Perfil epidemiológico y parasitosis intestinales en tres comunidades atendidas por organización no gubernamental, Tegucigalpa, Honduras / Epidemiologic profile and intestinal parasitism in three communities served by non-governmental organization, Tegucigalpa, Honduras

Antecedentes: Alternativas y Oportunidades (AyO), Organización No Gubernamental (ONG) sin fines de lucro ha ofrecido programas educativos durante 32 años en mercados capitalinos y comunidades de escasos recursos de Tegucigalpa y Comayagüela. Objetivos: Determinar las características epidemiológicas y la frecuencia de parásitos intestinales de la población en tres sitios beneficiarios de AyO. Participantes y Métodos: Estudio descriptivo transversal de mayo a octubre 2019. Previo consentimiento/ asentimiento informados, se obtuvo datos sociodemográficos y epidemiológicos por encuesta en voluntarios de 0-49 años que proveyeron una muestra fresca de heces, examinada en el laboratorio por métodos directo, Kato-Katz, Baermann, coloración ácido resistente modificada y prueba inmunoantigénica ELISA. Resultados: Se encontró que en total 147 participantes era pobre, tenía trabajo informal mal remunerado, casas de adobe, madera, bloque o ladrillo; 92.5% (136) tenía letrina o inodoro, 97.2% (142) quemaba la basura o era recogida por camiones y 72.6% (106) compraba agua. La frecuencia de parásitos intestinales fue 3.4% (5) infección por helmintos, 62.5% (92) infecciones por protozoos comensales y dos especies patógenas: Giardia duodenalis 15.0% (22) y Cyclospora cayetanensis 2.0% (3). Blastocystis spp. 52.3% (77) y protozoos comensales Endolimax nana 36.7% (54), Entamoeba coli 32.6% (48) y Entamoeba hartmanni 23.2% (34), fueron los más frecuentes; 6.1% (9), tenía quistes de Entamoeba histolytica/E. dispar. La prueba inmunoenzimática de ELISA detectó 16.1% (19/118) infecciones por Giardia y ninguna infección por Cryptosporidium. Discusión: Promoción en higiene (WASH) y uso de filtros para agua de consumo es información importante que AyO debe promover al educar comunidades en salud...(AU)

O exame parasitológico de fezes frente a campanhas de desparasitação em massa ­ novos desafios e alternativas / The parasitological stool examination in front of mass deworming campaigns - new challenges and alternatives

Com a ampliação e a frequência das campanhas de desparasitação contra os geo-helmintos Ascaris lumbricoides, Trichuris trichiura, ancilostomídeos e Strongyloides stercoralis, ocorreu, como esperado, a redução da prevalência e da morbidade associada a estas parasitoses. Entretanto, alterações no perfil parasitológico das populações com redução dos helmintos e aumento significativo das protozooses intestinais se tornaram evidentes em todo o mundo. Além disso, a redução de carga parasitária tem dificultado o diagnóstico de rotina por meio de técnicas microscópicas de baixa sensibilidade. Neste artigo trazemos atualizações sobre algumas técnicas diagnósticas, como a Técnica de Sedimentação Espontânea em Tubo (SSTT), FLOTAC/Mini-FLOTAC e a otimização do método de Kato-Katz, além de alternativas viáveis para aumentar a sensibilidade dos métodos e tornar o diagnóstico das parasitoses intestinais mais preciso.

With the expansion and increased frequency of deworming against soil-transmitted helminths Ascaris lumbricoides, Trichuris trichiura, hookworms and Strongyloides stercoralis, there was, as expected, a reduction in the prevalence and morbidity associated with these diseases. However, changes in the parasitological profile of populations, with a reduction in helminths and a significant increase in intestinal protozoa, became evident worldwide. In addition, the reduction in the parasitic burden has made routine diagnosis difficult through low-sensitivity microscopic techniques. In this article we bring updates on diagnostic techniques, such as spontaneous sedimentation technique in tube (SSTT), FLOTAC/Mini-FLOTAC and optimization of Kato-Katz technique, as well as viable alternatives to increase the sensitivity of methods and make the diagnosis of intestinal parasites more accurate.

Socio-environmental and parasitological aspects of waste pickers in Minas Gerais, Brazil

The increase in the generation of Solid Urban Waste causes social, environmental problems and damages to the population's health. Professionals who work in the collection of recyclable waste are exposed to risks of contamination either by toxic elements or pathogenic organisms. The objective of the work was to estimate the types and prevalence of intestinal parasites inwaste pickers. A field research was carried out from December 2017 to April 2018 with the voluntary participation of 26 waste pickers belonging to three associations in the municipality of Conselheiro Lafaiete, Minas Gerais, Brazil (CAAE: nº 79937817.7.0000.8122). In addition to the application a socio-environmental questionnaire, each volunteer provided a stool sample for laboratory testing the parasitological examination. Of the 26 survey participants, four (15.4%) had a positive result and were infected by the parasites Giardia lamblia, Entamoebacoliand Iodamoeba butschlii. Among the main factors that can contribute to the infection these waste pickersare the ingestion of untreated water for consumption in addition to reduced access to Personal Protective Equipment(PPE) during waste management. One way to control the presence of parasites would be through health and environmental education actions, periodic parasitological examinations and permanent use of PPE.

Economic impact of gastrointestinal nematodes in Morada Nova sheep in Brazil / Impacto econômico de nematódeos gastrintestinais em ovinos Morada Nova no Brasil

Abstract This study evaluated the economic impact of gastrointestinal nematode (GIN) infection in Morada Nova lambs under different parasite chemical control conditions. For this, 246 lambs, in the rainy and dry season, were randomized into groups according to their anthelmintic treatment with levamisole: control (CT: no treatment); routine treatment (RT: treated every 42 days); and targeted selective treatment (TST: treated according to the average daily weight gain, DWG). From 63 days of age (D63) to D210, the lambs were weighed and monitored for GIN infection parameters. Spending on anthelmintics in the production system was 1.3% of the total economic result. The economic result per animal (R$ 5.00 = US$ 1.00) was higher in the RT group, amounting to US$ 6.60 in the rainy and US$ 5.69 in the dry season, due to higher DWG. Thus, RT presented economic results 14.4% and 10.9% higher than CT, and 7.2% and 1.9% higher than TST, in the rainy and dry season, respectively. However, fast development of resistance made RT unfeasible. Here, the economic impact of GIN infection on a national scale is discussed, demonstrating its importance and the impossibility of profitable and sustainable sheep production without adequate control.

