Prevalence of Intestinal Parasites among Children Accessing Medical Healthcare at the Federal Medical Centre Keffi, Nasarawa State, Nigeria

Abstract

Aim: This work was conducted between the period of April 2022 and March 2023 to investigate the prevalence and predisposing factors of enteric parasites among children accessing medical healthcare at the Federal Medical Center keffi, Nasarawa State. Study Design: The study was a cross-sectional study.  Methodology: Fresh stool specimens were collected into sterile bottles from children aged 1-15 (246 males and 194 females) who accessed medical healthcare at the Federal Medical Center keffi, Nasarawa State between the period of April 2022 and March 2023. Information such as age, gender, and drinking water sources were obtained from the subjects through a structured questionnaire. The stool specimens were observed visually for colour, consistency, and presence of blood, pus, and adult worms while the concentration of the eggs, cysts, and larvae of the intestinal parasites was carried out using the formol ether method and viewed with X10 and X40 magnifications of the binocular microscope. Data obtained from this study were analyzed using the chi-square test by the use of Statistical Package for Social Sciences (SPSS) version (21.0). Values obtained were considered significant at 95% probability. Results: An overall prevalence of 27.26% was obtained in the study participants with a total of five species of intestinal parasites identified. The parasites include; Entamoeba coli, Entamoeba histolytica, Giardia lamblia, Strongyloides stercoralis, and Trichomonas hominis. Entamoeba. histolytica was the most prevalent (15.45%) while S. stercoralis was the least prevalent (1.36%). In this study, males recorded a higher prevalence of Entamoeba. histolytica (16.49%) than females (14.63%) likewise for E. coli (5.14%) and (4.07%), Strongyloides stercoralis (1.55%) and (1.22%) respectively. In contrast, females recorded a higher prevalence of Giardia lamblia (2.85%) than males (2.58%) and Trichomonas hominis (3.25%) and (1.03%) respectively. The prevalence of intestinal parasites varied significantly among the age groups, with the age group 1-5 years being the most susceptible to E. histolytica (45.71%). Children who drank river water had the highest prevalence of parasitic infection (57.14%) while those who drank borehole water had the lowest majority (14.29%). Conclusion: The high prevalence of intestinal parasites observed in this study in relation to the sources of drinking water of the subjects suggests a major predisposing factor to intestinal parasitic infections. Therefore, the provision of potable drinking water and public enlightenment on proper hygiene practices in the study area is of great importance.