition among schoolchildren in Mettu town, Southwest Ethiopia. Sci Rep. 2022 ;12(1):1-7. https://doi.org/10.1038/s41598-022-07669-4 DOI: https://doi.org/10.1038/s41598-022-07669-4
Rahimi BA, Rafiqi N, Tareen Z, Kakar KA, Wafa MH, Stanikzai MH, et al. Prevalence of soil-transmitted helminths and associated risk factors among primary school children in Kandahar, Afghanistan: A crosssectional analytical study. PLoS Negl Trop Dis. 2023;17(9):e0011614. https://doi.org/10.1371/journal.pntd.0011614 DOI: https://doi.org/10.1371/journal.pntd.0011614
Sunarpo JH, Ishartadiati K, Al Aska AA, Sahadewa S, Sanjaya A. The impact of soil-transmitted helminths infection on growth impairment: systematic review and meta analysis. Healthc Low Resour Settings. 2023 ;11(2): 11747. https://doi.org/10.4081/hls.2023.11742 DOI: https://doi.org/10.4081/hls.2023.11742
Murillo-Acosta WE, Murillo Zavala AM, Celi-Quevedo KV, Zambrano-Riva CM. Parasitosis intestinal, anemia y desnutrición en niños de Latinoamérica: Revisión Sistemática. Kasmera. 2022;50:e5034840.
Echazú A, Juarez M, Vargas PA, Cajal SP, Cimino RO, Heredia V, et al. Albendazole and ivermectin for the control of soil-transmitted helminths in an area with high prevalence of Strongyloides stercoralis and hookworm in northwestern Argentina: A community-based pragmatic study. PLoS Negl Trop Dis 2017;11:e0006003. https://doi.org/10.1371/journal.pntd.0006003 DOI: https://doi.org/10.1371/journal.pntd.0006003
Menghi CI, Iuvaro FR, Dellacasa MA, Gatta CL, Claudia D, Menghi I. Investigación de parásitos intestinales en una comunidad aborigen de la provincia de Salta. OrgAr; 2007.
Taranto NJ, Cajal SP, De Marzi MC, Fernández MM, Frank FM, Brú AM, et al. Clinical status and parasitic infection in a Wichi Aboriginal community in Salta,Argentina. Trans R Soc Trop Med Hyg. 2003; 97: 554-8. https://doi.org/10.1016/S0035-9203(03)80026-3 DOI: https://doi.org/10.1016/S0035-9203(03)80026-3
Periago MV, García R, Astudillo OG, Cabrera M, Abril MC. Prevalence of intestinal parasites and the absence of soil-transmitted helminths in Añatuya, Santiago del Estero, Argentina. Parasit Vectors. 2018;11:638. https://doi.org/10.1186/s13071-018-3232-7
Richards LR, Delgado C, Goy M, Liang S, Periago MV. Prevalence of intestinal parasites and related risk factors in rural localities from Pampa del Indio, Chaco, Argentina. UF J Undergrad Res. 2019; 21(1):1-11. https://doi.org/10.32473/ufjur.v21i1.107939 DOI: https://doi.org/10.32473/ufjur.v21i1.107939
Candela E, Goizueta C, Periago MV, Muñoz-Antoli C. Prevalence of intestinal parasites and molecular characterization of Giardia intestinalis, Blastocystis spp. and Entamoeba histolytica in the village of Fortín Mbororé (Puerto Iguazú, Misiones, Argentina). Parasit Vectors. 2021;14:510. https://doi.org/10.1186/s13071-021-04968-z DOI: https://doi.org/10.1186/s13071-021-04968-z
Candela E, Goizueta C, Sandon L, Muñoz-Antoli C, Periago MV. The relationship between soil-transmitted helminth infections and environmental factors in Puerto Iguazú, Argentina: Cross-sectional study. JMIR Public Health Surveill. 2023; 9: e41568. https://doi.org/10.2196/41568 DOI: https://doi.org/10.2196/41568
WHO. Child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Who.int; 2006. https://www.who.int/publications/i/ item/924154693X. (accessed December 18, 2023).
Ash LR, Parasites OTC. A Guide to Laboratory Procedures and Identification. Chicago: American Society of Clinical Pathologists (ASCP) Press; 1991.
