Enteric parasites and associated factors in cancer patients in Nepal.

Infection with intestinal parasites is widespread worldwide, especially in developing countries. Intestinal parasites are a major cause of diarrhea in both immunocompetent and immunocompromised people, but cancer patients are more prone to infection. This study aimed to investigate the prevalence and risk factors of intestinal parasitic infections (IPIs) among cancer patients undergoing chemotherapy at Nepal Cancer Hospital and Research Center (NCHRC) in Nepal. One hundred individuals were selected with a convenience sampling strategy. The stool samples were examined by direct wet mount, sedimentation, flotation, and acid-fast methods to determine the prevalence and intensity of IPIs in this population. The overall prevalence of IPIs was 8% (4% protozoan and 4% helminths). Altogether, three species of intestinal parasites were detected. Cryptosporidium (4%) was predominant followed by Trichuris trichiura (2%) and Ancylostoma duodenale (2%). Multivariable regression analysis revealed that "not using soap for handwashing" was significantly associated with the prevalence of overall IPIs. None of the other evaluated risk factors indicated an association with IPIs infection. In this study, the IPIs were attributable to individual hygiene behaviors, but not to nutritional status or socio-demographic characteristics. Yet, significant numbers of males reported anemia and undernutrition in this study population.

Metagenomic analysis reveals the relationship between intestinal protozoan parasites and the intestinal microecological balance in calves.

BACKGROUND: A close connection between a protozoan parasite and the balance of the other gut microbes of the host has been demonstrated. The calves may be naturally co-infected with many parasites, and the co-effects of parasites on other intestinal microbes of calves remain unclear. This study aims to preliminarily reveal the relationship between intestinal parasites and other intestinal microbes in calves. METHODS: Fecal samples were collected from four calves with bloody diarrhea, four calves with watery diarrhea, and seven normal calves, and the microbial flora of the samples were analyzed by whole-genome sequencing. Protozoal parasites were detected in the metagenome sequences and identified using polymerase chain reaction (PCR). RESULTS: Cryptosporidium, Eimeria, Giardia, Blastocystis, and Entamoeba were detected by metagenomic analysis, and the identified species were Giardia duodenalis assemblage E, Cryptosporidium bovis, Cryptosporidium ryanae, Eimeria bovis, Eimeria subspherica, Entamoeba bovis, and Blastocystis ST2 and ST10. Metagenomic analysis showed that the intestinal microbes of calves with diarrhea were disordered, especially in calves with bloody diarrhea. Furthermore, different parasites show distinct relationships with the intestinal microecology. Cryptosporidium, Eimeria, and Giardia were negatively correlated with various intestinal bacteria but positively correlated with some fungi. However, Blastocystis and Entamoeba were positively associated with other gut microbes. Twenty-seven biomarkers not only were significantly enriched in bloody diarrhea, watery diarrhea, and normal calves but were also associated with Eimeria, Cryptosporidium, and Giardia. Only Eimeria showed a distinct relationship with seven genera of bacteria, which were significantly enriched in the healthy calves. All 18 genera of fungi were positively correlated with Cryptosporidium, Eimeria, and Giardia, which were also significantly enriched in calves with bloody diarrhea. Functional genes related to parasites and diseases were found mainly in fungi. CONCLUSIONS: This study revealed the relationship between intestinal protozoan parasites and the other calf gut microbiome. Different intestinal protozoan parasites have diametrically opposite effects on other gut microecology, which not only affects bacteria in the gut, but also is significantly related to fungi and archaea.

Survey of intestinal parasites in swine farms raised in Western Nepal.

