Assessment of fecal calprotectin and fecal occult blood as point-of-care markers for soil-transmitted helminth attributable intestinal morbidity in a case-control substudy conducted in Côte d'Ivoire, Lao PDR and Pemba Island, Tanzania
Infections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study was to evaluate Fecal Calprotectin (FC) and Fecal Occult Blood (FOB) in individuals infected and non-infected with STHs to identify potential intestina...
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| Published in | EClinicalMedicine Vol. 32; p. 100724 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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01.02.2021
Elsevier |
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| Abstract | Infections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study was to evaluate Fecal Calprotectin (FC) and Fecal Occult Blood (FOB) in individuals infected and non-infected with STHs to identify potential intestinal morbidity markers.
Stool from participants diagnosed positive for Trichuris trichiura and concomitant STH infections from three countries was used to perform FC and FOB point-of-care assays. Simultaneously, identified STH negative participants underwent FC and FOB testing as controls. Potential associations between test results and determinants were analyzed using multivariable logistic regression.
In total, 1034 T. trichiura infected cases (mostly light infections) and 157 STH negative controls were tested for FC and FOB. Among all participants tested, 18·5% had ≥ 50 µg/g FC concentration, while 14 (1·2%) were positive for FOB. No statistically significant association was found between T. trichiura infection or Ascaris lumbricoides co-infection and FC concentration, while an inverse association (odds ratio (OR): 0·45, 95% credible intervals (CrI): 0·26, 0·75) was found between hookworm co-infection and FC concentration. In Lao PDR, the proportion of participants in the ≥ 50 µg/g FC category was significantly higher in the oldest age category compared to the 5–11 years group (OR: 3·31, 95% CrI: 1·62, 7·24). Too few participants were found positive for FOB to derive any conclusions.
Studies are needed to better understand the relationship between intestinal morbidity and STH infections. Suitable, standardized, low-cost markers of STH attributable morbidity to better monitor the impact of STH control interventions are necessary.
BMGF (OPP1153928) |
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| AbstractList | Infections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study was to evaluate Fecal Calprotectin (FC) and Fecal Occult Blood (FOB) in individuals infected and non-infected with STHs to identify potential intestinal morbidity markers.
Stool from participants diagnosed positive for Trichuris trichiura and concomitant STH infections from three countries was used to perform FC and FOB point-of-care assays. Simultaneously, identified STH negative participants underwent FC and FOB testing as controls. Potential associations between test results and determinants were analyzed using multivariable logistic regression.
In total, 1034 T. trichiura infected cases (mostly light infections) and 157 STH negative controls were tested for FC and FOB. Among all participants tested, 18·5% had ≥ 50 µg/g FC concentration, while 14 (1·2%) were positive for FOB. No statistically significant association was found between T. trichiura infection or Ascaris lumbricoides co-infection and FC concentration, while an inverse association (odds ratio (OR): 0·45, 95% credible intervals (CrI): 0·26, 0·75) was found between hookworm co-infection and FC concentration. In Lao PDR, the proportion of participants in the ≥ 50 µg/g FC category was significantly higher in the oldest age category compared to the 5–11 years group (OR: 3·31, 95% CrI: 1·62, 7·24). Too few participants were found positive for FOB to derive any conclusions.
Studies are needed to better understand the relationship between intestinal morbidity and STH infections. Suitable, standardized, low-cost markers of STH attributable morbidity to better monitor the impact of STH control interventions are necessary.
BMGF (OPP1153928) Infections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study was to evaluate Fecal Calprotectin (FC) and Fecal Occult Blood (FOB) in individuals infected and non-infected with STHs to identify potential intestinal morbidity markers. Stool from participants diagnosed positive for and concomitant STH infections from three countries was used to perform FC and FOB point-of-care assays. Simultaneously, identified STH negative participants underwent FC and FOB testing as controls. Potential associations between test results and determinants were analyzed using multivariable logistic regression. In total, 1034 infected cases (mostly light infections) and 157 STH negative controls were tested for FC and FOB. Among all participants tested, 18·5% had ≥ 50 µg/g FC concentration, while 14 (1·2%) were positive for FOB. No statistically significant association was found between infection or co-infection and FC concentration, while an inverse association (odds ratio (OR): 0·45, 95% credible intervals (CrI): 0·26, 0·75) was found between hookworm co-infection and FC concentration. In Lao PDR, the proportion of participants in the ≥ 50 µg/g FC category was significantly higher in the oldest age category compared to the 5-11 years group (OR: 3·31, 95% CrI: 1·62, 7·24). Too few participants were found positive for FOB to derive any conclusions. Studies are needed to better understand the relationship between intestinal morbidity and STH infections. Suitable, standardized, low-cost markers of STH attributable morbidity to better monitor the impact of STH control interventions are necessary. BMGF (OPP1153928). BACKGROUNDInfections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study was to evaluate Fecal Calprotectin (FC) and Fecal Occult Blood (FOB) in individuals infected and non-infected with STHs to identify potential intestinal morbidity markers.METHODSStool from participants diagnosed positive