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1.
J Nutr Biochem ; 116: 109316, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36940885

RESUMEN

Polyphenols are a class of bioactive plant compounds with health-promoting properties, however, the interactions between polyphenols and pathogen infection and their cumulative impact on inflammation and metabolic health are not well understood. Here, we investigated if a subclinical parasitic infection modulates the hepatic response to dietary polyphenol supplementation in a porcine model. Pigs were fed a diet with or without 1% grape proanthocyanidins (PAC) for 28 days. During the final 14 days of the experiment, half the pigs in each dietary group were inoculated with the parasitic nematode Ascaris suum. Serum biochemistry was measured and hepatic transcriptional responses were determined by RNA-sequencing coupled with gene-set enrichment analysis. A. suum infection resulted in reduced serum phosphate, potassium, sodium, and calcium, and increased serum iron concentrations. In uninfected pigs, PAC supplementation markedly changed the liver transcriptome including genes related to carbohydrate and lipid metabolism, insulin signaling, and bile acid synthesis. However, during A. suum infection, a separate set of genes were modulated by dietary PAC, indicating that the polyphenol-mediated effects were dependent on infection status. A. suum infection strongly influenced the expression of genes related to cellular metabolism, and, in contrast to the effects of PAC, these changes were mostly identical in both control-fed and PAC-fed pigs. Thus, the hepatic response to infection was mostly unaffected by concurrent polyphenol intake. We conclude that the presence of a commonly occurring parasite substantially influences the outcome of dietary polyphenol supplementation, which may have important relevance for nutritional interventions in populations where intestinal parasitism is widespread.


Asunto(s)
Ascariasis , Porcinos , Animales , Ascariasis/parasitología , Transcriptoma , Dieta/veterinaria , Hígado , Polifenoles/farmacología
2.
Arq. ciências saúde UNIPAR ; 25(3): 203-211, set-out. 2021.
Artículo en Portugués | LILACS | ID: biblio-1348210

RESUMEN

As parasitoses intestinais constituem um importante problema de Saúde Pública, especialmente entre os pré-escolares, devido à imaturidade do sistema imune. Assim, este estudo objetivou realizar uma revisão integrativa dos estudos publicados entre os anos de 2010 a 2017 sobre parasitoses intestinais e os fatores associados ao desenvolvimento em crianças matriculadas em creches brasileiras. Foi realizada busca bibliográfica através das bases de dados Medline, Lilacs e SciELO, utilizando os descritores: infecção, parasitoses, diarreia e creches, e seus correspondentes em inglês: "infection", "parasitc diseases", "diarrhea" e "child day care centers". No caso das buscas no Medline o descritor Brazil também foi usado. Foram identificados 59 estudos, dos quais 11 foram incluídos no presente trabalho. Foi observado variação de 19,4% a 98,4% de parasitos e, a Giardia duodenalis foi o mais prevalente em crianças entre um e seis anos de idade, gênero masculino, com baixo peso, advindas de residências com alta densidade familiar e nível socioeconômico baixo. As análises mostraram a importância da compreensão dos fatores de risco para a incidência de parasitos, indicando a necessidade da promoção de estratégias efetivas para prevenção e controle das infecções parasitárias no país, visto que, tais infecções influenciam diretamente no desenvolvimento da criança, e em alguns casos, evoluindo a óbito.


Intestinal parasitosis is an important public health issue especially among pre-school children due to the immaturity of their immune system. Thus, this study aimed at carrying out an integrative review of studies published between 2010 and 2017 regarding intestinal parasites and associated factors in children registered in Brazilian day care centers. A bibliographic survey was performed through the Medline, Lilacs, and SciELO databases using the following descriptors: infection, parasitic diseases, diarrhea, and child day care centers, as well as their corresponding translations in Portuguese: "infecção", "parasitoses", "diarreia" and "creches". In the case of Medline searches, the descriptor Brazil was also used. Fifty-nine studies were identified, from which, 11 were included in this study. A variation of 19.4% to 98.4% of parasites could be observed, with Giardia duodenalis being the most prevalent in children between one and six years old, male, with low weight, coming from homes with high family density and low socioeconomic status. The analyzes showed the importance of understanding the risk factors for the incidence of parasites, showing the need to promote effective strategies for the prevention and control of parasitic infections in the country, since such infections have direct influence on the child's development, and in some cases, even evolving to death.


