{"created":"2020-08-30T20:02:17.042590+00:00","id":3146,"links":{},"metadata":{"_buckets":{"deposit":"079f1be4-b08a-401b-bcc8-09391b759833"},"_deposit":{"id":"3146","owners":[],"pid":{"revision_id":0,"type":"recid","value":"3146"},"status":"published"},"_oai":{"id":"oai:meral.edu.mm:recid/3146","sets":["1582963366982:1596631680078"]},"communities":["um1"],"item_1583103067471":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_1551255647225":"Prevalence and associated risk factors of Strongyloides stercoralis infection in Lower Myanmar","subitem_1551255648112":""}]},"item_1583103085720":{"attribute_name":"Description","attribute_value_mlt":[{"interim":"
Abstract
\nBackground: Strongyloidiasis is prevalent in Southeast Asian regions along with other soil-transmitted helminthiases,
\nbut only limited present-day data was available for Myanmar.
\nMethods: A prevalence survey for Strongyloides stercoralis infection was conducted among villagers in rural areas of
\nthree townships located in the Lower Myanmar during 2014–2016 by agar plate culture method in combination with
\nspecific identification by molecular assays. Risk factors associated with S. stercoralis infection were assessed by analyzing
\nquestionnaires obtained from study participants.
\nResults: Strongyloides stercoralis was identified in 40 out of 703 participants (5.7% overall prevalence). The highest
\nprevalence (14.4%) was observed in Htantabin, while other two communities (Thabaung and Thanlyin) had much
\nlower prevalence (2.2 and 2.5%, respectively). Infection was relatively rare (1.2%) in younger generations under 20
\nyears compared to older generations (9.5%). Even in Htantabin, none of the female residents under age 40 (n = 33) had
\ninfection. In adult Htantabin residents, those who answered that they do not wear shoes regularly had an elevated risk
\nof infection (odds ratio = 2.50, 95% confidence interval = 1.03–6.08).
\nConclusions: This study showed that there is still an on-going transmission of strongyloidiasis in Lower Myanmar. It is
\nhighly desirable that the soil should be free of fecal contamination by improving the management of fecal
\nwaste. Meanwhile, health education to promote shoe-wearing would be beneficial to reduce the risk of transmission,
\nespecially for those who have frequent and intense contact with soil.
\nKeywords: Strongyloides stercoralis, Prevalence, Myanmar, Agar plate culture, Molecular assays