Original Article

Intestinal Parasitic Infections in Mental Retardation Center of Bandar Abbas, Southern Iran

Abstract

Background: The present study aimed to evaluate the prevalence of intestinal parasitic infection among mentally retarded individuals and the staff of the center in Bandar Abbas, south of Iran.

Methods: This cross-sectional study was conducted in central institution for mentally retarded in Bandar Abbas, Hormozgan Province, from 2016 to 2017. A triple fecal specimen was collected from each one of the 163 participants and were evaluated using wet mount and formalin-ethyl acetate methods. Trichrome and Ziehl-Neelsen staining were used to confirm suspected cases of protozoa. As well as Baermann and Harada-Mori techniques and agar plate culture were implemented to diagnosis of Strongyloides stercoralis.

Results: Overall, 163 subjects were examined including 126 mentally retarded individuals and 37 personnel. Ninety (55.2%) cases of participants were infected with at least one of the intestinal parasites, 69 (54.7%) of mentally retarded and 21 (56.7%) of personnel. Twenty-six mentally retarded individuals were infected with S. stercoralis (20.6%), Blastocystis hominis 30.2%, Entamoeba coli 25.4%, Giardia lamblia 5.6%, Enterobius vermicularis 1.6%, Hymenolepis nana 0.8% and Iodamoeba butschlii 1.6%. Twelve staff (32.4%) harbored B. hominis, E. coli 27%, S. stercoralis 2.7%, G. lamblia 10.8%, H. nana 2.7% and Endolimax nana 2.7%.

Conclusion: High rate of intestinal parasites particularly, S. stercoralis compared to the most recent studies of general population. Therefore, regular screening and tracking the positive cases, disinfection of the living environment, training and financing of the staff, increasing the number of the workers, recruiting of professionals and trained personnel in these centers are suggested.

References:

Alyousefi NA, Mahdy MA, Mahmud R, Lim YA. Factors associated with high prevalence of intestinal protozoan infections among patients in Sana'a City, Yemen. PLoS One. 2011;6(7):e22044.

Heydari-Hengami M, Hamedi Y, Najafi-Asl M, Sarifi-Sarasiabi K. Prevalence of Intestinal Parasites in Food Handlers of Bandar Abbas, Southern Iran. Iran J Public Health. 2017;47(1):111-8.

Kia E, Hosseini M, Nilforoushan M, Meamar A, Rezaeian M. Study of intestinal protozoan parasites in rural inhabitants of Mazandaran province, Northern Iran. Iran J Parasitol. 2008;3(1):21-5.

Tappeh KH, Mohammadzadeh H, Rahim RN, Barazesh A, Khashaveh S, Taherkhani H. Prevalence of intestinal parasitic infections among mentally disabled children and adults of Urmia, Iran. Iran J Parasitol. 2010;5(2):60.

Sharif M, Daryani A, Asgarian F, Nasrolahei M. Intestinal parasitic infections among intellectual disability children in rehabilitation centers of northern Iran. Res Dev Disabil. 2010;31(4):924-8.

Shehata AI, Hassanein F. Intestinal parasitic infections among mentally handicapped individuals in Alexandria, Egypt. Ann Parasitol. 2015;61(4):275-81.

Yoeli M, Most H, Berman HH, Tesse B. I. The problem of strongyloidiasis among the mentally retarded in institutions. Trans R Soc Trop Med Hyg. 1963;57(5):336-45.

Shokri A, Sarasiabi KS, Teshnizi SH, Mahmoodi H. Prevalence of Strongyloides stercoralis and other intestinal parasitic infections among mentally retarded residents in central institution of southern Iran. Asian Pac J Trop Biomed. 2012;2(2):88-91.

Kia EB, Rahimi HR, Mirhendi H, Nilforoushan MR, Talebi A, Zahabiun F, et al. A case of fatal strongyloidiasis in a patient with chronic lymphocytic leukemia and molecular characterization of the isolate. Korean J Parasitol. 2008;46(4):261.

Saeidinia A, Tavakoli I, Naghipour MR, Rahmati B, Lahiji HG, Salkhori O, et al. Prevalence of Strongyloides stercoralis and Other Intestinal Parasites among Institutionalized Mentally Disabled Individuals in Rasht, Northern Iran. Iran J Parasitol. 2016;11(4):527.

Meamar A, Rezaian M, Mohraz M, Hadighi R, Kia E. Strongyloides stercoralis hyper-infection syndrome in HIV+/AIDS patients in Iran. Parasitol Res. 2007;101(3):663-5.

Turki H, Hamedi Y, Heidari-Hengami M, Najafi-Asl M, Rafati S, Sharifi-Sarasiabi K. Prevalence of intestinal parasitic infection among primary school children in southern Iran. J Parasit Dis. 2017;41(3):659-65.

Sirivichayakul C, Pojjaroen-anant C, Wisetsing P, Siripanth C, Chanthavanich P, Pengsaa K. Prevalence of intestinal parasitic infection among Thai people with mental handicaps. Southeast Asian J Trop Med Public Health. 2003; 34(2): 259-63.

Ferrer-Rodríguez I, Kozek WJ. Prevalence of intestinal parasitoses among patients and staff of an institution for the mentally retarded. J Parasitol Vector Biol. 2011;3(5):69-74.

Giacometti A, Cirioni O, Balducci M, Drenaggi D, Quarta M, De Federicis M, et al. Epidemiologic features of intestinal parasitic infections in Italian mental institutions. Eur J Epidemiol. 1997;13(7):825-30.

Rasti S, Arbabi M, Hooshyar H. High prevalence of Entamoeba histolytica and Enterobius vermicularis among elderly and mentally retarded residence in Golabchi center, Kashan, Iran 2006-2007. Jundishapur J Microbiol. 2012;5(4):585-9.

Soleymani E, Davoodi L, Azami D. The Prevalence of Intestinal Parasitic Infections among the Mentally Retarded Patients in Lamook Rehabilitation Center of Qaemshahr, Mazandaran Province, 2015. Tjpm. 2016; 2(1): 1-5

Cross J, Banzon T, Wheeling C, Cometa H, Lien J, Clarke R, et al. Biomedical survey in North Samar Province, Philippine Islands. Southeast Asian J Trop Med Public Health. 1977;8(4):464-75.

Teixeira M, Inês EdJ, Pacheco F, Silva R, Mendes A, Adorno EV, et al. Asymptomatic Strongyloides stercoralis hyperinfection in an alcoholic patient with intense anemia. J Parasitol. 2010;96(4):833-5.

Daryani A, Sharif M, Nasrolahei M, Khalilian A, Mohammadi A, Barzegar G. Epidemiological survey of the prevalence of intestinal parasites among schoolchildren in Sari, northern Iran. Trans R Soc Trop Med Hyg. 2012;106(8):455-9.

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IssueVol 14 No 2 (2019) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijpa.v14i2.1145
Keywords
Mentally disabled Strongyloides stercoralis Intestinal parasites Iran

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How to Cite
1.
MOHAMMADI-MESKIN V, HAMEDI Y, HEYDARI-HENGAMI M, EFTEKHAR E, SHAMSEDDIN J, SHARIFI-SARASIABI K. Intestinal Parasitic Infections in Mental Retardation Center of Bandar Abbas, Southern Iran. Iran J Parasitol. 2019;14(2):318-328.