Geospatial analysis and epidemiological aspects of human infections with Blastocystis hominis in Mazandaran Province, northern Iran

Shabnam Asfaram; Ahmad Daryani; Shahabeddin Sarvi; Abdol Sattar Pagheh; Seyed Abdollah Hosseini; Reza Saberi; Seyede Mahboobeh Hoseiny; Masoud Soosaraei; Mehdi Sharif

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자료유형: 학술저널

저자정보: Shabnam Asfaram (Mazandaran University of Medical Sciences) Ahmad Daryani (Mazandaran University of Medical Sciences) Shahabeddin Sarvi (Mazandaran University of Medical Sciences) Abdol Sattar Pagheh (Mazandaran University of Medical Sciences) Seyed Abdollah Hosseini (Mazandaran University of Medical Sciences) Reza Saberi (Mazandaran University of Medical Sciences) Seyede Mahboobeh Hoseiny (Mazandaran University of Medical Sciences) Masoud Soosaraei (Mazandaran University of Medical Science) Mehdi Sharif (Mazandaran University of Medical Sciences)

저널정보: 한국역학회 Epidemiology and Health Epidemiology and Health Vol.41

발행연도: 2019.1

수록면: 1 - 6 (6page)

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immunoOBJECTIVES: Blastocystis hominis is a very common large intestinal protozoan with global prevalence in humans and non-human hosts. No precise statistics exist regarding the geographical distribution of Blastocystis that would enable the identification of high-risk communities. Therefore, the current research aimed to characterize the spatial patterns and demographic factors associated with B. hominis occurrence in northern Iran. METHODS: The current study was performed among 4,788 individuals referred to health centers in Mazandaran Province, from whom stool samples were obtained. Socio-demographic data were gathered using a questionnaire. Samples were examined by a direct wet mount, the formalin-ethyl acetate concentration technique, and trichrome staining. Moran local indicators of spatial association and a geographically weighted regression model were utilized to analyze the results. RESULTS: Generally, the infection rate of Blastocystis parasites was 5.2%, and was considerably higher in the age group of 10-14 years (10.6%) than in other age groups (p=0.005). Our data showed important associations between the occurrence of B. hominis and age, residence, job, contact with domestic animals, anti-parasitic drug consumption, and elevation above sea level (p<0.001). CONCLUSIONS: The current study characterized for the first time the infection rate and risk of B. hominis in the north of Iran, and produced a prediction map. It is expected that this map will help policymakers to plan and implement preventive measures in high-risk areas and to manage already-infected patients.

#Blastocystis hominis #Geographical information system #Epidemiology #Iran

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