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RESEARCH PRODUCT

Hookworm-like eggs in children’s faecal samples from a rural area of Rwanda

Fernando J. Bornay-llinaresMaría José Irisarri-gutiérrezRafael ToledoCarla Muñoz-antoliL. AcostaLucy Anne ParkerJosé Guillermo Esteban

subject

AncylostomatoideaRural PopulationVeterinary medicineHookworm eggs Kato-Katz method misclassification RwandaANCYLOSTOMATOIDEAAdolescent030231 tropical medicineBiologyPolymerase Chain ReactionSensitivity and Specificity03 medical and health sciencesFecesHookworm InfectionsSoilfluids and secretions0302 clinical medicineparasitic diseasesParasite Egg CountAnimalsHumansChildParasite Egg CountFecesRwandaGeneral MedicineArticlesCross-Sectional StudiesHookworm InfectionsKato katz030211 gastroenterology & hepatologyhuman activitiesRural populationSequence Analysis

description

Background: Hookworm eggs identification and quantification is usually carried out by Kato-Katz method. However various structures present in the smear may be confused with eggs of such parasites. Objective: To document the presence of structures in Kato-Katz slides that could initially be misinterpreted as hookworm eggs. Method: 497 faecal samples were analysed by Kato-Katz technique, diphasic concentration technique, agar-plate coprocultive and larvae obtained were analysed by PCR and characterized by sequencing. Result: Hookworm-like eggs were found in 159 (32%) of the samples by Kato Katz, finally identified as Caenorhabditis elegans by PCR technique. Conclusion: The diagnosis of human hookworm eggs, only by the use of Kato Katz technique can lead to false positives because of similarities with eggs of other free-living worms, from wet soils like those of Rwanda that could contaminate stool samples. Keywords: Hookworm eggs, Kato-Katz method, misclassification, Rwanda

10.4314/ahs.v16i1.11https://www.ajol.info/index.php/ahs/article/view/135170