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Digestive cryptosporidiosis in young children in urban zones of Gabon


Cahiers d'études et de recherches francophones / Santé . Volume 5, Number 3, 185-8, Mai-Juin 1995, Étude originale


Résumé   Summary  

Author(s) : Thahn Hai Duong, Denis Dufillot, Jean Koko, Rodrigue Nze-Eyo’o, Véronique Thuilliez, Dominique Richard-Lenoble, Maryvonne Kombila, avec la collaboration technique de Mathieu Owono-Medang, Faculté de Médecine, BP 4009, Libreville, Gabon, Hôpital pédiatrique d’Owenda, BP 1208, Libreville, Gabon, Laboratoire de la Toxoplasmose, 26, boulevard Brune, 75014 Paris, France, Service de parasitologie et médecine tropicale, Faculté de Médecine, 2 bis, boulevard Tonnelé, 37032 Tours cedex, France..

Summary : A 27 month epidemiological survey of cryptosporidiosis in stools was conducted in 288 Gabonese children aged between 0 and 2 years (mean 10.2 months). By at least one of two staining techniques, acid-fast and direct immunofluorescence, the rate of infection was determined to be 24%. The rate was 28% in cases of acute diarrhea, in striking contrast with the low prevalence of 14.8% in uninjured gastroenteritus subjects (p <\; 0.05). The notion of asymptomatic carriers was clearly demonstrated. The maximum of 34.4% was observed for infants aged between 6 and 12 months (p <\; 0.02). In cases of malnutrition, this rate increased to 31.8%, whereas it was 16.8% in eutrophic children (p <\; 0.01). For the rainy and dry seasons, it was 31.7% and 19.4%, respectively (p <\; 0.02). Water is emerging as an important vehicle for the transmission and spread of Cryptosporidium sp. in tropical areas.

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