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Enterobiasis and its risk factors in urban, rural and indigenous children of subtropical Argentina

Published online by Cambridge University Press:  03 November 2021

Maria Romina Rivero Open the ORCID record for Maria Romina Rivero [Opens in a new window] ,
Carlos De Angelo ,
Constanza Feliziani ,
Song Liang ,
Karina Tiranti ,
Martin Miguel Salas  and
Oscar Daniel Salomon Open the ORCID record for Oscar Daniel Salomon [Opens in a new window]
Maria Romina Rivero*
Affiliation:
Instituto Nacional de Medicina Tropical, INMeT, Neuquén y Jujuy s/n., Puerto Iguazú, Misiones 3370, Argentina Instituto de Desarrollo Agroindustrial y de la Salud (IDAS-CONCIET), Universidad Nacional de Rio Cuarto, Ruta 36 Km 601, Rio Cuarto, Córdoba 5800, Argentina
Carlos De Angelo
Affiliation:
Assoc. Civil Centro de Investigaciones del Bosque Atlántico (CeIBA), Bertoni 85, Puerto Iguazú, Misiones 3370, Argentina Instituto de Ciencias de la Tierra, Biodiversidad y Ambiente (ICBIA-CONICET), Universidad Nacional de Rio Cuarto, Ruta 36 Km 601, Rio Cuarto, Córdoba 5800, Argentina
Constanza Feliziani
Affiliation:
Instituto de Investigación Médica Mercedes y Martín Ferreyra, INIMEC-CONCIET, Universidad Nacional de Córdoba, Friuli 2434, Córdoba 5000, Argentina
Song Liang
Affiliation:
Department of Environmental and Global Health, University of Florida, Gainesville, FL 32610, USA Emerging Pathogens Institute, University of Florida, Gainesville, FL 32610, USA
Karina Tiranti
Affiliation:
Departamento de Patología Animal, Facultad de Agronomía y Veterinaria, Universidad Nacional de Rio Cuarto, Ruta 36 Km 601, Rio Cuarto, Córdoba 5800, Argentina
Martin Miguel Salas
Affiliation:
Instituto Nacional de Medicina Tropical, INMeT, Neuquén y Jujuy s/n., Puerto Iguazú, Misiones 3370, Argentina
Oscar Daniel Salomon
Affiliation:
Instituto Nacional de Medicina Tropical, INMeT, Neuquén y Jujuy s/n., Puerto Iguazú, Misiones 3370, Argentina
*
Author for correspondence: Maria Romina Rivero, E-mail: [email protected]
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Abstract

A cross-sectional survey to assess the prevalence of Enterobius vermicularis infection and its associated factors among the child population of infant, preschool and school age in the urban, rural and indigenous population of Iguazú city, in subtropical Argentina was presented. Additionally, the status of enterobiasis at country level was reviewed and analysed. Enterobius vermicularis presence was assessed employing an oviscopic serial sampling technique. Statistical analysis of socio-demographic determinants was performed by generalized linear mixed models at individual, household and community levels. Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were used to gather national information about E. vermicularis prevalence spanning the decade 2010–2020. A total of 916 children from 470 families participated. Overall prevalence was 29.8%, with 25.3, 30.7 and 34.2% detected for children inhabiting urban, rural and indigenous villages, respectively. The multi-level analysis showed that the presence of E. vermicularis was mostly determined by individual (e.g. age, playing habits, previous pinworm infection) and household-level factors (e.g. family size, overcrowding conditions). Interestingly, WASH variables, such as waste disposal, analysed at community level were also important. Data were analysed to provide eco-epidemiological features of enterobiasis in a heterogeneous subtropical child population in the same territory but with different socio-sanitary realities. The importance of promoting multi-level actions against the determinants identified, to control this public health problem integratively was evidenced. The scoping review of national data updated the state of knowledge of this parasitosis, identifying risk determinants and gaps in knowledge at country level.

Keywords

Argentinachild healthEnterobius vermicularisparasitic intestinal diseasespublic healthrisk factors
Type
Research Article
Information
Parasitology , Volume 149 , Issue 3 , March 2022 , pp. 396 - 406
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Copyright © The Author(s), 2021. Published by Cambridge University Press

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