Resumo Este estudo avaliou o impacto econômico da infecção por nematoides gastrintestinais (NGI), em cordeiros Morada Nova, sob diferentes condições de controle químico dos parasitas. Para isso, 246 cordeiros, na estação chuvosa e seca, foram randomizados em grupos de acordo com o tratamento com levamisol: controle (TC: sem tratamento); tratamento rotineiro (TR: tratado a cada 42 dias); e tratamento seletivo direcionado (TST: tratado de acordo com o ganho de peso médio diário, GMD). Dos 63 dias de idade (D63) ao D210, os cordeiros foram pesados ​​e monitorados quanto aos parâmetros de infecção por NGI. O gasto com anti-helmínticos no sistema produtivo foi de 1,3% do resultado econômico total. O resultado econômico por animal (R$ 5,00 = US$ 1,00) foi maior no grupo RT, totalizando US$ 6,60 na estação chuvosa e US$ 5,69 na seca, devido ao maior GMD. Assim, o RT apresentou resultados econômicos 14,4% e 10,9% superiores ao TC, e 7,2% e 1,9% superiores ao TST, no período chuvoso e seco, respectivamente. Entretanto o rápido desenvolvimento de resistência inviabiliza o TR. O impacto econômico da infecção por NGI em escala nacional são aqui discutidos, demonstrando sua importância e a impossibilidade de uma ovinocultura lucrativa e sustentável sem o controle adequado.

Larvoscopic study on Dictyocaulus sp. in the faeces of beef cattle in northeastern Brazil / Estudo larvoscópico de Dictyocaulus sp. em fezes de bovinos de corte do nordeste do Brasil

Abstract The lungworm Dictyocaulus viviparus has an important role in cattle health and productivity worldwide, since infections can lead to substantial economic losses. Despite its importance, few studies investigating the epidemiological aspects of infection by this parasite have been conducted. The aim of this study was to report the occurrence of lungworm infection in beef cattle herds reared in an area of livestock production in the northeastern region of Brazil. From September 2020 to August 2021, monthly fecal samples (n = 493) were collected from 46 beef cattle. Among all the animals assessed, lungworm larvae were detected in 8.7% (4/46). None of them presented any clinical sign suggestive of infection by lungworm parasites. Twenty larvae were retrieved, with the minimum number (n = 1) detected in October and December, and the maximum number (n = 13) in November. These presented a mean length of 363 μm (± 28.65 μm) and mean width of 19 μm (± 1.03 μm), and were morphologically similar to Dictyocaulus sp.. This study reports the occurrence of this parasite in this livestock production area. Lastly, local veterinarians need to be aware of inclusion of this parasite in the differential diagnosis of other respiratory infections in beef cattle.

Resumo O parasito pulmonar Dictyocaulus viviparus tem um papel importante na saúde e produtividade bovina em todo o mundo, uma vez que infecções podem levar a perdas econômicas. Além de sua importância, poucos estudos que investigam aspectos epidemiológicos das infecções por esse parasito têm sido realizados. Objetivou-se, nesta pesquisa, relatar a ocorrência de infecção por nematódeos pulmonares em rebanhos bovinos de corte, criados em uma importante área de produção pecuária, na região Nordeste do Brasil. De setembro de 2020 a agosto de 2021, foram coletadas, mensalmente, amostras fecais (n = 493) de 46 bovinos de corte. De todos os animais avaliados, larvas de nematódeos pulmonares foram detectadas em 8,7% (4/46). Os animais não apresentaram nenhum sinal clínico sugestivo de infecção por parasitos pulmonares. Vinte larvas foram recuperadas, com o número mínimo (n = 1) detectado em outubro e dezembro, e o número máximo (n = 13) em novembro. Apresentavam comprimento médio de 363 μm (± 28,65 μm), largura média de 19 μm (±1,03 μm) e eram morfologicamente semelhantes a Dictyocaulus sp.. Este estudo relata a ocorrência desse parasito nesta área. Logo, os veterinários locais devem estar atentos à inclusão desse parasito no diagnóstico diferencial de outras infecções respiratórias em bovinos de corte.

Dung avoidance behavior in Crioula Lanada lambs naturally infected with gastrointestinal nematodes in a rotational pasture system / Comportamento de afastamento do bolo fecal em cordeiros Crioula Lanada naturalmente infectados com nematoides gastrintestinais em sistema de pastoreio rotacionado

Abstract This study aimed to evaluate foraging distance (FD) from the dung, parasitological and physiological factors in 18 Crioula Lanada lambs naturally infected by nematodes with three infection levels (IL) in a Voisin Grazing System. In the pre-experimental phase animal feces collection, deworming, observer training, animal adaptation and dung demarcation were carried out; in the experimental phase, grazing distance, feces, pasture and blood sampling. An initial exploratory analysis was carried out (Kruskal-Wallis test). Fixed predictors were selected with a cumulative logit regression model; an ordinal logistic regression mixed model identified influencing factors of ordinal responses for (i) FD, (ii) infective larvae quantity (L3). Animals approached the dung when the radiation or temperature were more intense (P < 0.05). Paddock entry/exit, IgG and L3 influenced FD over time (P < 0.05). L3, in turn, was influenced by IL, FEC and corpuscular volume (CV). In the High IL group, FD varied between 60-100 cm. Greater L3 and FEC were found in the High and Low IL from the 4th week (P < 0.05). Naturally infected Crioula Lanada lambs increased the distance from the dung, which was not related to IL but to the dynamics of solar radiation and parasitological and immunological factors.

Resumo O objetivo deste estudo foi avaliar a distância de forrageamento do bolo fecal (DF), fatores parasitológicos e fisiológicos em 18 cordeiros Crioula Lanada, naturalmente infectados por nematoides com três níveis de infecção (NI) em sistema Pastoreio Racional Voisin (PRV). Na fase pré-experimental, houve coleta de fezes dos animais, vermifugação, treinamento de observadores, adaptação dos animais e demarcação do bolo fecal; na fase experimental, distância, fezes, pastagem e sangue. Um modelo de regressão "logit" cumulativa selecionou preditores fixos; um modelo misto de regressão logística ordinal identificou fatores influenciadores das respostas ordinais para (i) DF (ii) quantidade de larva infectante (L3). Os cordeiros se aproximaram do bolo fecal quando a radiação ou temperatura foram mais intensas (P < 0,05). A entrada e a saída dos piquetes, a ingestão de L3 e IgG influenciaram DF (P < 0,05). L3 foi influenciada por NI, OPG e volume corpuscular. O grupo NI Alta variou a distância entre 60-100 cm. Maior L3 e a FEC foram encontrados nos grupos NI Alta e Baixa a partir da 4ª semana (P < 0,05). Cordeiros Crioula Lanada, naturalmente infectados, aumentaram a DF, sem relação com nível, de infecção, mas com a dinâmica da radiação solar e dos fatores parasitológicos e imunológicos.