Asunto(s)
Enfermedades Parasitarias/parasitología , Niño , Guarderías Infantiles , Ascariasis/parasitología , Trichuris/parasitología , Salud Pública , Giardia lamblia/parasitología , Diarrea/parasitología , Infecciones/parasitología
3.
Am J Trop Med Hyg ; 104(5): 1851-1857, 2021 03 08.
Artículo en Inglés | MEDLINE | ID: mdl-33684066

RESUMEN

The price of certain antiparasitic drugs (e.g., albendazole and mebendazole) has dramatically increased since 2010. The effect of these rising prices on treatment costs and use of standard of care (SOC) drugs is unknown. To measure the impact of drug prices on overall outpatient cost and quality of care, we identified outpatient visits associated with ascariasis, hookworm, and trichuriasis infections from the 2010 to 2017 MarketScan Commercial Claims and Encounters and Multi-state Medicaid databases using Truven Health MarketScan Treatment Pathways. Evaluation was limited to members with continuous enrollment in non-capitated plans 30 days prior, and 90 days following, the first diagnosis. The utilization of SOC prescriptions was considered a marker for quality of care. The impact of drug price on the outpatient expenses was measured by comparing the changes in drug and nondrug outpatient payments per patient through Welch's two sample t-tests. The total outpatient payments per patient (drug and nondrug), for the three parasitic infections, increased between 2010 and 2017. The increase was driven primarily by prescription drug payments, which increased 20.6-137.0 times, as compared with nondrug outpatient payments, which increased 0.3-2.2 times. As prices of mebendazole and albendazole increased, a shift to alternative SOC and non-SOC drug utilization was observed. Using parasitic infection treatment as a model, increases in prescription drug prices can act as the primary driver of increasing outpatient care costs. Simultaneously, there was a shift to alternative SOC, but also to non-SOC drug treatment, suggesting a decrease in quality of care.


Asunto(s)
Albendazol/economía , Antihelmínticos/economía , Ascariasis/economía , Infecciones por Uncinaria/economía , Ivermectina/economía , Mebendazol/economía , Tricuriasis/economía , Albendazol/uso terapéutico , Animales , Antihelmínticos/uso terapéutico , Ascariasis/diagnóstico , Ascariasis/tratamiento farmacológico , Ascariasis/parasitología , Costos de los Medicamentos/tendencias , Gastos en Salud/estadística & datos numéricos , Infecciones por Uncinaria/diagnóstico , Infecciones por Uncinaria/tratamiento farmacológico , Infecciones por Uncinaria/parasitología , Humanos , Ivermectina/uso terapéutico , Mebendazol/uso terapéutico , Pacientes Ambulatorios , Suelo/parasitología , Nivel de Atención/tendencias , Tricuriasis/diagnóstico , Tricuriasis/tratamiento farmacológico , Tricuriasis/parasitología , Estados Unidos
4.
Infect Genet Evol ; 90: 104713, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33429070

RESUMEN

The study of ancient parasites, named paleoparasitology, traditionally focused on microscopic eggs disseminated in past environments and archaeological structures by humans and other animals infested by gastrointestinal parasites. Since the development of paleogenetics in the early 1980s, few paleoparasitological studies have been based on the ancient DNA (aDNA) of parasites, although such studies have clearly proven their utility and reliability. In this paper, we describe our integrative approach for the paleoparasitological study of an ancient population from Florence in Italy, dated to the 4th-5th c. CE. The first stage consisted in the study of sediment samples from the pelvic area of 18 individuals under light microscopy. This allowed us to detect Ascarid-type eggs belonging very probably to the human-infesting roundworm Ascaris lumbricoides. Ten subsamples were selected corresponding to five individuals, and we extracted their whole DNA following sediment aDNA protocols. A targeted approach allowed us to detect two nematodes and one trematode aDNA fragments, namely Ascaris sp., Trichuris trichiura, and Dicrocoelium dendriticum. Among the five individuals tested for microscopic eggs and aDNA, three of them showed the remains of eggs (only Ascarid-type), but all of them tested positive to the presence of at least one parasite aDNA. Microscopic diagnosis first guided our research for the selection of promising samples while the targeted aDNA approach significantly improved our knowledge in terms of parasitic diversity and frequency in this population subgroup. These results enabled us to discuss the possible impact of latent parasitism in this past population at the time of an epidemic, as suggested in Florence. In particular, the singular case of D. dendriticum detection is discussed in light of the present-day scarcity of genuine human infections. Nevertheless, actual infections are known in the paleoparasitological record, and food habits may have led to false parasitism in this historical context. aDNA leaching from overlying strata may also explain this detection. This study strongly pleads for a systematic integrative approach combining microscopy and aDNA in paleoparasitology.


Asunto(s)
Ascariasis/historia , Ascaris/aislamiento & purificación , Dicroceliasis/historia , Dicrocoelium/aislamiento & purificación , Parasitosis Intestinales/historia , Tricuriasis/historia , Trichuris/aislamiento & purificación , Animales , Ascariasis/parasitología , Ciudades , Dicroceliasis/parasitología , Historia Antigua , Humanos , Parasitosis Intestinales/parasitología , Italia , Tricuriasis/parasitología
5.
PLoS One ; 15(8): e0237112, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32790693

RESUMEN

BACKGROUND: The effect of nutritional supplements on the re-infection rate of species-specific soil-transmitted helminth infections in school-aged children remains complex and available evidence on the subject matter has not been synthesized. METHODS: The review included randomised controlled trials (RCTs) and cluster RCTs investigating food supplements on school-aged children between the age of 4-17 years. A search for RCTs was conducted on eight databases from inception to 12th June 2019. Cochrane Risk of Bias tool was used to assess the risk of bias in all included studies. Meta-analysis and narrative synthesis were conducted to describe and analyze the results of the review. Outcomes were summarized using the mean difference or standardized mean difference where appropriate. RESULTS: The search produced 1,816 records. Six studies met the inclusion criteria (five individually RCTs and one cluster RCT). Four studies reported data on all three STH species, while one study only reported data on Ascaris lumbricoides infections and the last study reported data on only hookworm infections. Overall, the risk of bias in four individual studies was low across most domains. Nutritional supplementation failed to statistically reduce the re-infection rates of the three STH species. The effect of nutritional supplements on measures of physical wellbeing in school-aged children could not be determined. CONCLUSIONS: The findings from this systematic review suggest that nutritional supplements for treatment of STH in children should not be encouraged unless better evidence emerges. Conclusion of earlier reviews on general populations may not necessarily apply to children since children possibly have a higher re-infection rate.


Asunto(s)
Ascariasis/prevención & control , Suplementos Dietéticos , Micronutrientes/uso terapéutico , Tricuriasis/prevención & control , Vitaminas/uso terapéutico , Ascariasis/tratamiento farmacológico , Ascariasis/epidemiología , Ascariasis/parasitología , Niño , Humanos , Micronutrientes/administración & dosificación , Ensayos Clínicos Controlados Aleatorios como Asunto , Suelo/parasitología , Tricuriasis/tratamiento farmacológico , Tricuriasis/epidemiología , Tricuriasis/parasitología , Vitaminas/administración & dosificación
6.
Infect Dis Poverty ; 8(1): 82, 2019 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-31575378

RESUMEN

BACKGROUND: The goal of soil-transmitted helminthiases (STH) control programmes is to eliminate STH-associated morbidity in the target population by reducing the prevalence of moderate- and heavy-intensity infections and the overall STH infection prevalence mainly through preventive chemotherapy (PC) with either albendazole or mebendazole. Endemic countries should measure the success of their control programmes through regular epidemiological assessments. We evaluated changes in STH prevalence in countries that conducted effective PC coverage for STH to guide changes in the frequency of PC rounds and the number of tablets needed. METHODS: We selected countries from World Health Organization (WHO)'s Preventive Chemotherapy and Transmission control (PCT) databank that conducted ≥5 years of PC with effective coverage for school-age children (SAC) and extracted STH baseline and impact assessment data using the WHO Epidemiological Data Reporting Form, Ministry of Health reports and/or peer-reviewed publications. We used pooled and weighted means to plot the prevalence of infection with any STH and with each STH species at baseline and after ≥5 years of PC with effective coverage. Finally, using the WHO STH decision tree, we estimated the reduction in the number of tablets needed. RESULTS: Fifteen countries in four WHO regions conducted annual or semi-annual rounds of PC for STH for 5 years or more and collected data before and after interventions. At baseline, the pooled prevalence was 48.9% (33.1-64.7%) for any STH, 23.2% (13.7-32.7%) for Ascaris lumbricoides, 21.01% (9.7-32.3%) for Trichuris trichiura and 18.2% (10.9-25.5%) for hookworm infections, while after ≥5 years of PC for STH, the prevalence was 14.3% (7.3-21.3%) for any STH, 6.9% (1.3-12.5%) for A. lumbricoides, 5.3% (1.06-9.6%) for T. trichiura and 8.1% (4.0-12.2%) for hookworm infections. CONCLUSIONS: Countries endemic for STH have made tremendous progress in reducing STH-associated morbidity, but very few countries have data to demonstrate that progress. In this study, the data show that nine countries should adapt their PC strategies and the frequency of PC rounds to yield a 36% reduction in drug needs. The study also highlights the importance of impact assessment surveys to adapt control strategies according to STH prevalence.


