Parasitism in Children Aged Three Years and Under: Relationship between Infection and Growth in Rural Coastal Kenya
Identifieur interne : 001A16 ( Main/Exploration ); précédent : 001A15; suivant : 001A17Parasitism in Children Aged Three Years and Under: Relationship between Infection and Growth in Rural Coastal Kenya
Auteurs : A. Desiree Labeaud [États-Unis] ; Monica Nayakwadi Singer [États-Unis] ; Maxim Mckibben [États-Unis] ; Peter Mungai [États-Unis] ; Eric M. Muchiri [Kenya] ; Elisabeth Mckibben [États-Unis] ; Ginny Gildengorin [États-Unis] ; Laura J. Sutherland [États-Unis] ; Charles H. King [États-Unis] ; Christopher L. King [États-Unis] ; Indu Malhotra [États-Unis]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2015.
Abstract
Parasitic infections, which are among the most common infections worldwide, disproportionately affect children; however, little is known about the impact of parasitic disease on growth in very early childhood. Our objective was to document the prevalence of parasitic infections and examine their association with growth during the first three years of life among children in coastal Kenya.
Children enrolled in a maternal-child cohort were tested for soil transmitted helminths (STHs:
Our results demonstrate an under-recognized burden of parasitism in the first three years of childhood in rural Kenya. Parasitic infection and polyparasitism were common, and were associated with a range of significant growth impairment in terms of weight, length and/or head circumference.
Url:
DOI: 10.1371/journal.pntd.0003721
PubMed: 25996157
PubMed Central: 4440755
Affiliations:
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Desiree" last="Labeaud">A. Desiree Labeaud</name><affiliation wicri:level="2"><nlm:aff id="aff001"><addr-line>Division of Pediatric Infectious Diseases, Stanford School of Medicine, Palo Alto, California, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Infectious Diseases, Stanford School of Medicine, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff002"><addr-line>Center for Immunobiology and Vaccine Development, UCSF Benioff Children’s Hospital Oakland, Children’s Hospital Oakland Research Institute, Oakland, California, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Immunobiology and Vaccine Development, UCSF Benioff Children’s Hospital Oakland, Children’s Hospital Oakland Research Institute, Oakland, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Nayakwadi Singer, Monica" sort="Nayakwadi Singer, Monica" uniqKey="Nayakwadi Singer M" first="Monica" last="Nayakwadi Singer">Monica Nayakwadi Singer</name><affiliation wicri:level="2"><nlm:aff id="aff002"><addr-line>Center for Immunobiology and Vaccine Development, UCSF Benioff Children’s Hospital Oakland, Children’s Hospital Oakland Research Institute, Oakland, California, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Immunobiology and Vaccine Development, UCSF Benioff Children’s Hospital Oakland, Children’s Hospital Oakland Research Institute, Oakland, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Mckibben, Maxim" sort="Mckibben, Maxim" uniqKey="Mckibben M" first="Maxim" last="Mckibben">Maxim Mckibben</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Mungai, Peter" sort="Mungai, Peter" uniqKey="Mungai P" first="Peter" last="Mungai">Peter Mungai</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Muchiri, Eric M" sort="Muchiri, Eric M" uniqKey="Muchiri E" first="Eric M." last="Muchiri">Eric M. Muchiri</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya</addr-line></nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Mckibben, Elisabeth" sort="Mckibben, Elisabeth" uniqKey="Mckibben E" first="Elisabeth" last="Mckibben">Elisabeth Mckibben</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Gildengorin, Ginny" sort="Gildengorin, Ginny" uniqKey="Gildengorin G" first="Ginny" last="Gildengorin">Ginny Gildengorin</name><affiliation wicri:level="2"><nlm:aff id="aff002"><addr-line>Center for Immunobiology and Vaccine Development, UCSF Benioff Children’s Hospital Oakland, Children’s Hospital Oakland Research Institute, Oakland, California, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Immunobiology and Vaccine Development, UCSF Benioff Children’s Hospital Oakland, Children’s Hospital Oakland Research Institute, Oakland, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Sutherland, Laura