Anthelmintic efficacy of oxibendazole against gastrointestinal nematodes in swine / Eficácia anti-helmíntica do oxibendazol contra nematódeos gastrointestinais de suínos

Abstract In swine production, parasites, especially gastrointestinal helminths, generate considerable economic losses. Therefore, effective control measures, such as the use of the correct anthelmintics, are of paramount importance for maintaining profitability. The aim of the present study was to evaluate the efficacy of the anthelmintic oxibendazole, administered orally, in pigs (non-industrial) naturally infected with gastrointestinal nematodes. To that end, we selected 18 pigs naturally parasitized by gastrointestinal nematodes, as determined by examination of fecal samples (eggs per gram (EPG > 500) of feces), and divided them into two groups: treated (with a 10-day course of oxibendazole) and control (untreated). After the treatment period, the animals were euthanized. During necropsy, the helminths in the gastrointestinal tract were identified and quantified. The species identified were, in order of occurrence, Ascaris suum, Trichuris suis, Oesophagostomum dentatum, and Hyostrongylus rubidus. In Brazilian swine herds, traditional (non-industrial) production systems can favor the transmission of helminths. We found that treatment with oxibendazole was 100% effective against A. suum and H. rubidus, whereas it was 99.65% effective against O. dentatum and 99.20% effective against T. suis, significantly reducing helminth counts (P < 0.01 for all). We conclude that oxibendazole is effective in controlling the main helminths in swine.

Resumo A presença de parasitoses na suinocultura gera prejuízos econômicos relevantes. Dentre elas, destacam-se as helmintoses gastrintestinais. Sendo assim, medidas de controle efetivas, tais como o uso de anti-helmínticos corretos, são importantes para a lucratividade na criação de suínos. O presente estudo teve como objetivo avaliar a eficácia do oxibendazol, administrado pela via oral, em suínos (não industrial) naturalmente infectados por nematódeos gastrintestinais, na região de Franca/SP. Para isso, foram selecionados, por meio de exames coproparasitológicos (ovos por grama (OPG > 500) de fezes), 18 suínos naturalmente parasitados por nematódeos gastrintestinais, que foram divididos em dois grupos experimentais: grupo tratado (oxibendazol) e grupo controle. Após o tratamento, os animais foram submetidos à necropsia parasitológica, e os resultados das quantificações de helmintos presentes no trato gastrintestinais indicaram a presença das espécies Ascaris suum, Trichuris suis, Oesophagostomum dentatum e Hyostrongylus rubidus em ordem decrescente de ocorrência. Nos rebanhos suínos brasileiros, os sistemas de produção não tecnificadas podem favorecer a transmissão de helmintos. O tratamento com o oxibendazol obteve eficácia de 100% para as espécies A. suum e H. rubidus, de 99,65% para o O. dentatum e de 99,20% para o T. suis, reduzindo significativamente (P < 0,01) as contagens de helmintos, comprovando que o uso do oxibendazol é eficaz no controle dos principais helmintos de suínos.

Regla de predicción para determinar infestación canina por Echinococcus granulosus / Prediction rule to determine canine infestation by Echinococcus granulosus

Nuestro objetivo fue determinar un score que ayude a predecir la probabilidad de infestación canina por Echinococcus en una zona endémica en hidatidosis. Se realizó un estudio longitudinal en 3 anexos de la provincia de Concepción ubicado en los andes centrales de Perú. La infección canina por Echinococcus granulosus fue definido por la presencia de antígeno identificado en la muestra de heces. El modelo predictivo se obtuvo mediante un análisis de regresión logística basado en los parámetros sociodemográficos, esta regla fue internamente validada por remuestreo de tipo bootstrap. Resultados: De 152 canes que se sometieron al estudio de heces, 76 tuvieron infección por Echinococcus confirmada por antígeno reactivo. Se identificaron 4 factores ponderados dentro de la regla de predicción que, en suma, dieron el puntaje: El can que duerme fuera de casa (3 puntos), alimentar con vísceras crudas al can (3 puntos) y sacrificar al ganado dentro de la casa (2 puntos) y el can se alimenta con croquetas (-2 puntos). Se encontró que esta regla de predicción tuvo valor del área bajo la curva ROC 0,78; (IC 95%: 0,70 ­ 0,86). Estos parámetros de predicción con un puntaje ≥ 3 tenía una sensibilidad del 75% y especificidad del 65,8%, con un valor predictivo positivo del 85,3%. Esta regla ayudará al personal de la salud a identificar a los canes infestados por Echinococcus granulosus, para su intervención anti parasitaria y preventiva en sus dueños(AU)

Cystic hydatidosis is an endemic disease in Andean regions, our objective was to determine a score that helps to predict canine Echinococcus infestation in an endemic area with hydatidosis. A longitudinal study was carried out in 3 annexes of the province of Concepción located in the central Andes of Peru. Canine echinococcosis infection was defined by the presence of E. granulosus antigen identified in the stool sample. The predictive model was obtained through a logistic regression analysis based on the sociodemographic parameters, this rule was internally validated by bootstrap type resampling. Results: Of 152 dogs that underwent the stool study, 76 had an Echinococcus infection confirmed by reactive antigen. Four weighted factors were identified within the prediction rule that, in sum, gave the score: The dog that sleeps outside the home (3 points), feeding raw viscera to the dog (3 points), slaughtering the cattle inside the house (2 points) and the dog is fed with croquettes (-2 points). This prediction rule was found to have a value of the area under the ROC curve 0.78 (95% CI: 0.70 - 0.86). At a cutoff point of ≥ 3 points, the prediction rule was found to have a sensitivity of 75% and a specificity of 65.8%, with a positive predictive value of 85.3%. This rule will help health personnel to identify canes infested by Echinococcus granulosus, for their anti-parasitic and preventive intervention in their owners(AU)

