title: Concurrent urinary and intestinal schistosomiasis and intestinal helminthic infections in schoolchildren in Ilobu, South-western Nigeria.
abstract: A cross-sectional study was conducted in a schistosome-endemic rural community in Southwestern Nigeria. We assessed prevalence and intensity of soil-transmitted nematodes and the co-occurrence with Schistosoma haematobium and Schistosoma mansoni. Urine and stool samples from 419 schoolchildren were examined, and a questionnaire was administered to obtain socio-demographic characteristics. In total, 78.3% (328/419) were infected with at least one helminth species, with a prevalence (mean egg-count) of 55.1% (3069.2) of Ascaris lumbricoides, 41.1% (127.5) of S. haematobium, 22.7% (98.6) of hookworms, 17.9% (161.3) of Trichuris trichiura, and 10.3% (12.9) of S. mansoni. Multiple infections were significantly more common among children from households with more playmates, absence of toilet facilities and low income level (all p<0.001). Children with heavy hookworm burden were at a significantly higher chance of acquiring S. mansoni (OR=36.35; 95% Cl: 13.22-100.97; p<0.0001). The risk of S. mansoni and A. lumbricoides infections was increased in co-infections with S. haematobium. Logistic regression analysis revealed infections by hookworms and S. mansoni (adjusted odds ratio [aOR]=3.90, 95% Cl: 2.03-7.46; p<0.0001), and by hookworms and T. trichiura (aOR=2.46, 95% Cl: 1.44-4.22; p=0.001) as significant risk factors for multiple infections. Our study shows that polyparasitism is common in the study area. Focused interventions such as mass treatment with anthelminthics and health education are needed to improve the well-being of the affected population.
authors.affiliation: Department of Zoology, University of Ilorin, Ilorin, Nigeria. usugbomoiko@unilorin.edu.ng
authors.forename: U S
authors.initials: US
authors.lastname: Ugbomoiko
authors.forename: V
authors.initials: V
authors.lastname: Dalumo
authors.forename: Y K
authors.initials: YK
authors.lastname: Danladi
authors.forename: J
authors.initials: J
authors.lastname: Heukelbach
authors.forename: I E
authors.initials: IE
authors.lastname: Ofoezie
mesh_terms: D000293:Adolescent; D000818:Animals; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006373:Helminthiasis / Q000150:complications* / Q000453:epidemiology*; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications* / Q000453:epidemiology*; D007411:Intestinal Diseases, Parasitic; D008297:Male; D009348:Nematoda / Q000302:isolation & purification; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D012548:Schistosoma haematobium / Q000302:isolation & purification; D012550:Schistosoma mansoni / Q000302:isolation & purification; D012553:Schistosomiasis haematobia / Q000150:complications* / Q000453:epidemiology*; D012555:Schistosomiasis mansoni / Q000150:complications* / Q000453:epidemiology*; D012574:Schools; D013334:Students; D011795:Surveys and Questionnaires