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Updated: May 30, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Intestinal parasitic infections among children in central Albania
Insights
Intestinal parasitic infections (IPI) affect 19% of Albanian children, with protozoa more common than soil-transmitted helminths (STH). STH infections were linked to diarrhea and abdominal pain in children from Tirana.
Area of Science:
- Medical Parasitology
- Public Health
- Pediatrics
Background:
- Intestinal parasitic infections (IPI) are a significant global health concern, particularly in children.
- Limited data exists on the prevalence and characteristics of IPI among children in Albania.
- Understanding IPI in Albanian children is crucial for developing targeted public health interventions.
Purpose of the Study:
- To determine the prevalence of intestinal parasitic infections in children in Albania.
- To identify the types of parasites causing infections in this population.
- To explore potential risk factors and clinical associations of IPI in Albanian children.
Main Methods:
- A cross-sectional study was conducted in 2008 involving 321 children from Tirana and Elbasan counties.
- Data on personal and clinical information was collected using a pre-tested questionnaire.
- Stool samples were examined microscopically using formalin-ether concentration and permanent stains for parasite ova, cysts, and oocysts.
Main Results:
- The overall prevalence of IPI was 19%, with protozoan infections (11.5%) more frequent than soil-transmitted helminths (STH; 8.1%).
- Giardia duodenalis was the most common parasite (10.9%), followed by hookworm (5.6%).
- STH infections were significantly more prevalent in Tirana children (12.5%) compared to Elbasan (4.1%) and were associated with increased risk of diarrhea, abdominal pain, and diminished appetite.
Conclusions:
- Intestinal parasitic infections are prevalent in Albanian children, with protozoa being the predominant type.
- Soil-transmitted helminth infections show geographical variation within Albania and are associated with significant gastrointestinal symptoms.
- Further research and public health strategies are needed to address the burden of IPI in this population.
Abstract:
Although intestinal parasitic infections (IPI) among children remain a global issue, the current information on such infections in Albanian children is very limited. A cross-sectional study of the IPI in 321 children living in the Albanian counties of Tirana (152) and Elbasan (169) was therefore conducted in 2008, with a pre-tested standard questionnaire employed to gather the relevant personal and clinical data. Using formalin-ether concentration and permanent stains, stool samples were examined microscopically for the ova, cysts and oocysts of any parasites. The overall prevalence of IPI was 19% (61 of 321), with protozoan infections (11·5%) apparently more common than infections with soil-transmitted helminths (STH; 8·1%). Giardia duodenalis was the parasite most frequently detected (10·9%), followed by hookworm (5·6%), Ascaris lumbricoides (1·9%), Trichuris trichiura (0·6%), Cryptosporidium (0·3%) and Entamoeba histolytica/dispar (0·3%). The results of a univariate analysis indicated that the children from Tirana county were significantly more likely to be found infected with STH compared with the children from Elbasan county (12·5% v. 4·1%; P=0·006). Children sampled in the community were also more likely to be found STH-positive than the children sampled as they attended hospitals and health clinics (10·5% v. 6·0%) but this difference did not reach statistical significance. The children found STH-positive were five times more likely to be suffering from diarrhoea than the other children checked in clinical settings (P=0·004) and were also more likely to be suffering from abdominal pain (P=0·054) and/or diminished appetite (P=0·016).
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