The post-treatment effects of enterobiasis on the occurrence of enuresis among children in Calabar,Nigeria

Objective:To investigate the relationship between enterobiasis and enuresis before and after albendazole therapy among 632 children,aged,5-14 years,in Calabar,Nigeria.Methods:The scotch tape(cellotape) technique was used for the detection of eggs of Enterobius vermicularis (E.vermicularis) while questionnaire-based interviews were used for screening for anal itching and/or enuresis among study participants.All subjects found positive for Enterobius infection as confirmed by the presence of eggs and those with persistent anal itching(both enuretic and nonenuretic) were treated with 400 mg of albendazole given as a single dose.The treated subjects were re-assessed post-treatment to ascertain whether they were cured and also to determine their enuretic status(for the entireties).Results:The overall prevalences of Enterobius infection, anal itching,and enuresis prior to albendazole therapy were 6.8%,42.9%,and 35.6%respectively. There was no statistically significant difference in the prevalence of these parameters by the socio-economic class of subjects(P = 0.462,P - 0.647,and P = 0.610,respectively).The pretreatment prevalences of enuresis among Enterobius and anal itching-positive subjects were 53.5%and 49.8%,respectively versus 34.3%and 24.9%,respectively among their negative counterpart(P = 0.012 and P 【 0.001,respectively).Four(20%) out of the 20 enuretic children found Enterobius egg-negative after albendazole therapy were equally cured while 8(40%) had reduction of their enuresis,thus giving a total resolution rate of 60%.Similarly,64.2%resolution (25%cure and 32.8%reduction) of enuresis was observed amongst 120 anal itching-cured/ enuretic children.Enuretic status of the Enterobius-lanal itching-uncured subjects,on the other hand,remained unchanged post-treatment.Conclusions:This study is suggestive of the involvement of E.vermicularis in the aetiology of enuresis in Calabar.Children presenting with, especially,uncomplicated enuresis should be screened for enterobiasis.

Asymptomatic eosinophilia due to enterobiasis in a child:A case report

This paper reported the case of a 6-year old child who presented with an asymptomatic eosinophilia.The diagnosis of enterobiasis was established by a Graham anal scotch test and he was successfully treated with fluoromebendazole. Subsequent control exams were negative.

Enterobius vermicularis infection among population of General Mansilla,Argentina

AIM:To evaluate the relationships between the personal, sociocultural,and environmental characteristics,and the presence or absence of symptoms with the detection of Enterobius vermicularis(E.vermicularis)in a population sample in our region(General Mansilla,Province of Buenos Aires,Argentina),by individual and familiar analyses. METHODS:E.verrnicularis was diagnosed in 309 people from 70 family units residing in the urban area and the rural area of the city of General Mansilla.Each of them was surveyed so as to register personal,environmental and sociocultural data.Questions about the presence or absence of anal itch,abdominal pain and sleeping disorder were also asked.Significant associations were determined by square chi tests.Logistic regression models were adjusted by using a backward conditional stepwise method to determine the presence of this parasite in the individuals and in the families. RESULTS:The parasites were found in 29.12%(90/309) of the individuals,with a frequency of 14.28%(20/140) among the heads of the families and of 41.42%(70/169) among the children.The only variables showing a significant association were affiliation,where the risk category was “being the son/daughter of”,and the symptoms were abdominal pain,sleeping disorder,and anal itch.Families with a member infected with parasite were considered Positive Families(PF)and they were 40/70(57.14%),only 5%(2/40)of the PF had 100% of their members infected with the parasite.The logistic regression models applied showed that the risk categories were mainly affiliation(son/daughter) and housing(satisfactory)among others. CONCLUSION:The presence of E.vermiculariswas proved in one third of the studied population.The frequency of families with all their members infected with the parasite was very low.Most of the studied personal,sociocultural, and environmental variables did not turn out to be significantly associated with the presence of the parasite.An association with the category of“son/daughter”and housing classified as“satisfactory”was determined.The latter may be due to the fact that the people living in that category of housing have hygienic practices at home that favour the distribution of the eggs in the environment.The presence of the analysed symptoms was associated with the presence of the parasite, thus strengthening the need of periodical control of the population showing at least one of these symptoms.