Asunto(s)
Albendazol/uso terapéutico , Antihelmínticos/uso terapéutico , Quimioprevención/estadística & datos numéricos , Helmintiasis/prevención & control , Mebendazol/uso terapéutico , Albendazol/provisión & distribución , Animales , Antihelmínticos/provisión & distribución , Ascariasis/epidemiología , Ascariasis/parasitología , Ascariasis/prevención & control , Ascaris lumbricoides/fisiología , Helmintiasis/epidemiología , Helmintiasis/parasitología , Infecciones por Uncinaria/epidemiología , Infecciones por Uncinaria/parasitología , Infecciones por Uncinaria/prevención & control , Humanos , Mebendazol/provisión & distribución , Prevalencia , Suelo/parasitología , Tricuriasis/epidemiología , Tricuriasis/parasitología , Tricuriasis/prevención & control , Trichuris/fisiología
7.
Korean J Parasitol ; 57(6): 601-605, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31914511

RESUMEN

As we learn more about parasites in ancient civilizations, data becomes available that can be used to see how infection may change over time. The aim of this study is to assess how common certain intestinal parasites were in China and Korea in the past 2000 years, and make comparisons with prevalence data from the 20th century. This allows us to go on to investigate how and why changes in parasite prevalence may have occurred at different times. Here we show that Chinese liver fluke (Clonorchis sinensis) dropped markedly in prevalence in both Korea and China earlier than did roundworm (Ascaris lumbricoides) and whipworm (Trichuris trichiura). We use historical evidence to determine why this was the case, exploring the role of developing sanitation infrastructure, changing use of human feces as crop fertilizer, development of chemical fertilizers, snail control programs, changing dietary preferences, and governmental public health campaigns during the 20th century.


Asunto(s)
Ascariasis/epidemiología , Ascaris/aislamiento & purificación , Clonorquiasis/epidemiología , Clonorchis sinensis/aislamiento & purificación , Tricuriasis/epidemiología , Trichuris/aislamiento & purificación , Animales , Ascariasis/historia , Ascariasis/parasitología , Ascaris/citología , China/epidemiología , Clonorquiasis/historia , Clonorquiasis/parasitología , Clonorchis sinensis/citología , Historia del Siglo XV , Historia del Siglo XVI , Historia del Siglo XX , Historia Antigua , Historia Medieval , Humanos , República de Corea/epidemiología , Tricuriasis/historia , Tricuriasis/parasitología , Trichuris/citología
8.
Korean J Parasitol ; 57(6): 613-619, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31914513

RESUMEN

Paleoparasitological analysis was carried on 4 Merovingian skeletons, dated from the late-5th to the late-9th centuries, and recovered in the church of Saint-Martin-au-Val in Chartres (Center region, France). The corpses were buried in stone sarcophagi, which were still sealed at the time of excavation. Parasite marker extraction was conducted on sediment samples taken from the abdominal and pelvic regions, but also on samples taken from under the head and the feet as control samples. Microscopic observation revealed the presence of 3 gastrointestinal parasites, namely the roundworm (Ascaris lumbricoides), the whipworm (Trichuris trichiura) and the fish tapeworm (genus Diphyllobothrium). This analysis contributes to a better knowledge of the health status and the lifestyle of ancient medieval populations during the Merovingian period, for which very few paleoparasitological data were available, up until now. It demonstrates the presence of the fish tapeworm for the first time during this period.


Asunto(s)
Ascariasis/historia , Difilobotriosis/historia , Tricuriasis/historia , Animales , Arqueología/historia , Ascariasis/parasitología , Ascaris lumbricoides/citología , Ascaris lumbricoides/aislamiento & purificación , Cadáver , Difilobotriosis/parasitología , Diphyllobothrium/citología , Diphyllobothrium/aislamiento & purificación , Francia , Sedimentos Geológicos/parasitología , Historia Antigua , Humanos , Óvulo/citología , Paleopatología , Parasitología/historia , Tricuriasis/parasitología , Trichuris/citología , Trichuris/aislamiento & purificación
9.
Parasit Vectors ; 11(1): 373, 2018 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-29954461

RESUMEN

BACKGROUND: Soil-transmitted helminths (STHs) including Ascaris lumbricoides, Necator americanus, Ancylostoma spp. and Trichuris trichiura are cause of significant global morbidity. To mitigate their disease burden, at-risk groups in endemic regions receive periodic mass drug administration using anthelmintics, most commonly albendazole and mebendazole. Assessing the efficacy of anthelmintic drugs is important for confirming that these regimens are working effectively and that drug resistance has not emerged. In this study we aimed to characterise the therapeutic efficacy of albendazole against Ascaris spp. and N. americanus in Timor-Leste, using a quantitative polymerase chain reaction (qPCR) method for parasite detection and quantification. RESULTS: A total of 314 participants from 8 communities in Timor-Leste provided stool samples before and 10-14 days after the administration of a single 400 mg dose of albendazole. Helminth infection status and infection intensity (measured in Ct-values and relative fluorescence units) were determined using qPCR. Efficacy was determined by examining the cure rates and infection intensity reduction rates. Albendazole was found to be highly efficacious against Ascaris spp., with a cure rate of 91.4% (95% CI: 85.9-95.2%) and infection intensity reduction rate of 95.6% (95% CI: 88.3-100%). The drug was less efficacious against N. americanus with a cure rate of 58.3% (95% CI: 51.4-64.9%) and infection intensity reduction rate of 88.9% (95% CI: 84.0-97.0%). CONCLUSIONS: The observed cure rates and infection intensity reduction rates obtained for Ascaris spp. and to a lower extent N. americanus, demonstrate the continued efficacy of albendazole against these species and its utility as a mass chemotherapy agent in Timor-Leste. Furthermore, this study demonstrates the usefulness of qPCR as a method to measure the efficacy of anthelminthic drugs. Additional research is necessary to translate Ct-values into eggs per gram in a systematic way. TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Registry 12614000680662 (registered 27 June 2014).


