Enterobius vermicularis infection: Prevalence and risk factors among preschool children in kindergarten in the capital area, Republic of the Marshall Islands

Chia Kwung Fan, Ting Wu Chuang, Ying Chieh Huang, Ai Wen Yin, Chia Mei Chou, Yu Ting Hsu, Ramson Kios, Shao Lun Hsu, Ying Ting Wang, Mai Szu Wu, Jia Wei Lin, Kennar Briand, Chia Ying Tu

研究成果: 雜誌貢獻文章

摘要

Background: Enterobius vermicularis (pinworm) is one of the most common human parasitic helminths, and children are the most susceptible group. Some behavioral and environmental factors may facilitate pinworm infection. In the Republic of the Marshall Islands (RMI), the status of pinworm infections among children remains unknown. Methods: In Majuro City, there are 14 kindergartens with a total of 635 preschool children (PSC) whose age range of 5~6 years. The present investigation attempted to determine the pinworm prevalence and associated risk factors as well as investigate whether eggs contaminated the clothes of PSC or the ground and tables in classrooms of 14 kindergartens. Informed consent form and a self-administered questionnaire were given to parents prior to pinworm screening. Perianal specimens were collected by an adhesive scotch tape method, and clothing of belly and hip sites and the ground and tables of the classrooms were inspected using a cellophane tape method to detect any eggs contamination. Results: In total, 392 PSC (5.28 ± 0.56 yrs. old) participated in this project. The overall prevalence of pinworm infection was 22.4% (88/392). Boys (24.5%) had higher prevalence than girls (20.31%) (p = 0.32). PSC aged > 5 years (32.77%) showed a significantly higher prevalence than those aged ≤5 years (17.95%) (p = 0.01). A univariate analysis indicated that PSC who lived in urban areas (22.95%) had a higher prevalence than those who lived in rural areas (20.69%) (p = 0.69). The employment status of the parents showed no association with the pinworm infection rate (p > 0.05). A logistic regression analysis indicated that "having an older sister" produced a higher risk of acquiring pinworm infection for PSC compared to those who did not have an older sister (OR = 2.02; 95%CI = 1.05~3.88; p = 0.04). No significant association between various other risk factors and pinworm infection was found (p > 0.05). Also, no eggs contamination was found on the clothes of the belly and hip sites or on the ground and tables in the 14 kindergartens. Conclusions: Mass screening and treatment of infected PSC are important measures in pinworm control in the RMI.
原文英語
文章編號536
期刊BMC Infectious Diseases
19
發行號1
DOIs
出版狀態已發佈 - 六月 18 2019

指紋

Enterobiasis
Micronesia
Enterobius
Preschool Children
Economics
Clothing
Infection
Eggs
Hip
Siblings
Parents
Cellophane
Consent Forms
Mass Screening
Helminths
Adhesives

ASJC Scopus subject areas

  • Infectious Diseases

引用此文

Enterobius vermicularis infection : Prevalence and risk factors among preschool children in kindergarten in the capital area, Republic of the Marshall Islands. / Fan, Chia Kwung; Chuang, Ting Wu; Huang, Ying Chieh; Yin, Ai Wen; Chou, Chia Mei; Hsu, Yu Ting; Kios, Ramson; Hsu, Shao Lun; Wang, Ying Ting; Wu, Mai Szu; Lin, Jia Wei; Briand, Kennar; Tu, Chia Ying.

於: BMC Infectious Diseases, 卷 19, 編號 1, 536, 18.06.2019.

