Prevalence and associated risk factors for Giardia lamblia infection among children hospitalized for diarrhea in Goiânia, Goiás State, Brazil

Maria Das Graças Cabral Pereira, Edward R Atwill, Alverne Passos Barbosa

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

The objective of this study was to determine the prevalence and to identify risk factors associated with Giardia lamblia infection in diarrheic children hospitalized for diarrhea in Goiânia, State of Goiás, Brazil. A cross-sectional study was conducted and a comprehensive questionnaire was administered to the child's primary custodian. Fixed effects logistic regression was used to determine the association between infection status for G. lamblia and host, sociodemographic, environmental and zoonotic risk factors. A total of 445 fecal samples were collected and processed by the DFA methodology, and G. lamblia cysts were present in the feces of 44 diarrheic children (9.9%). A variety of factors were found to be associated with giardiasis in these population: age of children (OR, 1.18; 90% CI, 1.0 - 1.36; p = 0.052), number of children in the household (OR 1.45; 90% CI, 1.13 - 1.86; p = 0.015), number of cats in the household (OR, 1.26; 90% CI, 1.03 -1.53; p = 0.059), food hygiene (OR, 2.9; 90% CI, 1.34 - 6.43; p = 0.024), day-care centers attendance (OR, 2.3; 90% CI, 1.20 - 4.36; p = 0.034), living on a rural farm within the past six months prior hospitalization (OR, 5.4; CI 90%, 1.5 - 20.1; p = 0.03) and the number of household adults (OR, 0.59; 90% CI, 0.42 - 0.83; p = 0.012). Such factors appropriately managed may help to reduce the annual incidence of this protozoal infection in the studied population.

Original languageEnglish (US)
Pages (from-to)139-145
Number of pages7
JournalRevista do Instituto de Medicina Tropical de Sao Paulo
Volume49
Issue number3
StatePublished - May 2007

Fingerprint

Giardia lamblia
Hospitalized Child
Brazil
Diarrhea
Infection
Giardiasis
Zoonoses
Hygiene
Feces
Population
Cysts
Hospitalization
Cats
Cross-Sectional Studies
Logistic Models
Food
Incidence

Keywords

  • Brazil
  • Children diarrhea
  • Epidemiology
  • Giardia lamblia
  • Risk factors
  • Zoonosis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Prevalence and associated risk factors for Giardia lamblia infection among children hospitalized for diarrhea in Goiânia, Goiás State, Brazil. / Pereira, Maria Das Graças Cabral; Atwill, Edward R; Barbosa, Alverne Passos.

In: Revista do Instituto de Medicina Tropical de Sao Paulo, Vol. 49, No. 3, 05.2007, p. 139-145.

Research output: Contribution to journalArticle

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abstract = "The objective of this study was to determine the prevalence and to identify risk factors associated with Giardia lamblia infection in diarrheic children hospitalized for diarrhea in Goi{\^a}nia, State of Goi{\'a}s, Brazil. A cross-sectional study was conducted and a comprehensive questionnaire was administered to the child's primary custodian. Fixed effects logistic regression was used to determine the association between infection status for G. lamblia and host, sociodemographic, environmental and zoonotic risk factors. A total of 445 fecal samples were collected and processed by the DFA methodology, and G. lamblia cysts were present in the feces of 44 diarrheic children (9.9{\%}). A variety of factors were found to be associated with giardiasis in these population: age of children (OR, 1.18; 90{\%} CI, 1.0 - 1.36; p = 0.052), number of children in the household (OR 1.45; 90{\%} CI, 1.13 - 1.86; p = 0.015), number of cats in the household (OR, 1.26; 90{\%} CI, 1.03 -1.53; p = 0.059), food hygiene (OR, 2.9; 90{\%} CI, 1.34 - 6.43; p = 0.024), day-care centers attendance (OR, 2.3; 90{\%} CI, 1.20 - 4.36; p = 0.034), living on a rural farm within the past six months prior hospitalization (OR, 5.4; CI 90{\%}, 1.5 - 20.1; p = 0.03) and the number of household adults (OR, 0.59; 90{\%} CI, 0.42 - 0.83; p = 0.012). Such factors appropriately managed may help to reduce the annual incidence of this protozoal infection in the studied population.",
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