Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/23192
Title: Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil
Authors: Nunes, Beatriz Coronato
Calegar, Deiviane Aparecida
Monteiro, Kerla Joeline Lima
Jaeger, Lauren Hubert
Reis, Elis Regina Chaves
Xavier, Samanta Cristina das Chagas
Carpp, Lindsay Nicole
Lima, Marli Maria
Boia, Márcio Neves
Costa, Filipe Anibal Carvalho
Affilliation: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ. Brasil.
Escritório Municipal de Saúde Nossa Senhora de Nazaré. Coordenação de Cuidados de Saúde Primária. Nossa Senhora de Nazaré, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia dos Tripanossomatídeos. Rio de Janeiro, RJ. Brasil.
Fred Hutchinson Cancer Research Center. Seattle, WA, USA.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Eco-Epidemiologia da Doença de Chagas. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ. Brasil / Fundação Oswaldo Cruz. Escritório Regional no Piauí. Teresina, PI, Brasil.
Abstract: Introduction: The present study aimed to determine the prevalence and factors associated with Giardia intestinalisinfection, verifying its impact on the nutritional status of children in northeastern Brazil. Methodology:A cross-sectional study was conducted to obtain parasitological, sociodemographic, and anthropometric data in two municipalities in the states of Piauí and Ceará, northeastern Brazil. Results: Prevalence of giardiasis was 55/511 (10.8%). G. intestinaliswas more frequent in people living in poverty (30/209 [14.4%], p = 0.041), performing open evacuation (26/173 [15%], p = 0.034), and drinking rainwater stored in cisterns (9/56 [16.1%], p = 0.005). The proportion of stunting and being underweight in children infected with G. intestinaliswas significantly higher than that in uninfected children (5/23 [21.7%] vs. 10/179 [5.6%], p = 0.017, OR = 4.69, 95% confidence interval [CI] = 1.44–15.25 and 5/23 [21.7%] vs. 13/179 [7.3%], p = 0.038, OR = 3.54, 95% CI = 1.13–11.09, respectively). Infection with G. intestinalisremained significantly associated with stunting and being underweight after adjustment for poverty, municipality, sex, and age in a logistic regression multivariate model. Conclusions: In rural areas in northeastern Brazil, giardiasis has acquired great public health importance in the soil-transmitted helminths control era, impacting the nutritional status of children and requiring new approaches to diagnosis and treatment and translational research that could generate applicable solutions at the community level.
Keywords: Giardia intestinalis
Nutritional status
Intestinal parasites
Northeastern Brazil
Brazil
Poverty
keywords: Brasil
Pobreza
Parasitos intestinais
Nordeste do Brasil
Estado nutricional
Giardia intestinalis
Issue Date: 2017
Citation: NUNES, Beatriz Coronato et al. Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil. The Journal of Infection In Developing Countries, v. 11, n. 7, p. 563-570, July 2017.
DOI: 10.3855/jidc.8410
ISSN: 2036-6590
Copyright: open access
Appears in Collections:PI - Artigos de Periódicos
IOC - Artigos de Periódicos

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