Asunto(s)
Albendazol/uso terapéutico , Antihelmínticos/uso terapéutico , Ascaris lumbricoides/efectos de los fármacos , Heces/parasitología , Necator americanus/efectos de los fármacos , Adolescente , Adulto , Anciano , Albendazol/administración & dosificación , Animales , Antihelmínticos/administración & dosificación , Ascariasis/tratamiento farmacológico , Ascariasis/epidemiología , Ascariasis/parasitología , Ascaris lumbricoides/genética , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Necator americanus/genética , Necatoriasis/tratamiento farmacológico , Necatoriasis/epidemiología , Necatoriasis/parasitología , Reacción en Cadena en Tiempo Real de la Polimerasa/métodos , Suelo/parasitología , Timor Oriental/epidemiología , Resultado del Tratamiento , Adulto Joven
10.
Int J Paleopathol ; 19: 37-42, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-29198398

RESUMEN

The aim of this research was to determine the species of intestinal parasite present in a Roman Imperial period population in Asia Minor, and to use this information to improve our understanding of health in the eastern Mediterranean region in Roman times. We analyzed five samples from the latrines of the Roman bath complex at Sagalassos, Turkey. Fecal biomarker analysis using 5ß-stanols has indicated the feces were of human origin. The eggs of roundworm (Ascaris) were identified in all five samples using microscopy, and the cysts of the protozoan Giardia duodenalis (which causes dysentery) were identified multiple times in one sample using ELISA. The positive G. duodenalis result at Sagalassos is particularly important as it represents the earliest reliable evidence for this parasite in the Old World (i.e. outside the Americas). As both these species of parasite are spread through the contamination of food and water by fecal material, their presence implies that Roman sanitation technologies such as latrines and public baths did not break the cycle of reinfection in this population. We then discuss the evidence for roundworm in the writings of the Roman physician Galen, who came from Pergamon, another town in western Asia Minor.


Asunto(s)
Balneología/historia , Parasitosis Intestinales/historia , Parasitosis Intestinales/parasitología , Paleopatología/métodos , Parásitos/aislamiento & purificación , Parasitología/métodos , Mundo Romano/historia , Cuartos de Baño/historia , Animales , Ascariasis/historia , Ascariasis/parasitología , Ascaris/aislamiento & purificación , Heces/parasitología , Giardia lamblia/aislamiento & purificación , Giardiasis/historia , Giardiasis/parasitología , Historia Antigua , Humanos , Parasitosis Intestinales/patología , Parásitos/clasificación , Turquía
11.
Parasitol Int ; 65(4): 336-9, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27094225

RESUMEN

Proanthocyanidins (PAC) are a class of plant secondary metabolites commonly found in the diet that have shown potential to control gastrointestinal nematode infections. The anti-parasitic mechanism(s) of PAC remain obscure, however the protein-binding properties of PAC suggest that disturbance of key enzyme functions may be a potential mode of action. Glutathione-S-transferases (GSTs) are essential for parasite detoxification and have been investigated as drug and vaccine targets. Here, we show that purified PAC strongly inhibit the activity of both recombinant and native GSTs from the parasitic nematode Ascaris suum. As GSTs are involved in detoxifying xenobiotic substances within the parasite, we hypothesised that this inhibition may render parasites hyper-susceptible to anthelmintic drugs. Migration inhibition assays with A. suum larvae demonstrated that the potency of levamisole (LEV) and ivermectin (IVM) were significantly increased in the presence of PAC purified from pine bark (4.6-fold and 3.2-fold reduction in IC50 value for LEV and IVM, respectively). Synergy analysis revealed that the relationship between PAC and LEV appeared to be synergistic in nature, suggesting a specific enhancement of LEV activity, whilst the relationship between PAC and IVM was additive rather than synergistic, suggesting independent actions. Our results demonstrate that these common dietary compounds may increase the efficacy of synthetic anthelmintic drugs in vitro, and also suggest one possible mechanism for their well-known anti-parasitic activity.


