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Parasitic infections of the gut in children
Kapula Chifunda1, Paul Kelly1,2
1a Tropical Gastroenterology and Nutrition group , University of Zambia School of Medicine , Lusaka , Zambia.
Insights
Gut parasitic infections significantly impact child health, causing developmental issues and mortality. New prevention and treatment strategies are crucial for protozoal and helminthic infections like cryptosporidiosis, giardiasis, and schistosomiasis.
Area of Science:
- Pediatric Health
- Infectious Diseases
- Global Health
Background:
- Gut parasitic infections pose significant threats to child health globally.
- Protozoal infections (cryptosporidiosis, giardiasis) and helminthic infections contribute to childhood morbidity and mortality.
- Neglected parasitic diseases like hepatosplenic schistosomiasis and neurocysticercosis cause lifelong health problems.
Purpose of the Study:
- To review the current understanding of gut parasitic infections in children.
- To highlight the diverse health implications of various parasitic infections.
- To emphasize the need for novel approaches in prevention and treatment.
Main Methods:
- Literature review of studies on pediatric parasitic gut infections.
- Synthesis of data on the impact of protozoa and helminths on child development and mortality.
- Analysis of the public health burden of neglected parasitic diseases.
Main Results:
- Protozoal infections cause diarrhea, impaired growth, neurocognitive deficits, and mortality.
- Helminth infections are often asymptomatic but heavy burdens benefit from treatment; mass deworming is not universally effective.
- Hepatosplenic schistosomiasis and neurocysticercosis represent major, preventable causes of chronic childhood illness.
Conclusions:
- Gut parasitic infections are a major, multifaceted contributor to poor child health outcomes.
- Targeted interventions are needed for specific parasitic infections, rather than broad approaches.
- Innovative strategies for prevention and treatment are essential to mitigate the impact of these diseases.
Abstract:
Parasitic infections of the gut have major implications for child health, but many questions remain unanswered. Protozoal parasites, especially cryptosporidiosis and giardiasis, cause diarrhoea and contribute to impaired growth, neurocognitive development and mortality. Entamoeba histolytica causes dysentery and may have more subtle effects on child growth. Helminth infections are mostly asymptomatic, and untargeted mass deworming has not been shown to be beneficial. However, children with heavy infections certainly benefit from antihelminthic treatment. Hepatosplenic schistosomiasis is a neglected problem on a massive scale, which causes portal hypertension and lifelong morbidity in individuals who get infected in childhood. Neurocysticercosis causes epilepsy and is a significant consequence of taeniasis solium, another neglected disease which is entirely preventable. Parasitic infections of the gut contribute to child health problems on a large scale. Fresh approaches are needed to prevention and treatment.
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