Intestinal Parasitic Infections among Children and Young Adolescents Visiting Provincial Headquarter Hospital in Gilgit, Pakistan and their Associated Factors

Authors

  • Uzma Ali Provincial Headquarter Hospital, Gilgit Author
  • Sadaf Nasir Rawal Institute of Health Sciences, Islamabad Author
  • Adnan Qureshi Health Services Academy, Islamabad Author
  • Aqsa Aslam Rawal Institute of Health Sciences, Islamabad Author
  • Namra Yunus Fatima Memorial College of Medicine & Dentistry, Lahore Author
  • Zakia Wahid Fatima Memorial College of Medicine & Dentistry, Lahore Author

Keywords:

Parasitic infections, Ascariasis, Giardiasis

Abstract

Objective: To detect the frequency and species distribution of intestinal parasites among children and young adolescents visiting a provincial Headquarter Hospital in Gilgit, Pakistan and determine their association with socio-demographic and environmental factors

Methodology: This descriptive, cross-sectional study was done among patients visiting the Provincial Headquarter Hospital in Gilgit-Baltistan, Pakistan after ethical approval. The study duration was 6 months from August 2024 to January 2025. After taking informed consent, 227 children and young adolescents with ages ranging from 1 to 18 years were included using non-probability convenience sampling technique. Data was collected using a structured questionnaire including demographic factors, hygiene practices, healthcare access, and other relevant factors. Specimen bottles labeled with participant names and identification numbers were provided to parents and they were guided for stool sample collection. The collected specimens were processed in the Pathology Department of a healthcare facility for stool routine analysis. The data was analyzed using the Statistical Package for the Social Sciences (SPSS) version 25.

Results: Intestinal parasitic infections (IPIs) were present in 74(32.6%) children and young adolescents. Ascaris lumbricoides (46%) and Giardia lamblia (29.7%) were the most prevalent intestinal parasites. Access to clean drinking water and hygienic conditions had a significant relation with IPIs (p-value=0.001). No significant association was seen with other variables such as gender, age, education level, and family income.

Conclusion: Intestinal parasitic infections were prevalent in 32.6% children and young adolescents. Ascaris lumbricoides and Giardia lamblia were the most common parasites. There was a statistically significant influence of environmental factors, particularly access to clean drinking water and poor personal hygienic conditions, on the frequency of these infections.

References

1. Elmonir W, Elaadli H, Amer A, El-Sharkawy H, Bessat M, Mahmoud SF, et al. Prevalence of intestinal parasitic infections and their associated risk factors among preschool and school children in Egypt. PLoS One. 2021; 16(9):e0258037. doi:10.1371/journal.pone.0258037.

2. Hajare ST, Gobena RK, Chauhan NM, Erniso F. Prevalence of intestinal parasite infections and their associated factors among food handlers working in selected catering establishments from Bule Hora, Ethiopia. Biomed Res Int. 2021; 2021:6669742. doi:10.1155/2021/6669742.

3. Gebru H, Deyissia N, Medhin G, Kloos H. The association of sanitation and hygiene practices with intestinal parasitic infections among under-14 children in rural Dire Dawa, Eastern Ethiopia: a community based cross-sectional study. Environ Health Insights. 2023; 17:11786302231180801. doi:10.1177/11786302231180801.

4. Getie M, Belay G, Amare A, Abebe W, Deress T. Burden and factors influencing intestinal parasitic infections among food handlers in Gondar City, Northwest Ethiopia. Front Public Health. 2024; 12:1362086. doi:10.3389/fpubh.2024. 1362086.

5. Mussema A, Tafesse W, Temam L. Prevalence of intestinal parasite infection among prison inmates and their associated risk factors at Hosanna Town, South-Central Ethiopia: a cross-sectional study. J Parasitol R. 2024; 2024:1-8. doi:10.1155/2024/767774.

6. Bisetegn H, Debash H, Ebrahim H, Erkihun Y, Tilahun M, Feleke DG. Prevalence and determinant factors of intestinal parasitic infections and undernutrition among primary school children in North-Central Ethiopia: a school-based cross-sectional study. J Parasitol Res. 2023; 2023:2256910. doi:10.1155/2023/2256910.

7. Fauziah N, Aviani JK, Agrianfanny YN, Fatimah SN. Intestinal parasitic infection and nutritional status in children under five years old: a systematic review. Trop Med Infect Dis. 2022; 7(11):371. doi:10.3390/tropicalmed7110371.

