Table of Contents Author Guidelines Submit a Manuscript
Journal of Tropical Medicine
Volume 2019, Article ID 7658594, 10 pages
https://doi.org/10.1155/2019/7658594
Research Article

Prevalence, Intensity of Soil-Transmitted Helminths, and Factors Associated with Infection: Importance in Control Program with Ivermectin and Albendazole in Eastern Côte d’Ivoire

1Université Félix Houphouët Boigny, 01 BP V 34, Abidjan 01, Côte d’Ivoire
2Programme National de Lutte contre les Maladies Tropicales Négligées à Chimiothérapie Préventive, 06 BP 6394, Abidjan 06, Côte d’Ivoire
3Centre Suisse de Recherche Scientifique, 01 BP 1303, Abidjan, Côte d’Ivoire
4Université Nangui Abrogoua, 02 BP 801, Abidjan 02, Côte d’Ivoire

Correspondence should be addressed to Agodio Loukouri; rf.oohay@oidogakl

Received 15 October 2018; Revised 5 February 2019; Accepted 17 February 2019; Published 24 March 2019

Academic Editor: Gerd Pluschke

Copyright © 2019 Agodio Loukouri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Evaluation of soil-transmitted helminths (STHs) and implementation of additional interventions are required in the region of a filariasis control program, given that antifilariasis drugs also have a beneficial effect on STHs. Thus, this study determines the extensive epidemiology of STHs to improve their successful control. Stool samples were analyzed using the Kato-Katz method. Chi-squared and Kruskal-Wallis tests were used to measure differences in infection rates and intensities, respectively, and logistic regression identified the risks of infection. The main intestinal helminths (A. lumbricoides, hookworm [N. americanus], S. mansoni, and T. trichiura) were found in the population. The overall prevalence of STHs was 19.5%. The prevalence of hookworm, the predominant species, ranged from 2% (n=6) to 28% (n=97). The overall prevalence of the other intestinal helminths was less than 6% (n=18). Intensity of hookworm was mostly light with a range from 1.6% (n=5) to 25.9% (n=90). However, the intensity of the species was significantly greater in Soribadougou compared to the other localities. Heavy infection was found in old children and adults but not in young children. Open defecation (OR=3.23, p≤0.05), dog/cat raising (OR=1.94, p≤0.05), farming (OR=14.10, p≤0.05), and irrigated culture (OR=3.23, p≤0.05) were positively associated with hookworm. It was observed that the participants missed the follow-up examinations due to trip (32.7%) or misunderstanding (15%) and lack of information (11.8%) of the purpose of the survey. Thus, to sustain the control of STHs, the MDA program should target the entire community and add education about the use of toilets, best practices of farming, and dog/cat raising.