Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey

BACKGROUND: Intestinal protozoan parasites are major contributors to the global burden of gastrointestinal disease causing significant socioeconomic consequences. Children living in resource-poor settings with restricted access to water and sanitary services are particularly at risk of these infecti...

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Autores: Seguí, Raimundo, Muñoz-Antoli, Carla, Klisiowicz, Debora R, Oishi, Camila Y, Köster, Pamela Carolina, de Lucio, Aida, Hernandez-De-Mingo, Marta, Puente, Paula, Toledo, Rafael, Esteban, José G, Carmena, David
Formato: artículo
Fecha de publicación:2018
País:España
Recursos:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/7597
Acesso em linha:http://hdl.handle.net/20.500.12105/7597
Access Level:acceso abierto
Palavra-chave:Adolescent
Adult
Aged
Blastocystis
Blastocystis Infections
Brazil
Child
Child, Preschool
Cross-Sectional Studies
DNA, Ribosomal
Feces
Female
Genetic Variation
Giardia lamblia
Giardiasis
Humans
Infant
Infant, Newborn
Intestinal Diseases, Parasitic
Male
Middle Aged
Prevalence
Prospective Studies
Residence Characteristics
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spelling Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community surveySeguí, RaimundoMuñoz-Antoli, CarlaKlisiowicz, Debora ROishi, Camila YKöster, Pamela Carolinade Lucio, AidaHernandez-De-Mingo, MartaPuente, PaulaToledo, RafaelEsteban, José GCarmena, DavidAdolescentAdultAgedBlastocystisBlastocystis InfectionsBrazilChildChild, PreschoolCross-Sectional StudiesDNA, RibosomalFecesFemaleGenetic VariationGiardia lambliaGiardiasisHumansInfantInfant, NewbornIntestinal Diseases, ParasiticMaleMiddle AgedPrevalenceProspective StudiesResidence CharacteristicsBACKGROUND: Intestinal protozoan parasites are major contributors to the global burden of gastrointestinal disease causing significant socioeconomic consequences. Children living in resource-poor settings with restricted access to water and sanitary services are particularly at risk of these infections. METHODS: A prospective, community-based, cross-sectional survey was conducted in Paraná (southern Brazil) between May 2015 and May 2016. A total of 766 stool samples were individually collected from volunteers (male/female ratio: 0.99; age range: 0-76 years) and used for investigating the presence of intestinal helminth and protozoan species by routine microscopic procedures including the Kato-Katz and modified Ritchie concentration methods and the Ziehl-Neelsen stain technique. Quantitative real-time PCR confirmed microscopy-positive samples for Giardia duodenalis and the assemblages and sub-assemblages determined by multilocus sequence-based genotyping of the glutamate dehydrogenase (gdh) and β-giardin (bg) genes of the parasite. Identification of Blastocystis subtypes was carried out by amplification and sequencing of a partial fragment of the small-subunit ribosomal RNA gene (SSU rDNA) of this heterokont microorganism. RESULTS: Overall, 46.1% (353/766) of the participants were infected/colonised by at least one intestinal parasite/commensal species. Protozoan and helminth species were detected in 42.7% and 10.1% of the surveyed population, respectively. Blastocystis sp. (28.2%), Endolimax nana (14.9%), and Giardia duodenalis (11.0%) were the most prevalent species found among protozoans and Ascaris lumbricoides (5.0%), Trichuris trichiura (4.6%) and hookworms (1.0%) among helminths. A total of 38 G. duodenalis-positive samples were genotyped at gdh and bg markers, revealing the presence of the sub-assemblages AII (47.4%), AII/AIII (2.6%), BIII (5.3%), BIV (26.3%) and BIII/BIV (13.1%). Two samples (5.3%) were only identified as assemblage B. AII was predominantly found in females aged 5-9 years and was associated with a higher likelihood of reporting gastrointestinal symptoms. A total of 102 Blastocystis-positive samples were successfully subtyped at the SSU rRNA gene revealing the presence of ST1 (36.3%), ST2 (15.7%), ST3 (41.2%), ST4 (2.9%), ST6 (1.0%) and ST8 (2.9%). CONCLUSIONS: Data presented here indicate that enteric parasites still represent a pressing health concern in Paraná, Brazil, probably due to sub-optimal water, sanitation and hygiene conditions. A mostly anthroponotic origin is suspected for G. duodenalis and Blastocystis sp. infections.BioMed Central (BMC)Instituto de Salud Carlos IIIMinisterio de Economía y Competitividad (España)RETICS-Investigación colaborativa en Enfermedades Tropicales (RICET-ISCIII) (España)Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)20192019-05-2020182018-08-3020182018-08-30journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/7597reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/75972026-06-12T12:43:37Z
dc.title.none.fl_str_mv Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
title Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
spellingShingle Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
Seguí, Raimundo
Adolescent
Adult
Aged
Blastocystis
Blastocystis Infections
Brazil
Child
Child, Preschool
Cross-Sectional Studies
DNA, Ribosomal
Feces
Female
Genetic Variation
Giardia lamblia
Giardiasis
Humans
Infant
Infant, Newborn
Intestinal Diseases, Parasitic
Male
Middle Aged
Prevalence
Prospective Studies
Residence Characteristics
title_short Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
title_full Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
title_fullStr Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
title_full_unstemmed Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
title_sort Prevalence of intestinal parasites, with emphasis on the molecular epidemiology of Giardia duodenalis and Blastocystis sp., in the Paranaguá Bay, Brazil: a community survey
dc.creator.none.fl_str_mv Seguí, Raimundo
Muñoz-Antoli, Carla
Klisiowicz, Debora R
Oishi, Camila Y
Köster, Pamela Carolina
de Lucio, Aida
Hernandez-De-Mingo, Marta
Puente, Paula
Toledo, Rafael
Esteban, José G
Carmena, David
author Seguí, Raimundo
author_facet Seguí, Raimundo
Muñoz-Antoli, Carla
Klisiowicz, Debora R
Oishi, Camila Y
Köster, Pamela Carolina
de Lucio, Aida
Hernandez-De-Mingo, Marta
Puente, Paula
Toledo, Rafael
Esteban, José G
Carmena, David
author_role author
author2 Muñoz-Antoli, Carla
Klisiowicz, Debora R
Oishi, Camila Y
Köster, Pamela Carolina
de Lucio, Aida
Hernandez-De-Mingo, Marta
Puente, Paula
Toledo, Rafael
Esteban, José G
Carmena, David
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
Ministerio de Economía y Competitividad (España)
RETICS-Investigación colaborativa en Enfermedades Tropicales (RICET-ISCIII) (España)
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)

