Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil

Introduction: The present study aimed to determine the prevalence and factors associated with Giardia intestinalis infection, verifying its impact on the nutritional status of children in northeastern Brazil. Methodology: A cross-sectional study was conducted to obtain parasitological, sociodemo...

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Main Authors: Beatriz Coronato-Nunes, Deiviane Aparecida Calegar, Kerla Joeline Lima Monteiro, Lauren Hubert-Jaeger, Elis Regina Chaves Reis, Samanta Cristina das Chagas Xavier, Lindsay Nicole Carpp, Marli Maria Lima, Márcio Neves Bóia, Filipe Anibal Carvalho-Costa
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2017-07-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/8410
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author Beatriz Coronato-Nunes
Deiviane Aparecida Calegar
Kerla Joeline Lima Monteiro
Lauren Hubert-Jaeger
Elis Regina Chaves Reis
Samanta Cristina das Chagas Xavier
Lindsay Nicole Carpp
Marli Maria Lima
Márcio Neves Bóia
Filipe Anibal Carvalho-Costa
author_facet Beatriz Coronato-Nunes
Deiviane Aparecida Calegar
Kerla Joeline Lima Monteiro
Lauren Hubert-Jaeger
Elis Regina Chaves Reis
Samanta Cristina das Chagas Xavier
Lindsay Nicole Carpp
Marli Maria Lima
Márcio Neves Bóia
Filipe Anibal Carvalho-Costa
author_sort Beatriz Coronato-Nunes
collection DOAJ
description Introduction: The present study aimed to determine the prevalence and factors associated with Giardia intestinalis infection, 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. intestinalis was 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. intestinalis was 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. intestinalis remained 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.
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spelling doaj-art-db6716c434f84ee4be5dad89cf4e17b92025-08-20T02:14:17ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802017-07-01110710.3855/jidc.8410Giardia intestinalis infection associated with malnutrition in children living in northeastern BrazilBeatriz Coronato-Nunes0Deiviane Aparecida Calegar1Kerla Joeline Lima Monteiro2Lauren Hubert-Jaeger3Elis Regina Chaves Reis4Samanta Cristina das Chagas Xavier5Lindsay Nicole Carpp6Marli Maria Lima7Márcio Neves Bóia8Filipe Anibal Carvalho-Costa9Oswaldo Cruz Foundation, Rio de Janeiro, BrasilOswaldo Cruz Foundation, Rio de Janeiro, BrasilOswaldo Cruz Foundation, Rio de Janeiro, BrasilOswaldo Cruz Foundation, Rio de Janeiro, BrasilNossa Senhora de Nazaré Municipal Health Office, Nossa Senhora de Nazaré, BrasilOswaldo Cruz Foundation, Rio de Janeiro, BrasilFred Hutchinson Cancer Research Center, Seattle, WA, United StatesOswaldo Cruz Foundation, Rio de Janeiro, BrasilOswaldo Cruz Foundation, Rio de Janeiro, BrasilOswaldo Cruz Foundation, Rio de Janeiro, Brasil Introduction: The present study aimed to determine the prevalence and factors associated with Giardia intestinalis infection, 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. intestinalis was 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. intestinalis was 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. intestinalis remained 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. https://jidc.org/index.php/journal/article/view/8410Giardia intestinalisnortheastern Brazilnutritional statusintestinal parasitespovertyBrazil
spellingShingle Beatriz Coronato-Nunes
Deiviane Aparecida Calegar
Kerla Joeline Lima Monteiro
Lauren Hubert-Jaeger
Elis Regina Chaves Reis
Samanta Cristina das Chagas Xavier
Lindsay Nicole Carpp
Marli Maria Lima
Márcio Neves Bóia
Filipe Anibal Carvalho-Costa
Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil
Journal of Infection in Developing Countries
Giardia intestinalis
northeastern Brazil
nutritional status
intestinal parasites
poverty
Brazil
title Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil
title_full Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil
title_fullStr Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil
title_full_unstemmed Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil
title_short Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil
title_sort giardia intestinalis infection associated with malnutrition in children living in northeastern brazil
topic Giardia intestinalis
northeastern Brazil
nutritional status
intestinal parasites
poverty
Brazil
url https://jidc.org/index.php/journal/article/view/8410
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