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Frequency and molecular characterisation of Entamoeba histolytica,Entamoeba dispar,Entamoeba moshkovskii,and Entamoeba hartmanni in the context of water scarcity in northeastern Brazil
Authors:Deiviane Aparecida Calegar  Beatriz Coronato Nunes  Kerla Joeline Lima Monteiro  Jéssica Pereira dos Santos  Helena Keiko Toma  Tais Ferreira Gomes  Marli Maria Lima  Márcio Neves Bóia  Filipe Anibal Carvalho-Costa
Abstract:This study aimed to estimate the frequency, associated factors, and molecularcharacterisation of Entamoeba histolytica, Entamoebadispar, Entamoeba moshkovskii, andEntamoebahartmanni infections. We performed a survey (n = 213 subjects) to obtainparasitological, sanitation, and sociodemographic data. Faecal samples were processedthrough flotation and centrifugation methods.E. histolytica,E. dispar, E. moshkovskii, and E.hartmanni were identified by nested-polymerase chain reaction (PCR). Theoverall prevalence of infection was 22/213 (10.3%). The infection rate among subjectswho drink rainwater collected from roofs in tanks was higher than the rate insubjects who drink desalinated water pumped from wells; similarly, the infection rateamong subjects who practice open defecation was significantly higher than that ofsubjects with latrines. Out of the 22 samples positive for morphologicallyindistinguishableEntamoeba species, the differentiation by PCRwas successful for 21. The species distribution was as follows: 57.1% to E.dispar, 23.8% to E. histolytica, 14.3% toE.histolytica and E. dispar, and 4.8% E.dispar and E. hartmanni. These data suggest a highprevalence of asymptomatic infection by the group of morphologicallyindistinguishable Entamoebahistolytica/dispar/moshkovskiicomplexand E. hartmanni species. In this context of water scarcity, thesanitary and socioenvironmental characteristics of the region appear to favourtransmission.
Keywords:parasites   protozoa   entamoebiasis   epidemiology   Brazil
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