PREVALENCE AND CLINICAL IMPACT OF INTESTINAL PARASITES IN CHILDREN WITH POST-DIARRHEAL SYNDROME
Keywords:
Post-Diarrheal Syndrome (pDS), Intestinal Parasites, Children, Enterobius vermicularis, Blastocystis hominis, Giardia lamblia, Dyspepsia, Neuro-reflex disorders, Candida.Abstract
Objective: This study aims to determine the frequency of concomitant parasitic infections in children under three years of age who suffered from acute diarrhea 3 to 6 months prior, and to assess the role of parasitosis in the manifestation of Post-Diarrheal Syndrome (pDS). Methods: A total of 151 children aged under 3 years with a history of acute diarrhea were examined. Triple coproscopy was utilized for qualitative parasitological analysis. Clinical symptoms were monitored and compared between parasitic and non-parasitic groups. Results: Intestinal parasites were detected in 72.8% (n=110) of the subjects. The dominant species were Enterobius vermicularis (39.1%), followed by Blastocystis hominis (25.2%) and Giardia lamblia (18.5%). Co-infections (polyinvasion) were observed in 27.8% of cases, primarily helminth-fungal associations. Specific clinical correlations were identified: Blastocystis was significantly associated with dyspeptic disorders (p<0.01), while Enterobius was linked to neurological symptoms (p<0.05). Conclusion: Parasitic infections are highly prevalent in children with PDS and significantly exacerbate clinical symptoms, particularly affecting the gastrointestinal and nervous systems.
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