Asunto(s)
Antihelmínticos/farmacología , Ascariasis/tratamiento farmacológico , Ascaris suum/efectos de los fármacos , Pinus sylvestris/química , Proantocianidinas/farmacología , Trifolium/química , Animales , Antihelmínticos/química , Antihelmínticos/aislamiento & purificación , Ascariasis/parasitología , Ascaris suum/citología , Sinergismo Farmacológico , Flores/química , Glutatión Transferasa/antagonistas & inhibidores , Glutatión Transferasa/metabolismo , Proteínas del Helminto/antagonistas & inhibidores , Proteínas del Helminto/metabolismo , Ivermectina/farmacología , Larva , Levamisol/farmacología , Corteza de la Planta/química , Extractos Vegetales/química , Extractos Vegetales/aislamiento & purificación , Extractos Vegetales/farmacología , Proantocianidinas/química , Proantocianidinas/aislamiento & purificación
12.
Trop Med Int Health ; 19(7): 812-24, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24750543

RESUMEN

OBJECTIVES: Preventive chemotherapy of schoolchildren against soil-transmitted helminths (STHs) is widely implemented in Rwanda. However, data on its actual efficacy are lacking. We assessed prevalence, associated factors and manifestation of STH infection among schoolchildren in southern highland Rwanda as well as cure and reinfection rates. METHODS: Six hundred and twenty-two children (rural, 301; urban, 321) were included preceding the administration of a single dose of 500 mg mebendazole. Before treatment, and after 2 and 15 weeks, STH infection was determined by Kato-Katz smears and by PCR assays for Ascaris lumbricoides. Clinical and anthropometric data, socio-economic status and factors potentially associated with STH infection were assessed. RESULTS: Soil-transmitted helminth (STH) infection was present in 38% of rural and in 13% of urban schoolchildren. Ascaris lumbricoides accounted for 96% of infections. Of these, one-third was detected by PCR exclusively. Factors associated with STH infection differed greatly between rural and urban children. Likewise, STH infection was associated with stunting and anaemia only among urban children. The cure rate after 2 weeks was 92%. Among eight non-cleared A. lumbricoides infections, seven were submicroscopic. Reinfection within 3 months occurred in 7%, but the rate was higher among rural children, and with initially present infection, particularly at comparatively high intensity. CONCLUSIONS: The rural-urban difference in factors associated with STH infection and in reinfection rates highlights the need for targeted interventions to reduce transmission. PCR assays may help in detecting low-level infections persisting after treatment. In southern Rwanda, mebendazole is highly effective against the STH infections predominated by A. lumbricoides.


Asunto(s)
Antihelmínticos/uso terapéutico , Helmintiasis/epidemiología , Mebendazol/uso terapéutico , Evaluación de Procesos y Resultados en Atención de Salud/estadística & datos numéricos , Servicios de Salud Escolar , Anemia/diagnóstico , Anemia/epidemiología , Anemia/parasitología , Animales , Antropometría , Ascariasis/epidemiología , Ascariasis/parasitología , Ascariasis/prevención & control , Ascaris lumbricoides/aislamiento & purificación , Niño , Preescolar , Estudios Transversales , Heces/parasitología , Femenino , Accesibilidad a los Servicios de Salud , Helmintiasis/parasitología , Helmintiasis/prevención & control , Humanos , Higiene , Masculino , Reacción en Cadena de la Polimerasa/métodos , Pobreza , Población Rural/estadística & datos numéricos , Rwanda/epidemiología , Saneamiento , Prevención Secundaria , Sensibilidad y Especificidad , Factores Socioeconómicos , Suelo/parasitología , Población Urbana/estadística & datos numéricos
13.
Parasitology ; 138(12): 1586-92, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21349218

RESUMEN

OBJECTIVE: There is limited information on the acceptability and safety of praziquantel for treatment of schistosomiasis in children below the age of four years. In addition, although mebendazole has been extensively used together with praziquantel against infections with schistosomiasis and soil-transmitted helminthiasis (STH) in school-aged children, no specific acceptability or safety studies have been published on this drug combination in younger children. METHODS: A randomized clinical trial was conducted to determine the safety of praziquantel alone and in combination with mebendazole in the treatment of Schistosoma mansoni and STH in children aged 1 to 4 years. RESULTS: A total of 596 children from Bwondha fishing community in Mayuge district and Wang-Kado fishing community in Nebbi district were investigated using duplicate Kato-Katz thick smears of two stool samples and 130 (21·8%) were found infected with S. mansoni. Of these, 19·2% (25) had heavy intensity of infections. Of the infected children, 82 were included and randomised into praziquantel (40 mg/kg) + mebendazole (500 mg) or praziquantel (40 mg/kg) alone. CONCLUSION: Many symptoms were reported before treatment while very few were reported after treatment and all on treatment day. No serious adverse events were reported or observed after treatment. Praziquantel with or without mebendazole was well tolerated in small children in the study area.