BACKGROUND: Pigs (Sus scrofa domesticus), an important domestic livestock, are generally affected by helminth and protozoan parasites. Rearing pigs in rural regions in Nepal is a common practice for subsistence farming. A cross-sectional survey was conducted to determine the occurrence of gastrointestinal parasites (GIPs) in pigs raised in Western Nepal. METHODS: A total of 200 faecal samples from commercial and smallholder farms were examined by wet mounts, flotation, sedimentation and staining techniques. RESULTS: The results revealed that overall 86.5% of samples were found shedding oocysts or eggs of one or more GIPs. Three species of protozoa [Eimeria sp. (26%), Entamoeba coli (25.5%) and Coccidia (29%)] and nine species of helminths parasites (Ascaris suum (32.5%), Trichuris suis (30%), strongyle-type nematode (27.5%), hookworm (26%), Fasciola sp. (17.5%), Physaloptera sp. (17.5%), Strongyloides sp. (17.5%), Metastrongylus sp. (8%) and Oesophagostomum sp. (5.5%)] were identified. Female pigs were found to have higher protozoan infection than males, but such a difference was not noticed with regard to helminth parasites. Strongyles and Oesophagostomum infection were higher in commercial farms compared to smallholder farms, whereas the prevalences of E. coli and other protozoans were higher in smallholder farms. Among the contextual factors evaluated for association, weight and gender of pigs, and annual income and gender of managers/caretakers were significantly (p < 0.05) associated with the prevalence of GIPs in pigs. The overall prevalence of certain helminths such as strongyle-type nematode and A. suum was significantly (p < 0.05) associated with the weight of pigs after adjusting other contextual factors. CONCLUSIONS: This study detected relatively high prevalence of intestinal parasites in domestic pig facilities. Molecular epidemiological studies are essential to verify the exact zoonotic potential of parasites carried by pigs in the region. An effective periodic monitoring of GIPs of pigs needs to be carried out to minimize their further dissemination.

Gastrointestinal parasites of zoonotic importance detected in porcine faeces in Chitwan National Park, Nepal.

Wild boar (Sus scrofa) is considered to be a potential source of zoonotic parasites. Wild boars are found at considerable number in and around the Chitwan National Park (CNP). The information regarding their intestinal parasites is limited. A cross-sectional study was carried out to determine the prevalence of gastrointestinal parasites in wild boars in CNP. A total of 100 fresh fecal samples were subjected to microscopic examination using direct smear, floatation and sedimentation method. Overall, 95% fecal samples were found positive for at least one parasite. Prevalence of protozoan parasites was found comparatively higher (70%) followed by nematode (56%) and trematode (12%). Nine gastrointestinal parasites such as Eimeria sp. (70% without micropyle and 40% with micopyle), Fasciola sp. (12%), Strongyloides sp. (56%), strongyle-type nematodes (49%), Stephanurus sp. (44%), Globocephalus sp. (38%), Metastrongylus sp. (12%), Ascaris sp. (7%) and Trichuris sp. (6%). were recorded. Eimeria sp. exhibited the highest prevalence while Trichuris had the least prevalence. This study has provided baseline information regarding the diversity of gastrointestinal parasites in wild boars. It requires continuous study at molecular level to explore other species of parasites and verify their zoonotic potential.

Copromicroscopic study of gastrointestinal parasites in captive mammals at Central Zoo, Lalitpur, Nepal.

BACKGROUND: Zoological gardens (Zoo) provide abode to various threatened animals or trafficked animals seized by the authorities, and injured and orphaned animals. Captive animals are more susceptible to infection as they are under significant stress due to diet and space which further dwindle their resistance to parasitic infections. OBJECTIVES: This study was conducted to determine the prevalence and burden of gastrointestinal parasites in captive mammals housed at Central Zoo. METHODS: Fresh faecal samples from three orders of mammals including carnivora (n = 24), rodentia (n = 28) and artiodactyla (n = 35) were examined by direct smear, faecal floatation and sedimentation techniques, and the McMaster technique was applied to quantify parasite eggs per gram (EPG)/oocysts per gram (OPG) of a faecal sample. RESULTS: One or more parasite taxa were detected in 19.54% of the examined samples and five types of GIPs including one protozoon (Eimeria spp.) and four helminths (Strongyloides spp., Haemonchus spp. and Trichostrongylus spp. and hookworm) were recorded. The protozoan prevalence (6.89 %) was lower than helminths (12.64%). The Eimeria spp. was the most prevalent parasite (6.89%) with the highest OPG (427.77 ± 25.45SD) in spotted deer (Axis axis), and the highest prevalence was noticed among artiodactyla (34.28%) followed by carnivora (12.5%) and rodentia (7.14%). Artiodactyla had both single infection (25.71%) and double (8.57%) infection. The percentage of single infection (16.09%) was found to be higher than double infection (3.44%) among the captive mammals. The wild boar (Sus scrofa) had the highest EPG of 383.33 ± 76.37SD (Strongyloides spp.), while the spotted deer had the lowest EPG of 216.66 ± 76.37SD (hookworm). CONCLUSIONS: Despite careful management practices, the parasitic infection may be attributed to the narrow enclosure, group housing and environmental contamination. The present finding provides baseline information on the parasitic infection in captive mammals, and can be used by zoo managers for the better life of captive animals.