J" sort="Sutherland, Laura J" uniqKey="Sutherland L" first="Laura J." last="Sutherland">Laura J. Sutherland</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="King, Charles H" sort="King, Charles H" uniqKey="King C" first="Charles H." last="King">Charles H. King</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="King, Christopher L" sort="King, Christopher L" uniqKey="King C" first="Christopher L." last="King">Christopher L. King</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Malhotra, Indu" sort="Malhotra, Indu" uniqKey="Malhotra I" first="Indu" last="Malhotra">Indu Malhotra</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></analytic><series><title level="j">PLoS Neglected Tropical Diseases</title><idno type="ISSN">1935-2727</idno><idno type="eISSN">1935-2735</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Parasitic infections, which are among the most common infections worldwide, disproportionately affect children; however, little is known about the impact of parasitic disease on growth in very early childhood. Our objective was to document the prevalence of parasitic infections and examine their association with growth during the first three years of life among children in coastal Kenya.</p></sec><sec id="sec002"><title>Methodology/Principal Findings</title><p>Children enrolled in a maternal-child cohort were tested for soil transmitted helminths (STHs: <italic>Ascaris</italic>, <italic>Trichuris</italic>, hookworm, <italic>Strongyloides</italic>), protozoa (malaria, <italic>Entamoeba histolytica</italic> and <italic>Giardia lamblia</italic>), filaria, and <italic>Schistosoma</italic> infection every six months from birth until age three years. Anthropometrics were measured at each visit. We used generalized estimating equation (GEE) models to examine the relationship between parasitic infections experienced in the first three years of life and growth outcomes (weight, length and head circumference). Of 545 children, STHs were the most common infection with 106 infections (19%) by age three years. Malaria followed in period prevalence with 68 infections (12%) by three years of age. Filaria and <italic>Schistosoma</italic> infection occurred in 26 (4.8%) and 16 (2.9%) children, respectively. Seven percent were infected with multiple parasites by three years of age. Each infection type (when all STHs were combined) was documented by six months of age. Decreases in growth of weight, length and head circumference during the first 36 months of life were associated with hookworm, <italic>Ascaris</italic>, <italic>E</italic>. <italic>histolytica</italic>, malaria and <italic>Schistosoma</italic> infection. In a subset analysis of 180 children who followed up at every visit through 24 months, infection with any parasite was associated with decelerations in weight, length and head circumference growth velocity. Multiple infections were associated with greater impairment of linear growth.</p></sec><sec id="sec003"><title>Conclusions/Significance</title><p>Our results demonstrate an under-recognized burden of parasitism in the first three years of childhood in rural Kenya. Parasitic infection and polyparasitism were common, and were associated with a range of significant growth impairment in terms of weight, length and/or head circumference.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hall, A" uniqKey="Hall A">A Hall</name></author><author><name sortKey="Hewitt, G" uniqKey="Hewitt G">G Hewitt</name></author><author><name sortKey="Tuffrey, V" uniqKey="Tuffrey V">V Tuffrey</name></author><author><name sortKey="De Silva, N" uniqKey="De Silva N">N de Silva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stephenson, Ls" uniqKey="Stephenson L">LS Stephenson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brooker, S" uniqKey="Brooker S">S Brooker</name></author><author><name sortKey="Peshu, N" uniqKey="Peshu N">N Peshu</name></author><author><name sortKey="Warn, Pa" uniqKey="Warn P">PA Warn</name></author><author><name 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Gamboa</name></author><author><name sortKey="Navone, Gt" uniqKey="Navone G">GT Navone</name></author><author><name sortKey="Orden, Ab" uniqKey="Orden A">AB Orden</name></author><author><name sortKey="Torres, Mf" uniqKey="Torres M">MF Torres</name></author><author><name sortKey="Castro, Le" uniqKey="Castro L">LE