INTESTINAL PARASITES AND HELICOBACTER PYLORI CO-INFECTION AMONG SYMPTOMATIC CHILDREN IN DAMIETTA GOVERNORATE, EGYPT | ||||
Journal of the Egyptian Society of Parasitology | ||||
Article 3, Volume 55, Issue 2, August 2025, Page 161-168 PDF (280.47 K) | ||||
DOI: 10.21608/jesp.2025.447382 | ||||
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Authors | ||||
NOHA F. ZAHRAN ![]() | ||||
1Departments of Parasitology, Faculty of Medicine Al-Azhar University, Damietta, Egypt | ||||
2Departments of Parasitology, Faculty of Medicine Al-Azhar University. Cairo, Egypt | ||||
3Departments of Parasitology, Faculty of Medicine Al-Azhar University, Assuit, Egypt | ||||
4Department of Public Health and Community Medicine, Faculty of Medicine, Al-Azhar University, Assuit, Egypt | ||||
Abstract | ||||
Intestinal parasites and H. pylori co-infection has significant global public health impacts on children with high prevalence in developing countries. This study evaluated the intestinal para sites and H. pylori co-infections among symptomatic children in Damietta Governorate. A ques tionnaire including socio-demographic, environmental and behavioral variables, and gastrointes tinal manifestations was filled. Morning fecal samples were examined microscopically by direct wet mount smear, formol-ether sedimentation concentration and stained with modified Kin youn's Acid-Fast, and a rapid qualitative sandwich enzyme immunoassay to identify H. pylori antigen in fecal samples. Total parasitic prevalence was 31.9%. G. lamblia 20.6% followed by E. histolytica/dispar 16.8%, Blastocystis hominis. 11.4%. 34.1% of the children had H. pylori and 13.1% had intestinal parasites and H. pylori co-infection. H. pylori and G. lamblia co-inf- ections were the most common, followed by H. pylori and E. histolytica/dispar, and H. pylori and B. hominis. Children aged 13-18 years and practicing hand wash before and after meal had significantly 29% and 37% lower risk of having co-infection respectively. As well as, gastric re flux and vomiting had significantly related with co-infection by 58% and 43% respectively. Fi nally, abdominal distension was significantly related with co-infection by 72%. The results showed that the co-infection most commonly protozoa, induced strong Th1 cell polarization, synergize H. pylori, aggravates mucosal damage leading serious health consequences. Further studies are imperative to select proper therapy, introduce potent eradication strategies, and to ap praise underway control and preventive proceedings of co-infection. | ||||
Keywords | ||||
Children; Parasites; Helicobacter pylori; Co-infection; Damietta Governorate | ||||
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