Asunto(s)
Antihelmínticos/administración & dosificación , Helmintiasis/tratamiento farmacológico , Mebendazol/administración & dosificación , Praziquantel/administración & dosificación , Esquistosomiasis mansoni/tratamiento farmacológico , Animales , Antihelmínticos/efectos adversos , Ascariasis/tratamiento farmacológico , Ascariasis/parasitología , Ascaris lumbricoides/aislamiento & purificación , Preescolar , Quimioterapia Combinada , Heces/parasitología , Femenino , Helmintiasis/complicaciones , Helmintiasis/epidemiología , Infecciones por Uncinaria/tratamiento farmacológico , Infecciones por Uncinaria/epidemiología , Humanos , Lactante , Masculino , Mebendazol/efectos adversos , Recuento de Huevos de Parásitos , Praziquantel/efectos adversos , Prevalencia , Schistosoma mansoni/aislamiento & purificación , Esquistosomiasis mansoni/complicaciones , Esquistosomiasis mansoni/epidemiología , Método Simple Ciego , Suelo/parasitología , Encuestas y Cuestionarios , Resultado del Tratamiento , Tricuriasis/tratamiento farmacológico , Tricuriasis/epidemiología , Uganda/epidemiología
15.
Vet Parasitol ; 168(3-4): 269-77, 2010 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-19954891

RESUMEN

Two experiments were performed to determine the anthelmintic effect of some phytogenic feed additives on a mild infection of Ascaris suum in growing and finishing pigs. Usually, an infection of A. suum is controlled by using conventional synthetic drugs. Organic farmers, however, prefer a non-pharmaceutical approach to worm control. Therefore, phytotherapy could be an appropriate alternative. In the first experiment, a commercial available organic starter diet was supplemented with 3% of a herb mixture, adding 1% Thymus vulgaris, 1% Melissa officinalis and 1% Echinacea purpurea to the diet, or with 4% of a herb mixture, thereby adding the mentioned herbs plus 1% Camellia sinensis (black tea). A negative control group (no treatment) and a positive control group (treatment with conventional synthetic drug flubendazole) were included. In the second experiment, the anthelmintic properties against A. suum of three individual herbs, Carica papaya, Peumus boldus and Artemisia vulgaris, each in a dose of 1%, were tested. Pigs were infected with 1000 infective worm eggs each. Each experiment was performed with 32 individually housed growing pigs (8 replicates/treatment), which were monitored for 67 days. It was hypothesized that the herbs would block the cycles of the larvae, thereby preventing the development of adult worms. Therefore, phytogenic feed additives were not supplied during the whole experimental period, but only from the start until D39. Pigs were inoculated with infective worm eggs during five consecutive days (D17-D21). At D67 all pigs were dissected, whereafter livers were checked for the presence of white spots. Also numbers of worms in the small intestine were counted. In experiment 1, the numbers of worm-infected pigs were similar for both the herb supplemented (groups 3 and 4) and the unsupplemented (group 1) treatments (5-6 pigs of 8), while the treatment with flubendazole (group 2) resulted in 0 infected pigs. In experiment 2, herb addition (groups 2-4) did not significantly reduce the number of worm-infected pigs compared to the negative control (group 1). It can be concluded that the tested herb mixtures and individual herbs in the diets of growing and finishing pigs did not decrease the number of pigs which were infected with A. suum, although the herb mixture without black tea and also boldo leaf slightly (P<0.10) reduced the number of worms in the intestinal tract. The tested herb mixtures and individual herbs did not affect the performance of the pigs.


Asunto(s)
Antihelmínticos/farmacología , Ascariasis/veterinaria , Ascaris suum/efectos de los fármacos , Aditivos Alimentarios/farmacología , Fitoterapia/veterinaria , Enfermedades de los Porcinos/parasitología , Animales , Antihelmínticos/química , Antihelmínticos/uso terapéutico , Ascariasis/tratamiento farmacológico , Ascariasis/parasitología , Peso Corporal/efectos de los fármacos , Ingestión de Alimentos/efectos de los fármacos , Aditivos Alimentarios/química , Aditivos Alimentarios/uso terapéutico , Masculino , Porcinos , Enfermedades de los Porcinos/tratamiento farmacológico
16.
Infect Immun ; 77(6): 2576-87, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19332534

