title: An outbreak of gastroenteritis associated with intestinal parasites.
abstract: Intestinal protozoa are one of the leading causes of waterborne outbreaks. Stool samples of 196 residents from a village of Izmir, using the public water supply, were collected during an outbreak of gastroenteritis. Patients were asked to fill out a questionnaire reporting on gender, age, gastrointestinal symptoms, whether or not there was a toilet in the house, their hygiene practices, and similar symptoms in the household members. Of the patients who had gastrointestinal symptoms (74.5%), diarrhea was observed in 69.5% whereas bloody and mucoid stools were observed in 20.4 %. The stool samples were examined for intestinal parasites by wet mount and trichrome stain and were also cultured in the Robinson medium. Pathogenic parasites were detected in 11 samples (5.6%) as follows: Giardia intestinalis in 7, Hymenolepis nana in 1 and Blastocystis hominis in 4. Entamoeba histolytica/dispar was not detected by direct wet mount in any of 8 patients who had E. histolytica/E. dispar in culture whereas it was detected in the trichrome stained slides of 3 patients. Amoeba prevalence in the 15-44 age-group was significantly high when compared with the 0-14 age group. The prevalence of pathogenic parasites was high among the people who had a toilet outdoors. Drinking water was thought to be a principal source of this outbreak.
authors.affiliation: Dokuz Eylul University, School of Medicine, Department of Parasitology, Turkey. smtuncay@gmail.com
authors.forename: Sema
authors.initials: S
authors.lastname: Tuncay
authors.forename: Songül
authors.initials: S
authors.lastname: Delibaş
authors.forename: Tonay
authors.initials: T
authors.lastname: Inceboz
authors.forename: Leyla
authors.initials: L
authors.lastname: Over
authors.forename: Ahmet Murat
authors.initials: AM
authors.lastname: Oral
authors.forename: Ciler
authors.initials: C
authors.lastname: Akisü
authors.forename: Umit
authors.initials: U
authors.lastname: Aksoy
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology* / Q000469:parasitology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007411:Intestinal Diseases, Parasitic / Q000453:epidemiology* / Q000469:parasitology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D017678:Sex Distribution; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult