Prevalence and associated risk factors of Giardia duodenalis infection among school-going children in Nepal

Parasitol Res. 2018 Jan;117(1):287-293. doi: 10.1007/s00436-017-5706-5. Epub 2017 Dec 7.

Abstract

This study aimed to determine the prevalence of intestinal parasites and its associated risk factors among school-going children in Kathmandu, Nepal. Between August and September 2016, a total of 333 stool samples were collected from children at five public schools. The collected samples were subjected to formol-ether concentration, followed by conventional microscopic examination for intestinal parasites. The overall prevalence of intestinal parasites was 24.3% (81/333), with Giardia spp. showing the highest prevalence of 18.9% (63/333). Samples positive for Giardia spp. by microscopy were further subjected to quantitative polymerase chain reaction (qPCR) for G. duodenalis, resulting in a positive ratio of 100%. The positive ratio of Giardia spp. was considerably high among children consuming tanker water (27.3%), jar water (21.0%), and tap water (17.5%). Our results demonstrated that G. duodenalis remains predominant in school-going children in Nepal.

Keywords: Giardia duodenalis; Nepal; Quantitative polymerase chain reaction; School-going children; Stool.

MeSH terms

  • Adolescent
  • Child
  • Feces / parasitology
  • Female
  • Giardia lamblia / genetics
  • Giardia lamblia / isolation & purification*
  • Giardiasis / epidemiology*
  • Giardiasis / parasitology
  • Humans
  • Intestinal Diseases, Parasitic / epidemiology*
  • Intestinal Diseases, Parasitic / parasitology
  • Male
  • Microscopy
  • Nepal / epidemiology
  • Prevalence
  • Risk Factors
  • Schools