Ministerio de Salud y Ambiente de la Nación. Boletín PROAPS-REMEDIAR. Programa Nacional de Tratamientos Masivos Antiparasitarios. Atención Primaria de la Salud; 2004 https://bancos.salud.gob.ar/sites/ default/files/2020-06/boletin-remediar-14.pdf. (accessed December 18, 2023).
StataCorp. Stata Statistical Software: Release 15. College Station, TX: StataCorp LLC. 2007.StataCorp .
QGIS.org. QGIS Geographic Information System 3.22. QGIS Association; 2022. http://www.qgis.org.
Cociancic P, Zonta ML, Oyhenart EE, Dahinten S, Navone GT. Parásitos intestinales en poblaciones infanto juveniles, ambiente y comportamiento social. Salud (i) Ciencia. 2020; 24(3): 123-129.
Zonta ML, Cociancic P, Oyhenart EE, Navone GT. Intestinal parasitosis, undernutrition and socioenvironmental factors in schoolchildren from Clorinda Formosa, Argentina. Rev Salud Publica (Bogota). 2019; 21: 224-31. https://doi.org/10.15446/rsap.v21n2.73692 DOI: https://doi.org/10.15446/rsap.v21n2.73692
Scavuzzo CM, Delgado C, Goy M, Crudo F, Porcasi X, Periago MV. Intestinal parasitic infections in a community from Pampa del Indio, Chaco (Argentina) and their association with socioeconomic and environmental factors. PLoS One. 2023; 18(6): e0285371. https://doi.org/10.1371/journal.pone.0285371 DOI: https://doi.org/10.1371/journal.pone.0285371
Socías ME, Fernández A, Gil JF, Krolewiecki AJ. Geohelmintiasis en la Argentina: Una revisión sistemática. Medicina (B Aires). 2014;74:29-36.
Gamboa MI, Zonta L, Navone GT. Parásitos intestinales y pobreza: la vulnerabilidad de los más carenciados en la Argentina de un mundo globalizado. J Selva Andina Res Soc 2010;1: 23-36. https://doi.org/10.36610/j DOI: https://doi.org/10.36610/j.jsars.2010.100100023
Bracciaforte R, Díaz MF, Vottero Pivetta V, Burstein V, Varengo H, Orsilles MÁ. Enteroparásitos en niños y adolescentes de una comuna periurbana de la provincia de Córdoba. Acta Bioquim Clin Latinoam. 2010; 44: 353-8
Periago MV, García R, Astudillo OG, Cabrera M, Abril MC. Prevalence of intestinal parasites and the absence of soil-transmitted helminths in Añatuya, Santiago del Estero, Argentina. Parasit Vectors. 2018; 11: 638. https://doi.org/10.1186/s13071-018-3232-7 DOI: https://doi.org/10.1186/s13071-018-3232-7
Longhi F, Gomez A, Olmos MF. Desnutrición e infancia en Argentina: Dimensiones, tendencias y miradas actuales sobre el problema a partir de la combinación de un diseño observacional y cualitativo. Rev Esp Nutr Humana Diet. 2020;24:203-17. https://doi.org/10.14306/renhyd.24.3.933 DOI: https://doi.org/10.14306/renhyd.24.3.933
Longhi F, Gómez AA, Zapata ME, Paolasso P, Olmos F, Ramos MS. La desnutrición en la niñez argentina en los primeros años del siglo XXI: un abordaje cuantitativo. Salud Colect. 2018; 14(1):33. https://doi.org/10.18294/sc.2018.1176 DOI: https://doi.org/10.18294/sc.2018.1176
Ministerio de Salud y Desarrollo Social. 2° Encuesta Nacional de Nutrición y Salud: indicadores priorizados. 2019. https://bancos.salud.gob.ar/recurso/2deg-encuesta-nacional-de-nutricion-y-salud-indicadores-priorizados.