Castro</name></author><author><name sortKey="Oyhenart, Ee" uniqKey="Oyhenart E">EE Oyhenart</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Stephenson, Ls" uniqKey="Stephenson L">LS Stephenson</name></author><author><name sortKey="Latham, Mc" uniqKey="Latham M">MC Latham</name></author><author><name sortKey="Ottesen, Ea" uniqKey="Ottesen E">EA Ottesen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Guerrant, Di" uniqKey="Guerrant D">DI Guerrant</name></author><author><name sortKey="Moore, Sr" uniqKey="Moore S">SR Moore</name></author><author><name sortKey="Lima, Aam" uniqKey="Lima A">AAM Lima</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rutkowski, Jm" uniqKey="Rutkowski J">JM Rutkowski</name></author><author><name sortKey="Markhus, Ce" uniqKey="Markhus C">CE Markhus</name></author><author><name sortKey="Gyenge, Cc" uniqKey="Gyenge C">CC Gyenge</name></author><author><name sortKey="Alitalo, K" uniqKey="Alitalo K">K Alitalo</name></author><author><name sortKey="Wiig, H" uniqKey="Wiig H">H Wiig</name></author><author><name sortKey="Swartz, Ma" uniqKey="Swartz M">MA Swartz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shetty, Prakash" uniqKey="Shetty P">Prakash Shetty</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gibson, Rs" uniqKey="Gibson R">RS Gibson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goodman, D" uniqKey="Goodman D">D Goodman</name></author><author><name sortKey="Haji, Hj" uniqKey="Haji H">HJ Haji</name></author><author><name sortKey="Bickle, Qd" uniqKey="Bickle Q">QD Bickle</name></author><author><name sortKey="Stoltzfus, Rj" uniqKey="Stoltzfus R">RJ Stoltzfus</name></author><author><name sortKey="Tielsch, Jm" uniqKey="Tielsch J">JM Tielsch</name></author><author><name sortKey="Ramsan, M" uniqKey="Ramsan M">M Ramsan</name></author><author><name sortKey="Savioli, L" uniqKey="Savioli L">L Savioli</name></author><author><name sortKey="Albonico, M" uniqKey="Albonico M">M Albonico</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tarafdar, Mr" uniqKey="Tarafdar M">MR Tarafdar</name></author><author><name sortKey="Carabin, H" uniqKey="Carabin H">H Carabin</name></author><author><name sortKey="Joseph, L" uniqKey="Joseph L">L Joseph</name></author><author><name sortKey="Balolong, E" uniqKey="Balolong E">E Balolong</name></author><author><name sortKey="Olveda, R" uniqKey="Olveda R">R Olveda</name></author><author><name sortKey="Mcgarvey, St" uniqKey="Mcgarvey S">ST McGarvey</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Kenya</li><li>États-Unis</li></country><region><li>Californie</li><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Labeaud, A Desiree" sort="Labeaud, A Desiree" uniqKey="Labeaud A" first="A. Desiree" last="Labeaud">A. Desiree Labeaud</name></region><name sortKey="Gildengorin, Ginny" sort="Gildengorin, Ginny" uniqKey="Gildengorin G" first="Ginny" last="Gildengorin">Ginny Gildengorin</name><name sortKey="King, Charles H" sort="King, Charles H" uniqKey="King C" first="Charles H." last="King">Charles H. King</name><name sortKey="King, Christopher L" sort="King, Christopher L" uniqKey="King C" first="Christopher L." last="King">Christopher L. King</name><name sortKey="Labeaud, A Desiree" sort="Labeaud, A Desiree" uniqKey="Labeaud A" first="A. Desiree" last="Labeaud">A. Desiree Labeaud</name><name sortKey="Malhotra, Indu" sort="Malhotra, Indu" uniqKey="Malhotra I" first="Indu" last="Malhotra">Indu Malhotra</name><name sortKey="Mckibben, Elisabeth" sort="Mckibben, Elisabeth" uniqKey="Mckibben E" first="Elisabeth" last="Mckibben">Elisabeth Mckibben</name><name sortKey="Mckibben, Maxim" sort="Mckibben, Maxim" uniqKey="Mckibben M" first="Maxim" last="Mckibben">Maxim Mckibben</name><name sortKey="Mungai, Peter" sort="Mungai, Peter" uniqKey="Mungai P" first="Peter" last="Mungai">Peter Mungai</name><name sortKey="Nayakwadi Singer, Monica" sort="Nayakwadi Singer, Monica" uniqKey="Nayakwadi Singer M" first="Monica" last="Nayakwadi Singer">Monica Nayakwadi Singer</name><name sortKey="Sutherland, Laura J" sort="Sutherland, Laura J" uniqKey="Sutherland L" first="Laura J." last="Sutherland">Laura J. Sutherland</name></country><country name="Kenya"><noRegion><name sortKey="Muchiri, Eric M" sort="Muchiri, Eric M" uniqKey="Muchiri E" first="Eric M." last="Muchiri">Eric M. Muchiri</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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