Polyparasitism with Schistosoma haematobium, Plasmodium and soil-transmitted helminths in school-aged children in Muyuka–Cameroon following implementation of control measures: a cross sectional study

摘要: Despite the ubiquity of polyparasitism, its health impacts have been inadequately studied. The aim this study was to determine prevalence and determinants polyparasitism with Schistosoma haematobium, Plasmodium soil-transmitted helminths (STH) following sustained control measures, as well evaluate outcomes clinical correlates infection in school-aged children (SAC) living schistosomiasis endemic focus Muyuka-Cameroon. In a cross-sectional study, urine, blood stool samples were each collected from SAC (4–14 years) selected at random between March June 2015. Microhaematuria urine detected using reagent strip S. haematobium ova by filtration/microscopy methods. Giemsa-stained films complete count obtained an auto-haematology analyser. STH Kato-Katz method. Categorical continuous variables compared required, Kappa value estimated adjusted odds ratio (aOR) multivariate analysis used association risk factors infection. Out 638 examined, single prevalent 33.4% while 19.9%. Prevalence haematobium + Plasmodium 7.8%; haematobium + STH 0.8%; Plasmodium + STH haematobium + Plasmodium + STH 0.9%. Higher preponderance occurred females, those Likoko, did not use potable water, practiced bathing stream carried out open defecation than their equivalents. However, being female (aOR = 2.38, P = 0.009) only significant factor identified. Anaemia common morbidity (74.3%) slight agreement microscopy predicting infections. sensitivity specificity haematuria (13.0%) 46.5% 100% moderate microscopy. Co-infection malaria parasite significantly associated threefold history fever last three days. Polyparasitism is public problem Muyuka females most risk. exacerbated co- triple-infections together are polyparasitism.