03005nas a2200481   4500000000100000008004100001653001300042653000900055653001500064653002300079653001700102653002600119653000900145653002500154653001100179653001800190653001500208653001100223653001000234653002800244653003000272653002800302653002100330653001000351653001100361653001800372653001200390653001500402100002000417700001500437700001300452700001300465700001500478700001400493700001500507700001700522245012300539856017100662300001000833490000700843520165900850022001402509       2013                            d10aStudents10aSoil10aPrevalence10aNeglected Diseases10aMicrofilaria10aMembranes, Artificial10aMale10aImmunochromatography10aHumans10aHelminthiasis10aFiltration10aFemale10aFeces10aElephantiasis, Filarial10aDrug Therapy, Combination10aCross-Sectional Studies10aChild, Preschool10aChild10aBrazil10aAnthelmintics10aAnimals10aAdolescent1 aAguiar-Santos A1 aMedeiros Z1 aBonfim C1 aRocha AC1 aBrandão E1 aMiranda T1 aOliveira P1 aSarinho ES C00aEpidemiological assessment of neglected diseases in children: lymphatic filariasis and soil-transmitted helminthiasis.  uhttp://ac.els-cdn.com/S002175571300048X/1-s2.0-S002175571300048X-main.pdf?_tid=d6a5d90e-a271-11e5-b199-00000aacb362&acdnat=1450104732_1d57739cc063aec5c4702339358ea9eb  a250-50 v893 a<p><strong>OBJECTIVE: </strong>To report the prevalence of lymphatic filariasis and intestinal parasitic infections in school-aged children living in a filariasis endemic area and discuss about the therapeutic regimen adopted in Brazil for the large-scale treatment of filariasis.</p>

<p><strong>METHODS: </strong>A cross-sectional study including 508 students aged 5-18 years old, enrolled in public schools within the city of Olinda, Pernambuco. The presence of intestinal parasites was analyzed using the Hoffman, Pons and Janer method on 3 stool samples. The diagnosis of filarial infection was performed using the rapid immunochromatographic technique (ICT) for the antigen, and the polycarbonate membrane filtration for the presence of microfilariae. Descriptive statistics of the data was performed using EpiInfo version 7.</p>

<p><strong>RESULTS: </strong>The prevalence of filariasis was 13.8% by ICT and 1.2% by microfilaraemia, while intestinal parasites were detected in 64.2% of cases. Concurrent diagnosis of filariasis and intestinal parasites was 9.4%, while 31.5% of students were parasite-free. Among individuals with intestinal parasites, 55% had one parasite and 45% had more than one parasite. Geohelminths occurred in 72.5% of the parasited individuals. In the group with filarial infection the prevalence of soil-transmitted helminthiasis was 54.5%.</p>

<p><strong>CONCLUSIONS: </strong>The simultaneous diagnosis of filariasis and intestinal parasites as well as the high frequency of geohelminths justify the need to reevaluate the treatment strategy used in the Brazilian filariasis large-scale treatment program.</p>
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