PLoS Neglected Tropical Diseases (Jan 2012)

Common coinfections of Giardia intestinalis and Helicobacter pylori in non-symptomatic Ugandan children.

  • Johan Ankarklev,
  • Elin Hestvik,
  • Marianne Lebbad,
  • Johan Lindh,
  • Deogratias H Kaddu-Mulindwa,
  • Jan O Andersson,
  • Thorkild Tylleskär,
  • James K Tumwine,
  • Staffan G Svärd

DOI
https://doi.org/10.1371/journal.pntd.0001780
Journal volume & issue
Vol. 6, no. 8
p. e1780

Abstract

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BackgroundThe protozoan parasite Giardia intestinalis and the pathogenic bacterium Helicobacter pylori are well known for their high prevalences in human hosts worldwide. The prevalence of both organisms is known to peak in densely populated, low resource settings and children are infected early in life. Different Giardia genotypes/assemblages have been associated with different symptoms and H. pylori with induction of cancer. Despite this, not much data are available from sub-Saharan Africa with regards to the prevalence of different G. intestinalis assemblages and their potential association with H. pylori infections.Methodology/principal findingsFecal samples from 427 apparently healthy children, 0-12 years of age, living in urban Kampala, Uganda were analyzed for the presence of H. pylori and G. intestinalis. G. intestinalis was found in 86 (20.1%) out of the children and children age 1Conclusions/significanceThis study shows that Giardia assemblage B dominates in children in Kampala, Uganda and that the presence of H. pylori is an associated risk factor for G. intestinalis infection.