RESUMEN

Pigs infected with Ascaris suum or controls were given 100 microg (low-dose) or 1,000 microg (high-dose) all-trans retinoic acid (ATRA)/kg body weight in corn oil or corn oil alone per os on days after inoculation (DAI) -1, +1, and +3 with infective eggs. Treatment with ATRA increased interleukin 4 (IL4) and IL12p70 in plasma of infected pigs at 7 DAI and augmented bronchoalveolar lavage (BAL) eosinophilia observed at 7 and 14 DAI. To explore potential molecular mechanisms underlying these observations, a quantitative real-time reverse transcription (RT)-PCR array was used to examine mRNA expression in tissue. Ascaris-infected pigs had increased levels of liver mRNA for T-helper-2 (Th2)-associated cytokines, mast cell markers, and T regulatory (Treg) cells, while infected pigs given ATRA had higher IL4, IL13, CCL11, CCL26, CCL17, CCL22, and TPSB1 expression. Gene expression for Th1-associated markers (IFNG, IL12B, and TBX21), the CXCR3 ligand (CXCL9), IL1B, and the putative Treg marker TNFRSF18 was also increased. Expression of IL4, IL13, IL1B, IL6, CCL11, and CCL26 was increased in the lungs of infected pigs treated with ATRA. To determine a putative cellular source of eosinophil chemoattractants, alveolar macrophages were treated with IL4 and/or ATRA in vitro. IL4 induced CCL11, CCL17, CCL22, and CCL26 mRNA, and ATRA increased the basal and IL4-stimulated expression of CCL17 and CCL22. Thus, ATRA augments a diverse Th1-, Th2-, Treg-, and inflammation-associated response in swine infected with A. suum, and the increased BAL eosinophilia may be related to enhanced induction of eosinophil chemokine activity by alveolar macrophages.


Asunto(s)
Ascaris suum/inmunología , Factores Inmunológicos/farmacología , Hígado/inmunología , Pulmón/inmunología , Subgrupos de Linfocitos T/inmunología , Tretinoina/farmacología , Animales , Ascariasis/inmunología , Ascariasis/parasitología , Ascariasis/patología , Líquido del Lavado Bronquioalveolar/citología , Citocinas/análisis , Perfilación de la Expresión Génica , Inflamación/patología , Hígado/parasitología , Hígado/patología , Pulmón/parasitología , Pulmón/patología , Datos de Secuencia Molecular , Plasma/química , Porcinos/parasitología , Enfermedades de los Porcinos/inmunología , Enfermedades de los Porcinos/parasitología , Enfermedades de los Porcinos/patología , Linfocitos T Reguladores/inmunología , Células TH1/inmunología , Células Th2/inmunología , Tretinoina/administración & dosificación
18.
J Parasitol ; 73(1): 116-20, 1987 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-3572645

RESUMEN

Artificially hatched infective larvae of Toxocara canis were labeled with 75Se in Medium 199 (Gibco) containing 75Se-methionine. Male CD-1 mice were infected with radiolabeled larvae by intragastric intubation or by intraperitoneal injection. At intervals of 3-56 days mice were killed and the organs prepared for compressed organ autoradiography. Radioactivity of parasitic larvae showed an exponential decrease with time, reflecting catabolism of label with a biological half life of 26 days (effective half life of 21 days) making possible experiments lasting several months. Total body larva counts, estimated by total body autoradiography, displayed an overall downward trend, but the rate of reduction was probably not constant because no significant positive or negative trends were noted from day 14 onward in the numbers of larvae. The carcass accumulated the greatest number of larvae followed by the central nervous system, liver, and lung in that order. When the numbers of larvae were considered in relationship to the mass of tissue, there were 4 groupings: central nervous system, liver, lung, carcass, and kidney, and genito-urinary organ, pelt, and intestine. No significant difference between intragastric and intraperitoneal administration was observed in the larval distribution after the larvae had left the initial site of deposition.


Asunto(s)
Ascariasis/parasitología , Toxocara/aislamiento & purificación , Toxocariasis/parasitología , Animales , Autorradiografía , Peso Corporal , Larva/aislamiento & purificación , Masculino , Ratones , Radioisótopos , Selenio
19.
Angew Parasitol ; 27(1): 15-22, 1986 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-3717687

RESUMEN

Biochemical and hematological blood parameters were investigated in pigs experimentally infected with Ascaris suum. The most marked changes were recorded on day 5-8 post inoculation, during fever. In this period there was a marked decrease of concentrations of albumin, iron, thyroxin, A and E vitamins in blood serum, while compared with the control group the contents of A vitamin in liver did not change. Further, the concentrations of nonesterified fatty acid increased, as well as those of inorganic phosphorus and 11-hydroxycorticosteroids. Till day 13 PI the decrease of albumin and iron concentrations intensified and a recession of cholesterol serum binding capacity for iron was also recorded. Our results suggest that the acute phase of pig ascariasis is accompanied by changes in the host metabolism, generally corresponding to findings in fever states of different aetiology.


Asunto(s)
Ascariasis/veterinaria , Ascaris/fisiología , Enfermedades de los Porcinos/parasitología , 11-Hidroxicorticoesteroides/sangre , Animales , Ascariasis/sangre , Ascariasis/parasitología , Ácidos Grasos no Esterificados/sangre , Hierro/sangre , Larva , Fósforo/sangre , Albúmina Sérica/análisis , Porcinos/sangre , Enfermedades de los Porcinos/sangre , Tiroxina/sangre , Vitamina A/análisis , Vitamina A/sangre , Vitamina E/sangre
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