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A single presumptive deworming may not suffice to reduce the burden of intestinal parasitic infections during pregnancy in rural Amhara, Ethiopia
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A single presumptive deworming may not suffice to reduce the burden of intestinal parasitic infections during pregnancy in rural Amhara, Ethiopia
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Journal Article
A single presumptive deworming may not suffice to reduce the burden of intestinal parasitic infections during pregnancy in rural Amhara, Ethiopia
2025
Overview
Objective
This study aimed to assess the prevalence of intestinal parasitic infections among pregnant women in the third trimester who received prior presumptive deworming in 12 health centers in the Amhara region, Ethiopia. This sub-study was part of the parent Enhancing Nutrition and Antenatal Infection Treatment (ENAT) study; a randomized clinical effectiveness study conducted to determine the effectiveness of packages of antenatal interventions to enhance maternal nutrition and infection management on birth outcomes.
Results
Three hundred fifty women provided a stool sample in their 3rd trimester for screening using wet mount microscopy. All women had previously received 500 mg of presumptive mebendazole in the 2nd trimester. One in three women (109/350, 31.0%) were found to have a parasitic stool infection after prior deworming and 15% of women reported gastrointestinal symptoms. The most common infections were
Giardia lamblia (n =
43, 37.4%),
Entamoeba histolytica (n =
40, 34.8%), and
Hookworm (n =
25, 21.7%). Six mothers had co-infections with at least two parasites with trophozoites of
Giardia lamblia
and
Entamoeba histolytica
co-infection being dominant.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Adult
/ Anthelmintics - therapeutic use
/ Biomedical and Life Sciences
/ Ethiopia
/ Female
/ Giardia lamblia - isolation & purification
/ Humans
/ Intestinal Diseases, Parasitic - drug therapy
/ Intestinal Diseases, Parasitic - epidemiology
/ Intestinal Diseases, Parasitic - parasitology
/ Intestinal Diseases, Parasitic - prevention & control
/ Mebendazole - therapeutic use
/ Pregnancy Complications, Parasitic - drug therapy
/ Pregnancy Complications, Parasitic - epidemiology
/ Pregnancy Complications, Parasitic - parasitology
/ Pregnancy Complications, Parasitic - prevention & control
/ Protozoa