研究成果: 雜誌貢獻文章

Fan, Chia Kwung ; Chuang, Ting Wu ; Huang, Ying Chieh ; Yin, Ai Wen ; Chou, Chia Mei ; Hsu, Yu Ting ; Kios, Ramson ; Hsu, Shao Lun ; Wang, Ying Ting ; Wu, Mai Szu ; Lin, Jia Wei ; Briand, Kennar ; Tu, Chia Ying. / Enterobius vermicularis infection : Prevalence and risk factors among preschool children in kindergarten in the capital area, Republic of the Marshall Islands. 於: BMC Infectious Diseases. 2019 ; 卷 19, 編號 1.
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title = "Enterobius vermicularis infection: Prevalence and risk factors among preschool children in kindergarten in the capital area, Republic of the Marshall Islands",
abstract = "Background: Enterobius vermicularis (pinworm) is one of the most common human parasitic helminths, and children are the most susceptible group. Some behavioral and environmental factors may facilitate pinworm infection. In the Republic of the Marshall Islands (RMI), the status of pinworm infections among children remains unknown. Methods: In Majuro City, there are 14 kindergartens with a total of 635 preschool children (PSC) whose age range of 5~6 years. The present investigation attempted to determine the pinworm prevalence and associated risk factors as well as investigate whether eggs contaminated the clothes of PSC or the ground and tables in classrooms of 14 kindergartens. Informed consent form and a self-administered questionnaire were given to parents prior to pinworm screening. Perianal specimens were collected by an adhesive scotch tape method, and clothing of belly and hip sites and the ground and tables of the classrooms were inspected using a cellophane tape method to detect any eggs contamination. Results: In total, 392 PSC (5.28 ± 0.56 yrs. old) participated in this project. The overall prevalence of pinworm infection was 22.4{\%} (88/392). Boys (24.5{\%}) had higher prevalence than girls (20.31{\%}) (p = 0.32). PSC aged > 5 years (32.77{\%}) showed a significantly higher prevalence than those aged ≤5 years (17.95{\%}) (p = 0.01). A univariate analysis indicated that PSC who lived in urban areas (22.95{\%}) had a higher prevalence than those who lived in rural areas (20.69{\%}) (p = 0.69). The employment status of the parents showed no association with the pinworm infection rate (p > 0.05). A logistic regression analysis indicated that {"}having an older sister{"} produced a higher risk of acquiring pinworm infection for PSC compared to those who did not have an older sister (OR = 2.02; 95{\%}CI = 1.05~3.88; p = 0.04). No significant association between various other risk factors and pinworm infection was found (p > 0.05). Also, no eggs contamination was found on the clothes of the belly and hip sites or on the ground and tables in the 14 kindergartens. Conclusions: Mass screening and treatment of infected PSC are important measures in pinworm control in the RMI.",
keywords = "Enterobius vermicularis, Majuro City, Preschool children, Republic of Marshall Islands",
author = "Fan, {Chia Kwung} and Chuang, {Ting Wu} and Huang, {Ying Chieh} and Yin, {Ai Wen} and Chou, {Chia Mei} and Hsu, {Yu Ting} and Ramson Kios and Hsu, {Shao Lun} and Wang, {Ying Ting} and Wu, {Mai Szu} and Lin, {Jia Wei} and Kennar Briand and Tu, {Chia Ying}",
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doi = "10.1186/s12879-019-4159-0",
language = "English",
volume = "19",
journal = "BMC Infectious Diseases",
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T1 - Enterobius vermicularis infection

T2 - Prevalence and risk factors among preschool children in kindergarten in the capital area, Republic of the Marshall Islands