Prevalence and burden of gastrointestinal parasites in stray cattle of the Kathmandu Valley.

Gastrointestinal parasites (GIPs) are common among cattle resulting severe infection. Prevalence of GIPs in stray street cattle may pose risk of dissemination of parasites of zoonotic importance. This study was conducted to determine the prevalence of GIPs in stray cattle of the Kathmandu valley. One hundred (n = 100) freshly voided dung samples were collected from eight sites. The samples were processed using the concentration method for microscopic examination, and modified McMaster technique for quantification of mean eggs/oocysts per gram of feces (EPG/OPG). Results revealed that 72% of the cattle were found positive for one or more species of GIPs and nine genera of GIPs were recorded (Eimeria, Ostertagia, Haemonchus, Trichostrongylus, Capillaria, Trichuris, Toxocara, Fasciola and Paramphistomum). The prevalence of parasitic infection was higher in males (73.68%) than in females (69.76%). The prevalence was found to be highest in adults (63.89%) followed by heifers or steers (27.78%) and calves (8.33%). Approximately, 76% of the cross breed and 65% of the local breed of cattle were positive for parasitic infection. The parasites differed both in prevalence and intensity. Eimeria sp. was the most prevalent (27%) species and had the highest intensity (858.02 OPG ± 63.46 SD). To our knowledge, this is the first research of its kind in relation to stray cattle in Nepal. Our findings reveal that there is a burden of helminth infections of zoonotic and socioeconomic importance in straycattle. Therefore, we recommend regular inspection of stray cattle and relevant preventive measures be put in place.

Minimum risk of intestinal parasitic infection to the visitors of Ghandruk, Kaski, Nepal: a pilot survey.

Ghandruk is one of the famous destinations of both international and domestic tourists situated in Kaski, Nepal. Travel-related diseases are an important aspect that one should consider before making a travel plan. Among diseases, zoonotically important ones make serious worries among visitors. In order to assess the existence of the zoonotically important parasitic disease in Ghandruk, a pilot survey was carried out by examining representative stool samples (n=51) of local residence, domestic animals, pet animals in Ghandruk. Samples were examined using direct smear as well as concentration methods. A questionnaire survey was conducted to see the associated risk factors among residents and their livestock of Ghandruk. None of the faecal samples from residents (n=14) found positive for any kind of intestinal parasites (IPs), while samples from most of the livestock: chicken (86%, 6/7), pigeons (75%, 3/4), cow (66%, 2/3), mule (60%, 3/5), and dog (60%, 3/5) showed heavy infection, except goat and buffalo indicated no infection. Eimeria spp., Ascardia spp. and cestodes spp. were the most prevalent IPs in livestock. Periodic deworming, walking outdoor with sandals/shoes, frequent use of soap and water for handwashing as reported by most of the residents (>80%) could be the main reason behind zero prevalence of IPs in them. The heavy infection among livestock may be incriminated to the contaminated vicinity and free-range livestock and poultry which were noticed in contact with river, sludge, and toilets during our field observation. Conclusively, it indicates that the residents of Ghandruk are conscious about their health, but have not paid satisfactory attention to the hygiene of their domestic animals including livestock, poultry and even pet. Though the observed parasites in livestock are of minimal zoonotic importance regarding safety of visitors, it is deemed necessary for at least to apply some preventive measures to mitigate the burden of parasites in their animals.