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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Intestinal parasites in association with gastroenteritis in Kirkuk city was recently reported among diabetic patients. To measure the incidence of parasitic infections depending on positive and negative rates in addition to stool components and types of gastroenteritis as irritable bowel syndrome (IBS) and inflammatory bowel disease(IBD) were investigated. A total of 419 patients were selected the gastroenteritis clinics in two Hospitals Kirkuk center. Their complaints were gastrointestinal disorders (GITDs), such as diarrhea, vomiting, nausea, diarrhea altered by constipation. The collected stool samples were examined for parasitological tests. Direct double wet preparations were performed for each stool sample then confirmed by flotation technique. In addition to modified Ziehl-Neelsen that applied for fecal smears for demonstrating the oocysts of Cryptosporiduim parvum. From the overall positive rate 82.81% for intestinal parasitic infections, only 62 patients with the rate14.79 % were diabetic patients positive for the following parasites: Blastocystis hominis 35.48 %, Giardia lamblia 25.80 %, Entamoeba histolytica 17.74 %, Cryptosporidium parvum12.90 and 6.45%helminthic infections which involve Hymenolpis nana and Strongyloides stercoralis. According to the type of the gastroenteritis; female stool samples exert high rates of cryptosporidiosis, giardiasis high rates during IBS, while the high rate of helminthic infections was recorded in males, P<0.05. Relationships between parasites incidences in regard of types of gastroenteritis, diarrhea existence, patients gender, ages, patient occupations, stool color, consistency, stool pH ranges and stool samples odor were significant, P<0.05. The picture of gastroenteritis among diabetic patients accompanied with hypertension was serious especially in patients with IBS and the rate of intestinal infections was high 24.19 %, p<0.05 Incidence of intestinal parasites among diabetes mellitus patients was high particularly among elderly patients. The picture of parasitic infections was serious particularly with invasive parasites and during hypertension.