Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study

It has been hypothesized that chronic renal failure (CRF) predisposes patients to infection with intestinal protozoa. We tested this hypothesis with a matched case-control study to determine the prevalence of these protozoa and their diarrhea associated symptoms among 50 patients with CRF (cases) fr...

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Main Authors: Yousry A. Hawash, Laila Sh. Dorgham, El-Amir M. Amir, Osama F. Sharaf
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2015/563478
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author Yousry A. Hawash
Laila Sh. Dorgham
El-Amir M. Amir
Osama F. Sharaf
author_facet Yousry A. Hawash
Laila Sh. Dorgham
El-Amir M. Amir
Osama F. Sharaf
author_sort Yousry A. Hawash
collection DOAJ
description It has been hypothesized that chronic renal failure (CRF) predisposes patients to infection with intestinal protozoa. We tested this hypothesis with a matched case-control study to determine the prevalence of these protozoa and their diarrhea associated symptoms among 50 patients with CRF (cases) from Taif, western Saudi Arabia. Fifty diarrheal patients without CRF were recruited in the study as controls. Participants were interviewed by a structured questionnaire and stool samples were collected. Samples were thoroughly examined with microscopy and three coproantigens detection kits. Enteric protozoa were detected in 21 cases and 14 controls. Blastocystis spp. were the most predominant parasite (16% in cases versus 8% in controls), followed by Giardia duodenalis (10% in cases versus 12% in controls) and Cryptosporidium spp. (10% in cases versus 6% in controls). Cyclospora cayetanensis was identified in two cases, while Entamoeba histolytica was described in one case and one control. Intestinal parasitism was positively associated with the male gender, urban residence, and travel history. Clinical symptoms of nausea/vomiting and abdominal pain were significantly varied between the parasitized cases and controls (P value ≤ 0.05). Given the results, we recommend screening all diarrheal feces for intestinal protozoa in the study’s population, particularly those with CRF.
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spelling doaj-art-93e6ee51aefb47808cc78866ccfb2a4c2025-02-03T07:25:33ZengWileyJournal of Tropical Medicine1687-96861687-96942015-01-01201510.1155/2015/563478563478Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control StudyYousry A. Hawash0Laila Sh. Dorgham1El-Amir M. Amir2Osama F. Sharaf3Department of Medical Laboratory Science, College of Applied Medical Sciences, Taif University, Taif 21944, Saudi ArabiaDepartment of Community Medicine, National Liver Institute, Menoufia University, Shebin El-Koom, Menoufia 23513, EgyptDepartment of Medical Parasitology, National Liver Institute, Menoufia University, Shebin El-Koom, Menoufia 23513, EgyptDepartment of Medical Parasitology, National Liver Institute, Menoufia University, Shebin El-Koom, Menoufia 23513, EgyptIt has been hypothesized that chronic renal failure (CRF) predisposes patients to infection with intestinal protozoa. We tested this hypothesis with a matched case-control study to determine the prevalence of these protozoa and their diarrhea associated symptoms among 50 patients with CRF (cases) from Taif, western Saudi Arabia. Fifty diarrheal patients without CRF were recruited in the study as controls. Participants were interviewed by a structured questionnaire and stool samples were collected. Samples were thoroughly examined with microscopy and three coproantigens detection kits. Enteric protozoa were detected in 21 cases and 14 controls. Blastocystis spp. were the most predominant parasite (16% in cases versus 8% in controls), followed by Giardia duodenalis (10% in cases versus 12% in controls) and Cryptosporidium spp. (10% in cases versus 6% in controls). Cyclospora cayetanensis was identified in two cases, while Entamoeba histolytica was described in one case and one control. Intestinal parasitism was positively associated with the male gender, urban residence, and travel history. Clinical symptoms of nausea/vomiting and abdominal pain were significantly varied between the parasitized cases and controls (P value ≤ 0.05). Given the results, we recommend screening all diarrheal feces for intestinal protozoa in the study’s population, particularly those with CRF.http://dx.doi.org/10.1155/2015/563478
spellingShingle Yousry A. Hawash
Laila Sh. Dorgham
El-Amir M. Amir
Osama F. Sharaf
Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study
Journal of Tropical Medicine
title Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study
title_full Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study
title_fullStr Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study
title_full_unstemmed Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study
title_short Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study
title_sort prevalence of intestinal protozoa among saudi patients with chronic renal failure a case control study
url http://dx.doi.org/10.1155/2015/563478
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