Anisakidosis diagnosticada tras la expulsión de vermes en deposiciones: forma poco frecuente de diagnóstico en humanos / Anisakidosis diagnosed after expulsion of worms in stools: a rare form of diagnosis in humans

Resumen La anisakidosis es una zoonosis parasitaria accidental y cosmopolita de los seres humanos, siendo su hospedero definitivo los mamíferos marinos como lobos de mar, focas y delfines, entre otros. El ser humano se infecta por el consumo en estado larvario del nemátodo de la familia Anisakidae presentes en pescados y mariscos crudos como la merluza o el congrio. Los helmintos se ubican preferentemente en el tubo digestivo alto, observándose la regurgitación del parásito a la boca o evidenciándose durante la realización de una endoscopía digestiva alta. En forma infrecuente las larvas pueden migrar al peritoneo o seguir su paso por el intestino delgado y colon, siendo inhabitual la expulsión por las deposiciones. Presentamos el caso de una expulsión dos larvas L3 de la familia Anisakidae en deposiciones.

Abstract Anisakidosis is an accidental and cosmopolitan parasitic zoonosis of human beings, its definitive host being marine mammals such as sea lions, seals and dolphins, among others. Humans are infested by consumption in the larval stage of the nematode of Anisakis present in raw fish and shellfish such as hake or conger eel. The infestation is preferably located in the upper digestive tract, observing the regurgitation of the parasite to the mouth or becoming evident during an upper gastrointestinal endoscopy. In rare cases, the larvae can migrate to the peritoneum or continue their passage through the small intestine and colon, with expulsion in stools being unusual. We present a case of expulsion of two larvae of the Anisakidae family in feces.

Brote familiar por el nematodo Trichostrongylus colubriformis en una zona rural de la provincia de Valdivia: una zoonosis de rara ocurrencia / Family outbreak caused by the nematode Trichostrongylus colubriformis in a rural area of the province of Valdivia: a rare occurrence zoonoses

Resumen La trichostrongylosis es una zoonosis de rara ocurrencia causada por nematodos intestinales, favorecida por el consumo de vegetales crudos o agua contaminada con larvas infectantes de Trichostrongylus spp. En 2015, se registró un brote familiar transmitido por alimentos en una zona rural de Valdivia, afectando a una mujer de 51 años de edad y su pareja e hija de 56 y 12 años; respectivamente. Solo la mujer adulta, el caso índice, presentó síntomas como diarrea, dolor abdominal, astenia y náuseas. Los pacientes eliminaron huevos de Trichostrongylidae gen. sp. en sus deposiciones, identificándose en dos de ellos, adultos de Trichostrongylus colubriformis. Tuvieron una buena respuesta a albendazol. En Chile, se han registrado prevalencias de infección de 0,1 a 3,5%, incluyendo un total de 93 casos diagnosticados entre las provincias de Concepción y Llanquihue.

Abstract Trichostrongylosis is a rare occurrence zoonosis caused by intestinal nematodes, favored by the consumption of raw vegetables or water contaminated with infective larvae of Trichostrongylus spp. In 2015, a family outbreak of foodborne disease was registered in a rural zone of Valdivia, affecting to 51-year-old woman and her 56-year-old partner and her 12-year-old daughter. Only the adult woman, the index case, presented symptoms such as diarrhea, abdominal pain, asthenia, and nausea. The patients revealed Trichostrongylidae gen. sp. eggs in their stools, identifying Trichostrongylus colubriformis adults in two of them. They had a good response to treatment with albendazol. In Chile, 0.1 to 3.5% prevalence of infection has been reported, including a total of 93 cases recorded between the provinces of Concepción and Llanquihue.

Dolor abdominal crónico en un niño con Blastocystis hominis: a propósito de un caso / Chronic abdominal pain in a child with Blastocystis hominis: case report

RESUMEN El Blastocystis sp. es un parásito frecuente en el humano, identificado por el laboratorio en muestras de heces fecales. Se presentó el caso de un paciente de 5 años atendido en consulta de Gastroenterología en el Hospital Pediátrico Docente Provincial Eliseo Noel Caamaño, de Matanzas, por presentar dolor abdominal, heces pastosas, náuseas y vómitos desde hacía un año. Llevó tratamiento con ranitidina, omeprazol y domperidona, sin mejoría clínica. Se realizó estudio coproparasitológico en muestras de heces fecales seriadas, con la presencia del Blastocystis hominis. Se indicó tratamiento con metronidazol, sin mejoría clínica, y posteriormente se indicó como alternativa la nitazoxanida. Se evaluó a los 15 días, sin sintomatología y con negativización de las heces fecales seriadas. Resulta frecuente el desconocimiento y la poca importancia que los profesionales sanitarios muestran ante esta infestación, aunque cada vez más se confirma la participación del parásito en manifestaciones clínicas (AU).

ABSTRACT Blastocystis sp. is a frequent parasite in humans, identified in the laboratory in samples of fecal feces. The case of a 5-year-old patient is presented; he assisted the consultation of Gastroenterology in the Provincial Teaching Pediatric Hospital Eliseo Noel Caamaño in Matanzas, suffering abdominal pain, mash feces, nauseas and vomits for one year, and was treated with ranitidine, omeprazole and domperidone without clinical improvement. A coproparasitological study was carried out in serial fecal feces samples with the presence of Blastocystis hominis. Treatment with metronidazole was indicated without clinical improvement and them, as an alternative, nitazoxanide was indicated. He was evaluated at 15 days without symptoms and with negative serial fecal feces. The ignorance and the little importance that health professionals show towards this infestation are frequent, although more and more frequently it is confirmed the participation of the parasite in clinical manifestations (AU).

