4.1 Article

SEROPREVALENCE OF HUMAN TOXOCARIASIS IN ANDEAN COMMUNITIES FROM THE NORTHEAST OF LIMA, PERU

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INST MEDICINA TROPICAL SAO PAULO
DOI: 10.1590/S0036-46652010000100005

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Seroprevalence; Toxocariasis; Andean communities; Risk factors; Peru

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The aim Of this Study was to assess the seroprevalence of human toxocariasis in three Andean communities from I lie Northeast of Lima, Peru. A total of 303 Subjects including children and adults were studied and blood samples were collected to detect anti-Toxocara antibodies by ELISA-IgG test and by hematological examination: stool samples were collected also for parasitological examination. The overall seroprevalence of toxocariasis observed in the total population was 20.46%. with a significant high proportion in children front one to 10 years old (p = 0.034). Among the subjects with positive serology, 32.26% of them had respiratory disturbances, 22.58% hepatomegaly, 17.74% Ocular signs or symptoms, 14.51% abdominal pain. 9.68% neurological involvement. and 4.84% cutaneous Signs, but none of these clinical features were associated to a positive serology by multivariate analysis, Furthermore, 79.03% of seropositive Subjects also harbored at least one intestinal parasite, which was associated to a positive serology (p <0.05). The presence of pets Within the houses, a previous history of pica or geophagia and the use of public places were also present in this in this population. but only the latter was associated to the serology (p < 0.05). In conclusion. Clinical. serological. and epidemiological evidences for larval Toxocara infection were found in the studied population.

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