Cecilia Mbae|D. James Nokes|Erastus Mulinge|Joyce Nyambura|Anthony Waruru|Samuel Kariuki
Intestinal parasitic infections in children presenting with diarrhoea in outpatient and inpatient settings in an informal settlement of Nairobi, Kenya
Kenya Medical Research Institute|Kenya Medical Research Institute
distribution factors associated intestinal parasitic infections poorly defined high risk vulnerable populations urban slums tropical subsaharan africa cross sectional study children aged 5 years presented diarrhoea recruited selected outpatient clinics mukuru informal settlement mbagathi district hospital nairobi period two years 20102011 stool samples examined presence parasites using direct formalether concentration method modified ziehl neelsen staining technique overall 5412112 256 positive least one intestinal parasite common parasites entamoeba histolytica 225 367cryptosporidium spp 187 305 giardia lamblia 98 16the prevalence intestinal parasites infection higher among children outpatient clinics 4321577274 among admitted hospital 109535 201 p 0001 infections e histolytica g lamblia higher among outpatients inpatients 138 vs 13 p 0001 58 vs 13 p 0049 respectively infection cryptosporidium spp higher among inpatients outpatients 153 vs 67 respectively p 0001 parasites isolated among outpatients included isospora belli 19 12 ascaris lumbricoides 26 16 hymenolepis nana 12 08 remainder detected less ten samples hivinfected participants likely infected parasite uninfected participants adjusted odds ratio aor 204 95 ci 155267 p 0001 cryptosporidium spp aor 296 95 ci 207421 p 0001the inpatients less likely infected e histolytica outpatients aor 011 95 ci 051 024 p 0001 likely inpatients infected cryptosporidium spp outpatients aor 191 95 ci 133273 p 0001 mixed parasitic infections seen 65 120 541 infected stool samples intestinal parasitic infections common urban informal settlements environment routine examinations stool samples treatment could benefit hiv infected uninfected children outpatient inpatient settings