Parasites in road-killed wild felines from North of Paraná state, Brazil / Parasitas em felinos selvagens mortos em estradas do norte do estado do Paraná, Brasil

Abstract This study aimed to identify the intestinal parasites of road-killed wild felines in the North Central and North, Paraná state, southern Brazil. The animals were monitored by sampling previously established transects. The places where the felines were run over were mapped, the animals were identified, and the gastrointestinal tract was evaluated. The feces were submitted to coproparasitological techniques of spontaneous sedimentation, floating in hypersaturated NaCl solution and centrifugal floating in zinc sulfate. All the parasitic structures detected were photomicrographed. In the coproparasitological analyses were identified oocysts of Cystoisospora spp., eggs of Ancylostomatidae, and Capillaria spp.; eggs of Aelurostrongylus spp., Toxocara spp., Physaloptera spp., Taenia spp., and Spirometra spp.; Aelurostrongylus abstrusus larvae; and eggs and adults of Ancylostoma cati and Taenia spp. One of the cats was parasitized by a flea of Ctenocephalides felis felis. Based on these results, the animals analyzed in this study supplied important samples for the evaluation of parasitic diversity of North of Paraná and suggested that this region may have conditions that allow the maintenance of these parasites life cycles in the environment and among wildlife.

Resumo O objetivo deste trabalho foi identificar os parasitas intestinais de felinos silvestres mortos em estradas nas regiões Norte Central e Norte, Paraná, sul do Brasil. Os animais foram monitorados por amostragem de transectos previamente estabelecidos. Os locais de atropelamento foram mapeados, os animais foram identificados e enviados para autópsias, durante as quais amostras de fezes foram coletadas e submetidas a técnicas coproparasitológicas de sedimentação espontânea, flutuação em solução hipersaturada de NaCl e flutuação por centrífugação em sulfato de zinco e fotografadas, quando estruturas parasitárias estavam presentes. Nas análises coproparasitológicas, foram identificados oocistos de Cystoisospora spp., ovos de Ancylostomatidae e Capillaria spp, Aelurostrongylus spp., Toxocara spp., Physaloptera spp., Taenia spp. e Spirometra spp.; larvas de Aelurostrongylus abstrusus; e ovos e adultos de Ancylostoma cati e Taenia spp. Um dos felídeos estava parasitado por Ctenocephalides felis felis. Com base nesses resultados, os animais analisados neste estudo forneceram amostras importantes para a avaliação da diversidade parasitária do Norte do Paraná e sugeriram que esta região pode apresentar condições que possibilitem a manutenção dos ciclos de vida desses parasitas no ambiente e entre a vida silvestre.

Occurrence of gastrointestinal parasites in dogs and cats domiciliated in Santos, SP, Brazil / Ocorrência de parasitos gastrintestinais em cães e gatos domiciliados em Santos, SP, Brasil

Abstract Helminths and protozoa are major causes of diseases in domestic animals, and many can also cause infections in humans. Knowledge of intestinal parasitoses affecting domestic animals is important for the implementation of appropriate preventive measures. The objective of this study was to evaluate the occurrence of gastrointestinal parasites in fecal samples of dogs and cats attended at the Veterinary Hospital of the Metropolitan University of Santos, SP, Brazil. We also attempted to determine whether such infection was associated with sex, age, or the presence of diarrhea. We analyzed 100 fecal samples: 85 from dogs and 15 from cats. Among the dogs, 31.8% of the samples were positive, and to 40.0% among the cats. Infection was not associated with sex or age. However, among the dogs, parasitism showed a significant association with the presence of diarrhea (P = 0.013). The helminths Ancylostoma spp. and the protozoa Giardia duodenalis were the most frequent parasites in this research. Although they present unknown species and assemblages, they are parasites with a zoonotic potential of great importance in public health. Therefore, it is essential that pets are properly diagnosed and treated against gastrointestinal parasitic infection to prevent the spread of diseases.

Resumo As enfermidades causadas por helmintos e protozoários representam uma das principais causas de doenças em animais domésticos, e muitos desses parasitos podem causar infecções em seres humanos. O conhecimento das enteroparasitoses que acometem os animais domésticos é de suma importância para que medidas preventivas adequadas sejam implementadas. O objetivo do presente trabalho foi avaliar a frequência de ocorrência de parasitos gastrointestinais em amostras de fezes de cães e gatos atendidos no Hospital Veterinário da Universidade Metropolitana de Santos, bem como sua associação com o sexo, a idade e a presença de diarreia. Do total das amostras de cães analisadas, 31,8% estavam positivas, em relação aos gatos, e 40% apresentaram positividade. Não houve associação entre o sexo e a idade, porém, foi observada associação significativa entre a presença da parasitose e da diarreia (p=0,013) entre os cães. O helminto Ancylostoma spp. e o protozoário Giardia duodenalis foram os mais frequentes na pesquisa. Embora apresentem espécies e "assemblages" desconhecidas, são parasitos de potencial zoonóticos de grande importância em saúde pública. Assim, é essencial que os animais de companhia sejam corretamente diagnosticados e tratados contra infecções parasitárias gastrintestinais para evitar a propagação de doenças.

Occurrence of Gasterophilus spp. in weanling foals in southern Brazil

The occurrence of gastrointestinal myiasis caused by Gasterophilus spp. larvae (Diptera: Oestridae) in adult horses has been widely characterized, however data on natural infestation in young foals have been lacking. This observation may be related to the absence of conclusive diagnosis in these individuals, most likely due to logistical or financial constraints. Gastric ulceration is a problem and a significant cause of morbidity in foals, particularly during the weaning stage; therefore, gasterophilosis should be included in the differential diagnosis. The primary purpose of this study was to determine the prevalence of gasterophilosis in 4- to 6-month-old weanling foals. Seventy-one healthy weanling foals were enrolled in the study. Physical assessment blood sampling and was completed in all foals before the commencement of the experiment. Gastroscopy examinations were performed under sedation (Detomidine 0.01 - 0.02 mg/kg) with a flexible endoscope inserted through nasogastric via. The lumen of the stomach was examined in order to search for botflies' larvae. Following gastroscopy, foals were classified into 2 groups based on the presence of Gasterophilus spp. larvae in their stomachs: 1) Infected and 2) Not Infected. Infected foals received a single dose of commercial trichlorfon and albendazole equine oral gel and were stalled for 24 h. The passed feces were thoroughly examined, searching for elimination of larvae. A total of 64% of the foals (n = 45/71) harbored Gasterophilus spp. larvae in the stomach. Mild hyperemia in the gastric mucosa was observed in the attachment sites of the parasites. Physical assessment and hematological parameters' data were analyzed with Shapiro-Wilk normality test. Comparison between groups for clinical signs, hematological parameters and Gasterophilus spp. infection rates were evaluated using the Kruskal-Wallis test or Student's t-test. Statistical significance was set at P < 0.05. There were no statistically significant variations in physical and hematological parameters between foals that were affected and those that were not infected. The larvae found in the feces were subjected to morphological examination, which confirmed the diagnosis of Gasterophilus intestinalis. No systemic clinical indications compatible with Gasterophilus spp. infestation were seen, as described in previous studies of horses infected with the parasite. No botfly eggs were observed in the hair of evaluated foals. During gastroscopy, mild hyperemic lesions in the gastric mucosa were observed in the larvae fixation sites. Although no changes in clinical or hematological parameters were noted, the confirmation of parasite presence is a cause for concern due to horses' tolerance for low infestation levels and poor diagnosis. Additionally, the presence of this myiasis in foals may be a significant stressor during the weaning period and should be included in the differential diagnosis of recurring abdominal pain. Furthermore, infected foals might be a reservoir for the parasite and, contribute to the elimination and spread of the larvae in the environment. Thus, inclusion of young horses in deworming protocols targeted to botfly larvae is needed. This is the first report of Gasterophilus intestinalis myiasis in foals in Brazil. Further research is necessary to fully understand the epidemiology and prevalence of this condition in young horses in Brazil, based on the findings of this study.(AU)

