Prevalence and identification of Cryptosporidium species in paediatric patients with diarrhoea
U M Sirisena1, W M D R Iddawela, F Noordeen
1Department of Parasitology Faculty of Medicine, University of Peradeniya, Sri Lanka. devikaiddawela@yahoo.com.
Insights
Cryptosporidium infection affects 5.7% of children with diarrhoea in Sri Lanka, particularly those under three years old. Boiling water is recommended to prevent transmission of this common cause of childhood watery diarrhoea.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Paediatrics
Background:
- Cryptosporidium is a significant cause of diarrhoeal disease globally.
- Understanding its prevalence and risk factors in specific populations is crucial for public health interventions.
Purpose of the Study:
- To determine the prevalence of Cryptosporidium infection in children presenting with diarrhoea in Sri Lanka.
- To identify associated risk factors and species of Cryptosporidium using molecular methods.
Main Methods:
- Faecal samples were collected from 138 children with diarrhoea and 100 healthy controls.
- Samples were screened for Cryptosporidium oocysts using Modified Ziehl-Neelsen (MZN) staining and Polymerase Chain Reaction (PCR).
Main Results:
- The prevalence of Cryptosporidium infection was 5.7% among children with diarrhoea.
- Infection was predominantly observed in children under 3 years of age, often associated with watery diarrhoea and history of animal contact.
- Cryptosporidium parvum was identified in one positive case.
Conclusions:
- Cryptosporidium is an important aetiological agent of childhood watery diarrhoea in Sri Lanka.
- Routine stool examination for oocysts and boiling water are recommended preventive measures.
- Further molecular studies are needed to identify other Cryptosporidium species prevalent in the region.
Objectives:
To determine the prevalence of Cryptosporidium infection in children with diarrhoea, identify associated factors and identify the parasite using Polymerase Chain Reaction (PCR).
Methods:
A total of 138 diarrhoeic faecal samples were collected between August 2011 and February 2013, from children under 12 years of age, admitted to paediatric units of Teaching Hospitals, Kandy and Peradeniya, Sirimawo Bandaranayake Childrens' Hospital, Peradeniya and District General Hospital, Matale. One hundred faecal samples collected from healthy children were used as controls. All control and test samples were screened for the presence of Cryptosporidium oocysts with Modified Ziehl-Neelsen (MZN) method and PCR.
Results:
Prevalence of Cryptosporidium infection among children with diarrhoea was 5.7%. All the cases positive for Cryptosporidium were below 3 years of age. The majority (7 out of 8) of the positive cases had watery diarrhoea while none of the healthy children excreted Cryptosporidium oocysts in the faeces. Of the 8 positive cases, 6 had a history of animal contact. A large proportion of positive cases used pipe borne municipal water. The majority (66.6%) of positive cases did not consume boiled cooled water. We were able to identify C. parvum from one of the eight cases that had diarrhoea.
Conclusions:
The current study shows that Cryptosporidium is one of the aetiological agents responsible for childhood watery diarrhoea in Sri Lanka, thus stressing the importance of routine stool examination for Cryptosporidium oocysts. This study recommends boiling water as an important measure to prevent the transmission of Cryptosporidium oocysts. Further molecular studies are needed to determine the other species of Cryptosporidium responsible for cryptosporidiosis in children in Sri Lanka.
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