Hotez PJ. Hookworm Infections. Tropical Infectious Diseases: Principles, Pathogens and Practice, Elsevier; 2011. p. 799-804. https://doi.org/10.1016/B978-0-7020-3935-5.00116-6 DOI: https://doi.org/10.1016/B978-0-7020-3935-5.00116-6
Calegar DA, Bacelar PA, Monteiro KJ, Dos Santos JP, Gonçalves AB, Boia MN, et al. A community-based, cross-sectional study to assess interactions between income, nutritional status and enteric parasitism in two Brazilian cities: are we moving positively towards 2030?. J Health Popul Nutr. 2021; 40: 1-10. https://doi.org/10.1186/s41043-021-00252-z DOI: https://doi.org/10.1186/s41043-021-00252-z
Cardozo G, Samudio M. Factores predisponentes y consecuencias de la parasitosis intestinal en escolares paraguayos. Pediatr (Asunción). 2017; 44(2): 117-125. https://doi.org/10.18004/ped.2017.agosto.117-125 DOI: https://doi.org/10.18004/ped.2017.agosto.117-125
Liu C, Lu L, Zhang L, Luo R, Sylvia S, Medina A, et al. Effect of deworming on indices of health, cognition, and education among schoolchildren in rural China: A cluster-randomized controlled trial. Am J Trop Med Hyg. 2017;96(6):1478. https://doi.org/10.4269/ajtmh.16-0354 DOI: https://doi.org/10.4269/ajtmh.16-0354
The PLOS Neglected Tropical Diseases Staff. Correction: The Effect of Deworming on Growth in One-YearOld Children Living in a Soil-Transmitted Helminth-Endemic Area of Peru: A Randomized Controlled Trial. PLoS Negl Trop Dis. 2015;9(12):e0004288. https://doi.org/10.1371/journal.pntd.0004288 DOI: https://doi.org/10.1371/journal.pntd.0004288
Ravasco P, Anderson H, Mardones F. Métodos de valoración del estado nutricional. Nutr Hosp. 2010;25:57-66.
Assandri E, Skapino E, Da Rosa D, Alemán A, Acuña AM. Anemia, estado nutricional y parasitosis intestinales en niños pertenecientes a hogares vulnerables de Montevideo. Arch Pediatr Urug. 2018;89:86-98. https://doi.org/10.31134/AP.89.2.3 DOI: https://doi.org/10.31134/AP.89.2.3
Boy L, Franco D, Alcaraz R, Benítez J, Guerrero D, Galeno E, et al. Parasitosis intestinales en niños de edad escolar de una institución educativa de Fernando de la Mora, Paraguay. Rev Cient Cienc Salud. 2020;2:54-62. https://doi.org/10.53732/rccsalud/02.01.2020.54-62 DOI: https://doi.org/10.53732/rccsalud/02.01.2020.54-62
Navone GT, Zonta ML, Cociancic P, Garraza M, Gamboa MI, Giambelluca LA, et al. Estudio transversal de las parasitosis intestinales en poblaciones infantiles de Argentina. Paho.org; 2017. https://iris.paho.org/ bitstream/handle/10665.2/33879/v41a24.pdf?sequence=1&isAllowed=yv . (accessed December 18, 2023). https://doi.org/10.26633/RPSP.2017.24 DOI: https://doi.org/10.26633/RPSP.2017.24
Vásquez-Garibay EM, Campos Barrera LR, Romero Velarde E, Ríos LM, Nuño Cosío ME, Nápoles Rodríguez F. Factores de riesgo asociados con la depleción de hierro y parasitosis en niños preescolares y escolares de Arandas, Jalisco, México. Nutr Hosp. 2015;31:244-50. https://doi.org/10.3305/nh.2015.31.1.7871
Chaparro JAH, Velázquez AAC, Rojas MFB, Martí L, Jara N, Raquel S, et al. Prevalencia de parásitos intestinales y factores asociados en escolares de la localidad de Arroyito, Concepción, 2019. Medicinae Signum. 2019;1:44-9.
Ávila-Rodríguez A, Ávila-Rodríguez EH, Avila-Pérez M, Araujo-Contreras JM, Rivas-Avila E. Parasitosis intestinal y factores asociados, en niños menores de 5 años en cuatro asentamientos humanos irregulares de la ciudad de Durango, México. México Enlaces académicos. 2010;3:15-27.
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Accepted 2024-08-18
Published 2024-10-23

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