Comparación de tres métodos de concentración de enteroparásitos en muestras fecales humanas / Comparison between three enteroparasite concentration methods in human stool samples

Objetivo. Comparar tres métodos de concentración de enteroparásitos en muestras fecales humanas. Métodos. Se diseñó un estudio transversal en el que se evaluaron 154 muestras fecales categorizadas en dos grupos: parasitados (n= 127) y no parasitados (n= 27). Las muestras fueron sometidas a tres métodos: parasitológico directo, sedimentación simple y Ritchie modificado, y a la observación microscópica en lugol y suero fisiológico a un aumento de 40X. Resultados. Se observó mayor frecuencia en la presencia de estructuras parasitarias por el método de Ritchie modificado (37 por ciento), seguido de la sedimentación simple (14,8 por ciento) en el grupo de no parasitados; mientras que en el grupo de parasitados, se observó mayor carga parasitaria obtenida por el método de Ritchie (3+ (15,8 por ciento) y 2+ (23,6 por ciento), que en la sedimentación simple (3+ (10,2 por ciento) y 2+ (22,8 por ciento). Las especies parasitarias con mayor frecuencia fueron Entamoeba coli (20,3 por ciento), Giardia lamblia (18,8 por ciento), Blastocystis hominis (15,9 por ciento) y Endomlimax nana (15,2 por ciento); además, se presentó 48,7 por ciento casos con poliparasitismo. El área bajo la curva (AUC) para los métodos de Ritchie modificado, sedimentación simple y parasitológico directo fue de 0,870; 0.648 y 0,796, respectivamente. El AUC del método de Ritchie modificado fue mayor en los varones (0,933) que en las mujeres (0.,92); así como en aquellos menores de 12 años (0,867), comparados con personas entre 12-37 años (0,833) y 18-39 años (0,800). Conclusiones. El método de Ritchie modificado presenta alto rendimiento diagnóstico y permite concentrar mayor cantidad de parásitos intestinales que el método de sedimentación simple. Además, presenta la ventaja de utilizar insumos de fácil acceso y baja toxicidad, lo que genera mayor posibilidad de implementación en los laboratorios de parasitología(AU)

Objective: Compare three enteroparasite concentration methods in human stool samples. Methods: A cross-sectional study was conducted of 154 stool samples divided into two groups: with parasites (n= 127) and without parasites (n= 27). The samples were subjected to three methods: direct parasitological examination, simple sedimentation and modified Ritchie's, and to microscopic observation in lugol and saline solution to a 40x increase. Results: In the non-parasite group the highest frequency in the presence of parasite structures was observed with the modified Ritchie's method (37 percent), followed by simple sedimentation (14.8 percent). In the parasite group a greater parasite load was obtained by Ritchie's method (3+ (15.8 percent) and 2+ (23.6 percent) than by simple sedimentation (3+ (10.2 percent) and 2+ (22.8 percent). The parasite species showing the highest frequency were Entamoeba coli (20.3 percent), Giardia lamblia (18.8 percent), Blastocystis hominis (15.9 percent) and Endomlimax nana (15.2 percent), whereas polyparasitism was found in 48.7 percent of the cases. The area under the curve (AUC) for the modified Ritchie's method, simple sedimentation technique and direct parasitological examination was 0.870, 0.648 and 0.796, respectively. In the modified Ritchie's method the AUC was greater in male (0.933) than in female subjects (0.92), as well as in subjects aged under 12 years (0.867) in comparison with people aged 12-37 years (0.833) and 18-39 years (0.800). Conclusions: The modified Ritchie's method has a high diagnostic yield and makes it possible to concentrate a larger number of intestinal parasites than the simple sedimentation method. Additionally, it has the advantage of using inputs of easy access and low toxicity, broadening the possibility of its implementation in parasitology laboratories(AU)

Prevalencia de parásitos intestinales en muestras de pacientes atendidos en el Hospital de Pediatría "Prof. Dr. Juan P. Garrahan", Argentina, 2018-2019 / Prevalence of intestinal parasites in samples of patients attending the Hospital de Pediatría "Prof. Dr. Juan P. Garrahan", Argentina, 2018-2019 / Prevalência de parasitas intestinais em amostras de pacientes atendidos no Hospital de Pediatría "Prof. Dr. Juan P. Garrahan", Argentina, 2018-2019

Resumen Se evaluaron retrospectivamente los resultados obtenidos de estudios parasitológicos en muestras de heces y escobillados anales remitidos al Laboratorio de Parasitología y Gastroenterología del Hospital de Pediatría "Prof. Dr. Juan P. Garrahan" de la Ciudad de Buenos Aires, Argentina. El objetivo del trabajo fue conocer la prevalencia de los parásitos intestinales observados en las muestras remitidas a este hospital y su distribución en rangos etarios. En el período comprendido entre mayo de 2018 y abril de 2019 se analizó un total de 4713 muestras pertenecientes a 3311 pacientes, que arrojó un resultado total de 29% de positivos (1371/4713). De los exámenes coproparasitológicos el 30% fueron positivos (1193/4025) y se hallaron huevos de Enterobius vermicularis en el 26% (178/688) de los escobillados anales. En las muestras seriadas de heces se obtuvo un 37% de positividad mientras que en muestras únicas un 21%. En la totalidad de muestras fecales, los enteroparásitos más prevalentes fueron Blastocystis spp. en un 14% (579/4025), Giardia duodenalis 11% (456/4025) y Dientamoeba fragilis 7% (291/4025). Los resultados demostraron diferencias significativas con mayor prevalencia de parásitos intestinales en pacientes en edad escolar comprendidos entre los 6 y 10 años, en relación a los de edad preescolar. En las muestras fecales analizadas se evidenció un predominio de parasitismo de protozoos sobre helmintos, por lo que se debería considerar reforzar el diagnóstico de laboratorio de esas especies mediante técnicas, como coloraciones, que posibiliten su hallazgo y confirmación.

