Intestinal parasites in stool testing among refugees at a primary care clinic in Toronto, Canada

2022-03-13 | journal article; research paper. A publication with affiliation to the University of Göttingen.

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​Intestinal parasites in stool testing among refugees at a primary care clinic in Toronto, Canada​
Müller, F. ; Chandra, S.; Bogoch, I. I.; Rashid, M. & Redditt, V.​ (2022) 
BMC Infectious Diseases22(1) art. 249​.​ DOI: https://doi.org/10.1186/s12879-022-07226-4 

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Authors
Müller, Frank ; Chandra, Shivani; Bogoch, Isaac I.; Rashid, Meb; Redditt, Vanessa
Abstract
Abstract Background Enteric parasites are endemic in many of the countries from which refugees originate. Clinical guidelines vary in approaches to screening for and treating intestinal parasites in refugee receiving countries. This study aims to investigate the prevalence and species of intestinal parasites identified in stool ova and parasite (O&P) specimens in a sample of newly arrived refugees in Toronto, Canada. Methods We conducted a retrospective chart review of 1042 refugee patients rostered at a specialized primary care clinic in Toronto from December 2011 to September 2016. Patients who completed recommended stool O&P analyses were included. Basic sociodemographic and clinical variables and results of stool O&P were examined. Results 419 patients (40.2%) had a stool O&P positive for any protozoan or helminth species. Sixty-nine patients (6.6%) had clinically significant parasite species (excluding B hominis, D fragilis, and E dispar, given their lower risk for causing symptoms/complications): 2.3% had clinically significant protozoans and 4.2% had helminths on stool analysis. Conclusion Given the relatively low prevalence of clinically significant parasites identified, our findings do not support universal screening for enteric parasites with stool O&P among refugee claimants/asylum seekers. However, stool analysis should be considered in certain clinical situations, as part of a more tailored approach.
Issue Date
13-March-2022
Journal
BMC Infectious Diseases 
Organization
Institut für Allgemeinmedizin 
ISSN
1471-2334
Language
English
Sponsor
Open-Access-Publikationsfonds 2022

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