dc.subject.none.fl_str_mv Adolescent
Adult
Aged
Blastocystis
Blastocystis Infections
Brazil
Child
Child, Preschool
Cross-Sectional Studies
DNA, Ribosomal
Feces
Female
Genetic Variation
Giardia lamblia
Giardiasis
Humans
Infant
Infant, Newborn
Intestinal Diseases, Parasitic
Male
Middle Aged
Prevalence
Prospective Studies
Residence Characteristics
topic Adolescent
Adult
Aged
Blastocystis
Blastocystis Infections
Brazil
Child
Child, Preschool
Cross-Sectional Studies
DNA, Ribosomal
Feces
Female
Genetic Variation
Giardia lamblia
Giardiasis
Humans
Infant
Infant, Newborn
Intestinal Diseases, Parasitic
Male
Middle Aged
Prevalence
Prospective Studies
Residence Characteristics
description BACKGROUND: Intestinal protozoan parasites are major contributors to the global burden of gastrointestinal disease causing significant socioeconomic consequences. Children living in resource-poor settings with restricted access to water and sanitary services are particularly at risk of these infections. METHODS: A prospective, community-based, cross-sectional survey was conducted in Paraná (southern Brazil) between May 2015 and May 2016. A total of 766 stool samples were individually collected from volunteers (male/female ratio: 0.99; age range: 0-76 years) and used for investigating the presence of intestinal helminth and protozoan species by routine microscopic procedures including the Kato-Katz and modified Ritchie concentration methods and the Ziehl-Neelsen stain technique. Quantitative real-time PCR confirmed microscopy-positive samples for Giardia duodenalis and the assemblages and sub-assemblages determined by multilocus sequence-based genotyping of the glutamate dehydrogenase (gdh) and β-giardin (bg) genes of the parasite. Identification of Blastocystis subtypes was carried out by amplification and sequencing of a partial fragment of the small-subunit ribosomal RNA gene (SSU rDNA) of this heterokont microorganism. RESULTS: Overall, 46.1% (353/766) of the participants were infected/colonised by at least one intestinal parasite/commensal species. Protozoan and helminth species were detected in 42.7% and 10.1% of the surveyed population, respectively. Blastocystis sp. (28.2%), Endolimax nana (14.9%), and Giardia duodenalis (11.0%) were the most prevalent species found among protozoans and Ascaris lumbricoides (5.0%), Trichuris trichiura (4.6%) and hookworms (1.0%) among helminths. A total of 38 G. duodenalis-positive samples were genotyped at gdh and bg markers, revealing the presence of the sub-assemblages AII (47.4%), AII/AIII (2.6%), BIII (5.3%), BIV (26.3%) and BIII/BIV (13.1%). Two samples (5.3%) were only identified as assemblage B. AII was predominantly found in females aged 5-9 years and was associated with a higher likelihood of reporting gastrointestinal symptoms. A total of 102 Blastocystis-positive samples were successfully subtyped at the SSU rRNA gene revealing the presence of ST1 (36.3%), ST2 (15.7%), ST3 (41.2%), ST4 (2.9%), ST6 (1.0%) and ST8 (2.9%). CONCLUSIONS: Data presented here indicate that enteric parasites still represent a pressing health concern in Paraná, Brazil, probably due to sub-optimal water, sanitation and hygiene conditions. A mostly anthroponotic origin is suspected for G. duodenalis and Blastocystis sp. infections.
publishDate 2018
dc.date.none.fl_str_mv 2018
2018-08-30
2018
2018-08-30
2019
2019-05-20
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/7597
url http://hdl.handle.net/20.500.12105/7597
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central (BMC)
publisher.none.fl_str_mv BioMed Central (BMC)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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