Abstract The results obtained of the coproparasitological studies and anal swab submitted to the laboratory of the Parasitology Section of the Hospital de Pediatría "Prof. Dr. Juan P. Garrahan" of the Buenos Aires City, Argentina, were retrospectively evaluated The aim of this study was to determine the prevalence of intestinal parasites found on the submitted samples and to evaluate their frequency according to the age of the patients. Within the period between May 2018 and April 2019, a total of 4713 samples corresponding to 3311 patients were analyzed and intestinal parasites were present in 29% (1371/4713). In 30% of coproparasitological studies parasite estructures were found (1193/4025) and 26% of anal swab samples were positive for the presence of Enterobius vermicularis eggs (178/688). In serial fecal samples, 37% positive results were obtained, while in single samples, 21%. The most prevalent enteroparasites calculated from the total fecal samples were: Blastocystis spp. with 14% (579/4025), followed by Giardia duodenalis 11% (456/4025) and Dientamoeba fragilis 7% (291/4025). The incidence of intestinal parasites was higher in the group of patients between 6 and 10 years, and the existence of significant differences between proportions of parasitized patients in preschool and school infants, was observed. In the faecal samples analyzed, a greater prevalence of parasitism caused by protozoa than by helminths was evidenced, for which reason it should be considered, reinforcing the laboratory diagnosis using techniques such as stains that allow its finding and confirmation.

Resumo Os resultados obtidos de estudos parasitológicos em amostras fecais e esfregaços anais enviados ao Laboratório de Parasitologia e Gastroenterologia do Hospital de Pediatría "Prof. Dr. Juan P. Garrahan" da Cidade de Buenos Aires, Argentina, foram avaliados retrospectivamente. O objetivo do estudo foi avaliar a prevalência dos parasitas intestinais observados nas amostras enviadas a este hospital e sua distribuição por faixas etárias. Durante o período compreendido entre maio de 2018 a abril de 2019 foram analisadas 4713 amostras, correspondentes a 3311 pacientes, o que deu um resultado total de 29% de positivos (1371/4713). 30% dos exames coproparasitológicos foram positivos (1193/4025) e foram encontrados ovos de Enterobius vermicularis em 26% (178/688) dos esfregaços anais. Nas amostras seriadas fecais foram obtidos 37% de resultados positivos, enquanto que em amostras únicas, 21%. Os enteroparasitas mais prevalentes na totalidade das amostras fecais foram Blastocystis spp. em 14% (579/4025), Giardia duodenalis 11% (456/4025) e Dientamoeba fragilis 7% (291/4025). Os resultados demonstraram diferenças significativas com maior prevalência de parasitas intestinais em pacientes em idade escolar da faixa etária entre 6 e 10 anos, em relação aos da pré-escola. Nas amostras fecais analisadas, evidenciou-se um predomínio de parasitismo por protozoários por sobre helmintos, pelo qual deve ser considerado o reforço do diagnóstico laboratorial dessas espécies por meio de técnicas, como colorações que permitam a sua localização e confirmação.

Alta prevalência de Balantidium coli em crianças de uma Escola Municipal de Moreira Sales - Pr / High prevalence of balantidium coli in children of a Municipal School in Moreira Sales - Pr

As doenças causadas por parasitos intestinais estão entre os mais frequentes agravos do mundo, pois é um problema de saúde pública que atinge a maioria da população. O presente estudo teve como objetivo verificar a prevalência de parasitos em crianças de 4 a 6 anos de uma escola municipal de Moreira Sales, PR. A pesquisa foi composta por inquérito parasitológico e epidemiológico em crianças matriculadas em uma escola municipal em julho de 2017. O critério para inclusão no estudo foi: coletar a amostra de fezes, responder o questionário socioepidemiológico e ter o Termo de Consentimento Livre e Esclarecido (TCLE) assinado pelos pais e/ou responsáveis. Participaram do estudo 42 crianças com idades entre 4 e 6 anos, das quais 66,7% eram meninas. Dos participantes, dez crianças (23,8%) apresentaram infecção por Balantidium coli, sendo que destas, duas apresentaram infecção mista por Entamoeba coli. Foi observado que a maioria dos infectados possuíam animais de estimação (60%), roíam unhas (60%), consumiam hortaliças (80%) e todas as crianças brincavam na terra, sendo esses alguns fatores de risco para a infecção. Diante dos resultados apresentados, é possível perceber que existem vários fatores que podem estar associados à infecção por Balantidium coli, sendo os principais: falta de saneamento básico e os hábitos de higiene inadequado. Portanto, fatores importantes para se promover a conscientização e ação profilática da população, com o intuito de minimizar as parasitoses, principalmente nas crianças.

Diseases caused by intestinal parasites are among the most frequent ones in the world, since it is a public health issue affecting most of the population. The purpose of this study was to verify the prevalence of parasites in children aged 4 to 6 years at a school in the municipality of Moreira Sales, in the state of Paraná, Brazil. The study was comprised by the parasitological and epidemiological investigation in children enrolled in a school in the city in July 2017. The criteria for inclusion in the study was to collect the stool sample, answer the socio-epidemiological questionnaire and sign a Free and Clarified Consent Form. A total of 42 children took part in this study, with ages ranging between 4 and 6 years, of which 66.7% were female. From the participants, ten children (23.8%) presented infection by Balantidium coli, and among which, two of them presented mixed infection by Entamoeba coli. It was observed that most of the infected children had pets (60%), bit their nails (60%), consumed vegetables (80%) and all children played on dirt, which are some of the risk factors for infection. Considering the results, it is possible to observe that there are several factors that can be associated to infection by Balantidium coli, among which: basic sanitation and hygiene habits. Therefore, raising awareness and presenting prophylactic action to the population is essential in order to minimize intestinal parasitosis, especially in children.

