Molecular characterization of intestinal protozoan parasites from children facing diarrheal disease and associated risk factors in Yamoussoukro, Côte d’Ivoire

Abstract

Diarrheal diseases are very common in children under 5 years and may lead to a delay of physical and mental development. Despite this knowledge, data on diarrheal diseases and socioeconomic determinants are still scarce in Côte d’Ivoire. This study is then conducted with the objective to fill part of this gap and specifically assess link between infant diarrhea occurrence and some major socioenvironmental factors. Stool samples were collected from children less than five suffering from diarrhea at Yamoussoukro Regional Hospital in central Côte d’Ivoire. Molecular species specific diagnosis was used to detect Cryptosporidium parvum, Giardia intestinalis and Entamoeba histolytica, three major protozoan parasites which cause diarrhea. Out of 306 stool samples examined, 62.75% were detected as positive at least for one of the protozoan parasite studied. Species specific prevalence was 36.93% for C. parvum, 20.92% for G. intestinalis and 22.55% for E. histolytica. Infection was more prevalent in children whose mothers were not educated although the difference was not statistically significant. No link was found between gender and infection while sanitation infrastructures, mother and children ages and water sources were found significantly associated with diarrhea occurrence. Awareness is then needed for women on lack of hygiene rules that could lead to diarrheal diseases burden.

Key words: Diarrheal diseases, children development, parasitic protozoan, molecular characterization, socioenvironmental factors.