AU - Fan, Chia Kwung

AU - Chuang, Ting Wu

AU - Huang, Ying Chieh

AU - Yin, Ai Wen

AU - Chou, Chia Mei

AU - Hsu, Yu Ting

AU - Kios, Ramson

AU - Hsu, Shao Lun

AU - Wang, Ying Ting

AU - Wu, Mai Szu

AU - Lin, Jia Wei

AU - Briand, Kennar

AU - Tu, Chia Ying

PY - 2019/6/18

Y1 - 2019/6/18

N2 - Background: Enterobius vermicularis (pinworm) is one of the most common human parasitic helminths, and children are the most susceptible group. Some behavioral and environmental factors may facilitate pinworm infection. In the Republic of the Marshall Islands (RMI), the status of pinworm infections among children remains unknown. Methods: In Majuro City, there are 14 kindergartens with a total of 635 preschool children (PSC) whose age range of 5~6 years. The present investigation attempted to determine the pinworm prevalence and associated risk factors as well as investigate whether eggs contaminated the clothes of PSC or the ground and tables in classrooms of 14 kindergartens. Informed consent form and a self-administered questionnaire were given to parents prior to pinworm screening. Perianal specimens were collected by an adhesive scotch tape method, and clothing of belly and hip sites and the ground and tables of the classrooms were inspected using a cellophane tape method to detect any eggs contamination. Results: In total, 392 PSC (5.28 ± 0.56 yrs. old) participated in this project. The overall prevalence of pinworm infection was 22.4% (88/392). Boys (24.5%) had higher prevalence than girls (20.31%) (p = 0.32). PSC aged > 5 years (32.77%) showed a significantly higher prevalence than those aged ≤5 years (17.95%) (p = 0.01). A univariate analysis indicated that PSC who lived in urban areas (22.95%) had a higher prevalence than those who lived in rural areas (20.69%) (p = 0.69). The employment status of the parents showed no association with the pinworm infection rate (p > 0.05). A logistic regression analysis indicated that "having an older sister" produced a higher risk of acquiring pinworm infection for PSC compared to those who did not have an older sister (OR = 2.02; 95%CI = 1.05~3.88; p = 0.04). No significant association between various other risk factors and pinworm infection was found (p > 0.05). Also, no eggs contamination was found on the clothes of the belly and hip sites or on the ground and tables in the 14 kindergartens. Conclusions: Mass screening and treatment of infected PSC are important measures in pinworm control in the RMI.

AB - Background: Enterobius vermicularis (pinworm) is one of the most common human parasitic helminths, and children are the most susceptible group. Some behavioral and environmental factors may facilitate pinworm infection. In the Republic of the Marshall Islands (RMI), the status of pinworm infections among children remains unknown. Methods: In Majuro City, there are 14 kindergartens with a total of 635 preschool children (PSC) whose age range of 5~6 years. The present investigation attempted to determine the pinworm prevalence and associated risk factors as well as investigate whether eggs contaminated the clothes of PSC or the ground and tables in classrooms of 14 kindergartens. Informed consent form and a self-administered questionnaire were given to parents prior to pinworm screening. Perianal specimens were collected by an adhesive scotch tape method, and clothing of belly and hip sites and the ground and tables of the classrooms were inspected using a cellophane tape method to detect any eggs contamination. Results: In total, 392 PSC (5.28 ± 0.56 yrs. old) participated in this project. The overall prevalence of pinworm infection was 22.4% (88/392). Boys (24.5%) had higher prevalence than girls (20.31%) (p = 0.32). PSC aged > 5 years (32.77%) showed a significantly higher prevalence than those aged ≤5 years (17.95%) (p = 0.01). A univariate analysis indicated that PSC who lived in urban areas (22.95%) had a higher prevalence than those who lived in rural areas (20.69%) (p = 0.69). The employment status of the parents showed no association with the pinworm infection rate (p > 0.05). A logistic regression analysis indicated that "having an older sister" produced a higher risk of acquiring pinworm infection for PSC compared to those who did not have an older sister (OR = 2.02; 95%CI = 1.05~3.88; p = 0.04). No significant association between various other risk factors and pinworm infection was found (p > 0.05). Also, no eggs contamination was found on the clothes of the belly and hip sites or on the ground and tables in the 14 kindergartens. Conclusions: Mass screening and treatment of infected PSC are important measures in pinworm control in the RMI.

KW - Enterobius vermicularis

KW - Majuro City

KW - Preschool children

KW - Republic of Marshall Islands

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