Ocorrência de espécies do gênero Eimeria Schneider, 1875, em cordeiros confinados / Occurrence of Eimeria Schneider, 1875 species in feedlot lambs

Este trabalho descreve as espécies do gênero Eimeria Schneider, 1875, que ocorreram em um confinamento de cordeiros, bem como as dinâmicas da eliminação de oocistos no ambiente, a correlação com o ganho de peso médio diário (GMD) e as variáveis climáticas, durante nove semanas. Cento e quatro cordeiros de diversas raças e cruzas, com aproximadamente 60 dias de vida, foram confinados e submetidos a pesagens e avaliações clínicas e coprológicas periódicas. Amostras de fezes com mais de 500 oocistos de Eimeria por grama de fezes (OoPG) foram separadas para esporulação e identificação das espécies. Entre os oocistos avaliados, foram identificadas as espécies: E. parva, E. crandallis, E. ovinoidalis, E. weybridgensis, E. bakuensis, E. marsica, E. ahsata, E. granulosa, E. pallida e E. faurei. Eimeria crandallis foi a mais frequente, presente em 44 das 58 amostras avaliadas, enquanto E. parva foi a mais abundante nas contagens individuais. Nenhum dos animais apresentou quadro de eimeriose, e coeficientes negativos foram encontrados nas correlações OoPG vs. GMD (-0,075) e OoPG vs. pluviosidade (-0,1164), enquanto para OoPG vs. temperatura foi encontrado coeficiente positivo (0,2914). Animais positivos para a eliminação de oocistos apresentaram infecção mista nas avaliações semanais, com até sete espécies parasitando um mesmo cordeiro.(AU)

This study describes the Eimeria Schneider, 1875 species that occurred in a lamb feedlot, as well as the dynamics of oocyst output in the environment and its correlation with daily weight gain (DWG) and climatic variables during nine weeks. One hundred and four lambs of various breeds and crossbreeds, at approximately 60 days old, were placed in a feedlot and submitted to periodic weighing and clinical and coprological evaluations. Fecal samples presenting more than 500 Eimeria spp. oocysts per gram (OPG) were separated for sporulation, and oocysts were identified at species level. Among evaluated oocysts, the following species were identified: E. parva, E. crandallis, E. ovinoidalis, E. weybridgensis, E. bakuensis, E. marsica, E. ahsata, E. granulosa, E. pallida and E. faurei. Eimeria crandallis was the most frequent one, being identified in 44 of the 58 evaluated samples, while E. parva was the more abundant in individual counts in most weeks. None of the animals presented clinical signs of eimeriosis and negative correlation coefficients were found for OPG vs DWG (-0.075) and OPG vs rainfall, as for OPG vs temperature this coefficient was positive. Animals shedding oocysts presented mixed infection, with up to seven species parasitizing the same lamb.(AU)

Diagnóstico de especies de Giardia por comparación de dos pruebas inmunoabsorbentes ligadas a enzimas / Diagnosis of Giardia Species by Comparison of Two Enzyme-Linked Immuno-Sorbent Tests

Background: There was some trade produced enzyme-immuno-sorbent assays tests to diagnose antigens of Giardia spin stool specimens, like Rida Quick Giardia and Serazym ELISA Giardia® tests. In this study, we evaluated the performance of two commercially available EIA kits for detecting Giardia antigens. Methods: A total of 96 stool specimens were collected from patients who attended for different Primary Health Care centers in Al-Qurna sector / Basrah Health Directorate, Ministry of Health/ Environment, Basrah, Iraq at period from 2nd of March 2018 to 28th of September 2018. All specimens were examined by conventional methods of microscopic examination, and by both enzyme-immuno-sorbent assays tests. Results: Serazym ELISA Giardia® had a sensitivity of 90.1%, a specificity of 100%, and an accuracy of 91.7%. The Rida Quick Giardia® showed a sensitivity of 79%, a specificity of 100%, and an accuracy of 82.3%. Serazym ELISA Giardia® showed 10% discrepancy better than Rida Quick Giardia® which showed 8%, this was of a statistically significant difference (P<0.05). Conclusion: Antigen detection by EIA has been established as a valuable tool to make parasite stool diagnostics more effective. Serazym ELISA Giardia® is more reliable than Rida Quick Giardia

Helminth eggs with zoonotic potential in the vicinity of public schools in southern Brazil / Ovos de helmintos com potencial zoonótico nas proximidades de escolas públicas no extremo sul do Brasil

Abstract The aim of this study was to evaluate environmental contamination by helminth eggs with zoonotic potential that were found in dog feces in the vicinity of elementary schools. Seventy-nine samples of dog feces were collected from 28 municipal schools located in five neighborhoods in Pelotas, Rio Grande do Sul (RS), Brazil. The samples were processed using the Willis-Mollay technique and analyzed using an optical microscope (40X), to identify any parasite eggs present. All neighborhoods were positive and 74.7% of the samples exhibited one or more helminth genera. The agent with the highest prevalence was Ancylostoma spp. (93.2%), followed by Trichuris spp. (18.6%), Toxocara spp. (11.9%) and Toxascaris (1.7%). These data show that there is a need for greater care towards controlling these helminths with zoonotic potential, including responsible pet ownership and daily activities to clean and collect dog feces in the vicinity of schools, because these are places where children play and study.

Resumo O objetivo deste estudo foi avaliar a contaminação ambiental por ovos de helmintos com potencial zoonótico, diagnosticados em fezes caninas depositadas nas proximidades de escolas primárias. Setenta e nove amostras de fezes foram colhidas em 28 escolas municipais localizadas em cinco bairros da cidade de Pelotas, Rio Grande do Sul (RS), Brasil. As amostras foram processadas pela técnica de Willis-Mollay e analisadas em microscópio óptico (40X), para identificar quaisquer parasitos presentes. Todos os bairros foram positivos e 74,7% das amostras apresentaram um ou mais gêneros de helmintos. O agente com maior prevalência foi Ancylostoma spp. (93,2%), seguido por Trichuris spp. (18,6%), Toxocara spp. (11,9%) e Toxascaris (1,7%). Esses dados mostram que há necessidade de maior cuidado no controle desses helmintos com potencial zoonótico, incluindo a posse responsável dos animais e atividades diárias de limpeza e colheita de fezes de cães nas proximidades das escolas, porque esses são locais onde as crianças brincam e estudam.