for Trichuris trichiura and concomitant STH infections from three countries was used to perform FC and FOB point-of-care assays. Simultaneously, identified STH negative participants underwent FC and FOB testing as controls. Potential associations between test results and determinants were analyzed using multivariable logistic regression.FINDINGSIn total, 1034 T. trichiura infected cases (mostly light infections) and 157 STH negative controls were tested for FC and FOB. Among all participants tested, 18·5% had ≥ 50 µg/g FC concentration, while 14 (1·2%) were positive for FOB. No statistically significant association was found between T. trichiura infection or Ascaris lumbricoides co-infection and FC concentration, while an inverse association (odds ratio (OR): 0·45, 95% credible intervals (CrI): 0·26, 0·75) was found between hookworm co-infection and FC concentration. In Lao PDR, the proportion of participants in the ≥ 50 µg/g FC category was significantly higher in the oldest age category compared to the 5-11 years group (OR: 3·31, 95% CrI: 1·62, 7·24). Too few participants were found positive for FOB to derive any conclusions.INTERPRETATIONStudies are needed to better understand the relationship between intestinal morbidity and STH infections. Suitable, standardized, low-cost markers of STH attributable morbidity to better monitor the impact of STH control interventions are necessary.FUNDINGBMGF (OPP1153928). Background: Infections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study was to evaluate Fecal Calprotectin (FC) and Fecal Occult Blood (FOB) in individuals infected and non-infected with STHs to identify potential intestinal morbidity markers. Methods: Stool from participants diagnosed positive for Trichuris trichiura and concomitant STH infections from three countries was used to perform FC and FOB point-of-care assays. Simultaneously, identified STH negative participants underwent FC and FOB testing as controls. Potential associations between test results and determinants were analyzed using multivariable logistic regression. Findings: In total, 1034 T. trichiura infected cases (mostly light infections) and 157 STH negative controls were tested for FC and FOB. Among all participants tested, 18·5% had ≥ 50 µg/g FC concentration, while 14 (1·2%) were positive for FOB. No statistically significant association was found between T. trichiura infection or Ascaris lumbricoides co-infection and FC concentration, while an inverse association (odds ratio (OR): 0·45, 95% credible intervals (CrI): 0·26, 0·75) was found between hookworm co-infection and FC concentration. In Lao PDR, the proportion of participants in the ≥ 50 µg/g FC category was significantly higher in the oldest age category compared to the 5–11 years group (OR: 3·31, 95% CrI: 1·62, 7·24). Too few participants were found positive for FOB to derive any conclusions. Interpretation: Studies are needed to better understand the relationship between intestinal morbidity and STH infections. Suitable, standardized, low-cost markers of STH attributable morbidity to better monitor the impact of STH control interventions are necessary. Funding: BMGF (OPP1153928) |
| ArticleNumber | 100724 |
| Author | Keller, Ladina Welsche, Sophie Hattendorf, Jan Sayasone, Somphou Keiser, Jennifer Patel, Chandni Ali, Said M. Ame, Shaali M. Hürlimann, Eveline Coulibaly, Jean Tenena |
| Author_xml | – sequence: 1 givenname: Chandni surname: Patel fullname: Patel, Chandni organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland – sequence: 2 givenname: Ladina surname: Keller fullname: Keller, Ladina organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland – sequence: 3 givenname: Sophie surname: Welsche fullname: Welsche, Sophie organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland – sequence: 4 givenname: Jan surname: Hattendorf fullname: Hattendorf, Jan organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland – sequence: 5 givenname: Somphou surname: Sayasone fullname: Sayasone, Somphou organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland – sequence: 6 givenname: Said M. surname: Ali fullname: Ali, Said M. organization: Public Health Laboratory Ivo de Carneri, Chake Chake, Pemba, Zanzibar, Tanzania – sequence: 7 givenname: Shaali M. surname: Ame fullname: Ame, Shaali M. organization: Public Health Laboratory Ivo de Carneri, Chake Chake, Pemba, Zanzibar, Tanzania – sequence: 8 givenname: Jean Tenena surname: Coulibaly fullname: Coulibaly, Jean Tenena organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland – sequence: 9 givenname: Eveline surname: Hürlimann fullname: Hürlimann, Eveline organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland – sequence: 10 givenname: Jennifer orcidid: 0000-0003-0290-3521 surname: Keiser fullname: Keiser, Jennifer email: jennifer.keiser@swisstph.ch organization: Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33554091$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1080_20477724_2023_2272095 |
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| Keywords | Fecal calprotectin Intestinal morbidity Fecal occult blood Soil-transmitted helminths Helminthiasis |
| Language | English |
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| Snippet | Infections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study was to... BACKGROUNDInfections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this study... Background: Infections with soil-transmitted helminths (STHs) may result in chronic inflammatory disorders affecting the human host. The objective of this... |
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| SubjectTerms | Fecal calprotectin Fecal occult blood Helminthiasis Intestinal morbidity Research Paper Soil-transmitted helminths |
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| Title | Assessment of fecal calprotectin and fecal occult blood as point-of-care markers for soil-transmitted helminth attributable intestinal morbidity in a case-control substudy conducted in Côte d'Ivoire, Lao PDR and Pemba Island, Tanzania |
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