2026-05-03T09:13:18Z
https://meral.edu.mm/oai
oai:meral.edu.mm:recid/3146
2021-12-13T06:41:26Z
1582963366982:1596631680078
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Prevalence and associated risk factors of Strongyloides stercoralis infection in Lower Myanmar
Myo Pa Pa Thet Hnin Htwe Aung
Akina Hino
Khine Mar Oo
Kyu Kyu Win
Haruhiko Maruyama
Wah Win Htike
Eiji Nagayasu
<p>Abstract<br>
Background: Strongyloidiasis is prevalent in Southeast Asian regions along with other soil-transmitted helminthiases,<br>
but only limited present-day data was available for Myanmar.<br>
Methods: A prevalence survey for Strongyloides stercoralis infection was conducted among villagers in rural areas of<br>
three townships located in the Lower Myanmar during 2014–2016 by agar plate culture method in combination with<br>
specific identification by molecular assays. Risk factors associated with S. stercoralis infection were assessed by analyzing<br>
questionnaires obtained from study participants.<br>
Results: Strongyloides stercoralis was identified in 40 out of 703 participants (5.7% overall prevalence). The highest<br>
prevalence (14.4%) was observed in Htantabin, while other two communities (Thabaung and Thanlyin) had much<br>
lower prevalence (2.2 and 2.5%, respectively). Infection was relatively rare (1.2%) in younger generations under 20<br>
years compared to older generations (9.5%). Even in Htantabin, none of the female residents under age 40 (n = 33) had<br>
infection. In adult Htantabin residents, those who answered that they do not wear shoes regularly had an elevated risk<br>
of infection (odds ratio = 2.50, 95% confidence interval = 1.03–6.08).<br>
Conclusions: This study showed that there is still an on-going transmission of strongyloidiasis in Lower Myanmar. It is<br>
highly desirable that the soil should be free of fecal contamination by improving the management of fecal<br>
waste. Meanwhile, health education to promote shoe-wearing would be beneficial to reduce the risk of transmission,<br>
especially for those who have frequent and intense contact with soil.<br>
Keywords: Strongyloides stercoralis, Prevalence, Myanmar, Agar plate culture, Molecular assays</p>
2018-10-08
http://hdl.handle.net/20.500.12678/0000003146
https://meral.edu.mm/records/3146