8. Irum S, Ahsan A, Ahmed H, Khan A, Yayi G, Mehboob M, et al. A demographic survey on the prevalence of gastrointestinal parasites based on socioeconomic determinants in Pakistan. J Infect Dev Ctries. 2021; 15(11):1738-43. doi:10.3855/jidc.12032.

9. Birhanu AA, Yimer M, Debash H, Abate MA. Prevalence and associated factors of intestinal parasitic infections and undernutrition among elementary school children in Zenzelima town, Northwest Ethiopia: a school-based cross-sectional study. Health Sci Rep. 2025; 8(7):e70964. doi:10. 1002/hsr2.70964.

10. Shan F, Khan A, Khan H, Ali H, Khan MK, Rahat A. Detecting intestinal parasites in diarrheal cases among children in Dir Lower District. JHRR. 2024; 4(1):1281-5. doi:10.61919/jhrr.v4i1.537.

11. Ahmed M. Intestinal parasitic infections in 2023. Gastroenterology Res. 2023; 16(3):127-40. doi:10.14740/gr1622.

12. Abebaw A, Alemu G, Ayehu A. Prevalence of intestinal parasites and associated factors among children from child centres in Bahir Dar city, Northwest Ethiopia. Trop Doct. 2020; 50(3):194-8. doi:10.1177/0049475520920161.

13. Yeshitila YG, Zewde H, Mekene T, Manilal A, Lakew S, Teshome A. Prevalence and associated risk factors of intestinal parasites among school-children from two primary schools in Rama Town, Northern Ethiopia. Can J Infect Dis Med Microbiol. 2020; 2020(1):5750891. doi:10.1155/2020/5750891.

14. Girma A, Genet A. Magnitude and determinants of intestinal parasites among children under five in Ethiopia during 2010-2023: a systematic review and meta-analysis. Fetal Pediatr Pathol. 2024; 43(1), 47-65. doi:10.1080/15513815.2023.2284920.

15. Duguma T, Worku T, Sahile S, Asmelash D. Prevalence and associated risk factors of intestinal parasites among children under five years of age attended at Bachuma Primary Hospital, West Omo Zone, South-west Ethiopia: a cross-sectional study. J Trop Med. 2023; 2023:2268554. doi:10.1155/2023/2268554.

16. Sitotaw B, Shiferaw W. Prevalence of intestinal parasitic infections and associated risk factors among the first-cycle primary schoolchildren in Sasiga District, Southwest Ethiopia. J Parasitol Res. 2020; 2020:8681247. doi:10.1155/2020/8681247.

17. Scavuzzo CM, Campero MN, Oberto MG, Porcasi X, Periago MV. Intestinal parasites in children from native communities of Salta, Argentina. Colomb Med (Cali). 2024; 55(1):e2025948. doi:10.25100/cm.v55i1.5948.

18. Osman MM, Hussain SA, Omar MA, Isaack MM, Hanafi AMH, Ahmed MY, et al. Pattern of intestinal parasitic infections in children with malnutrition in Somalia. IJID Regions. 2024; 13: 100431. doi:10.1016/j.ijregi.2024. 100431.

19. Ulhaq Z, Khan W, Khan MF, Kabir M, Ujjan AA, Ullah W, et al. Prevalence of intestinal parasitic diseases in school children of rural areas of district Lower Dir, Pakistan. Braz J Biol. 2021; 82:e243150. doi:10.1590/ 1519-6984.243150.

20. Kantzanou M, Karalexi MA, Vrioni G, Tsakris A. Prevalence of intestinal parasitic infections among children in Europe over the last five years. Trop Med Infect Dis. 2021; 6(3):160. doi:10.3390/tropicalmed6030160.

21. Ulaganeethi R, Rajkumari N, Gururajan A, Gunalan A, Langbang D, Kumar G. Intestinal parasitic infections and its trends: a 5-year findings from a tertiary care centre, Puducherry, South India. J Parasit Dis. 2021; 45(2):400-5. doi:10.1007/s12639-020-01310-9.

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Published

2025-12-30

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Original Article

How to Cite

Intestinal Parasitic Infections among Children and Young Adolescents Visiting Provincial Headquarter Hospital in Gilgit, Pakistan and their Associated Factors. (2025). Journal of Sharif Medical & Dental College, 11(02), 73-78. https://ojs.jsmdc.pk/index.php/jsmdc/article/view/11

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