Hotspots and correlates of soil-transmitted helminth infections in a Venezuelan rural community: Which are the "wormy" houses?. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Incani, Renzo Nino; Grillet, María Eugenia; Mughini-Gras, Lapo
• Is Part Of: Journal of infection. Volume 82:Issue 1(2021)
• Page Start: 143
• Page End: 149
• Publication Date: 2021-01
• Subjects: Geospatial analysis -- Geographical information system -- Soil-transmitted helminthiasis -- Ascaris lumbricoides -- Trichuris trichiura -- Hookworms -- Strongyloides stercoralis -- Wormy houses -- Hotspots; Infection -- Periodicals; Bacterial Infections -- Periodicals; Communicable Diseases -- Periodicals; Electronic journals; 616.905
• DOI: 10.1016/j.jinf.2020.10.037
• Languages: English
• ISSNs: 0163-4453

Abstract

Abstract: Objectives: To determine spatial clustering and risk factors for occurrence and intensity of infection for soil-transmitted helminthiasis (STH), namely Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis and hookworms in a Venezuelan rural community. Methods: MIF-fixed faecal samples were individually collected for STH testing. The Getis–Ord statistic was used to determine significant STH clustering within 25/50/100 m radiuses around houses. Individual- and house-level factors associated with STH occurrence and intensity of infection were determined using generalized estimating equations. Results: Significant clusters of "wormy" houses for one or multiple parasites were found at distances of 25–50 m around 13 houses. Risk factors differed between occurrence and intensity of infection. Overcrowding in the house increased occurrence of S. stercoralis, T. trichiura and hookworm infections, while poor housing conditions increased A. lumbricoides infection risk. Overcrowding, poor faecal disposal system, economic dependency and lack of basic services differentially influenced the STHs. The "wormy" houses were mainly those built with waste materials, under economic dependency and lacking indoor water supply. Conclusions: STH distribution in a community is clustered, with significant hotspots of STH occurrence and intensity of infection and different associated risk factors. Targeting the "wormy" houses is expected to affect STH morbidity more efficiently. Graphical abstract: Image, graphical abstract