Evidence map›Paper›PMID 30304028›Full record

ArticlePloS one2018

Human intestinal parasites in Mahajanga, Madagascar: The kingdom of the protozoa.

Valentin Greigert, Ahmed Abou-Bacar, Julie Brunet, Céline Nourrisson, Alexander W Pfaff, Leila Benarbia, Bruno Pereira, Milijaona Randrianarivelojosia, Jean-Louis Razafindrakoto, Rivo Solotiana Rakotomalala and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
1.8field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Molecular epidemiology and genotype diversity of Dientamoeba fragilis in a Czech hospital-based cohort: higher prevalence in paediatric patients and evidence of mixed G1/G2 infection in a single patient.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
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  7. Journal of medical microbiology · 2026
    Review
  8. Article
  9. Evolution and ecology of commensal gut protists: recent advances.Current opinion in genetics & development · 2025
    Review
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  19. Article
  20. Rare Occurrence ofJournal of clinical medicine · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Valentin GreigertService de médecine interne, Hôpitaux Civils de Colmar, Colmar, France.ORCID 0000-0002-0975-1949
Ahmed Abou-BacarInstitut de Parasitologie et Pathologie Tropicale, Université de Strasbourg, Strasbourg, France.
Julie BrunetInstitut de Parasitologie et Pathologie Tropicale, Université de Strasbourg, Strasbourg, France.
Céline NourrissonLaboratoire de Parasitologie-Mycologie, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Alexander W PfaffInstitut de Parasitologie et Pathologie Tropicale, Université de Strasbourg, Strasbourg, France.
Leila BenarbiaInstitut de Parasitologie et Pathologie Tropicale, Université de Strasbourg, Strasbourg, France.
Bruno PereiraUnité de Biostatistiques, Direction de la Recherche Clinique (DRCI), CHU de Clermont-Ferrand, France.
Milijaona RandrianarivelojosiaLaboratoire d'Analyse Médicale, CHU PZaGa, Mahajanga, Madagascar.
Jean-Louis RazafindrakotoLaboratoire d'Analyse Médicale, CHU PZaGa, Mahajanga, Madagascar.
Rivo Solotiana RakotomalalaLaboratoire d'Analyse Médicale, CHU PZaGa, Mahajanga, Madagascar.
Eugène MorelService d'Hépato-Gastro-Entérologie, CHU Mahavoky Atsimo, Mahajanga, Madagascar.
Ermanno CandolfiInstitut de Parasitologie et Pathologie Tropicale, Université de Strasbourg, Strasbourg, France.
Philippe PoirierLaboratoire de Parasitologie-Mycologie, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Institut d’Epidémiologie Neurologique et de Neurologie Tropicale · FRUniversité de Mahajanga · MGCentre National de la Recherche Scientifique · FRHopitaux Civils de Colmar · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntestinal parasitic infections are a major public health problem in inter-tropical areas. The aim of our study was to describe the situation in Mahajanga, Madagascar with a particular focus on two protozoa, Dientamoeba fragilis and Blastocystis sp.

methodsThis was a prospective study from February to June 2015. Stool samples from symptomatic hospitalized patients and asymptomatic volunteers were submitted to microscopy and molecular assays in order to detect parasites.

resultsA wide panel of intestinal parasites were identified among the 265 included subjects, protozoa being the most prevalent with 72.8% whereas the prevalence of helminths and microsporidia was of 7.9% and 4.5%, respectively. Blastocystis sp. was the most prevalent protozoa (64.5% of the entire cohort) followed by various amoebas (35.5%) and flagellates (27,5%). We only detected subtypes 1, 2 and 3 of Blastocystis sp. Among the patients positive for D. fragilis (9.4%), 23 carried genotype 1 and 1 genotype 2. For the first time, we detected in 4 human stools the DNA of a recently described protozoon, Simplicimonas similis. Interestingly, subjects living in urban areas harbored significantly more different parasitic species than subjects living in rural areas with a correlation between sanitary level of neighborhood and protozoan infection. However, there was no difference in prevalence of digestive symptoms between parasite-free and parasite-infected subjects, except for Giardia intestinalis which had more symptomatic carriers. DISCUSSION: Our study reveals a high overall parasite prevalence, similar to what had been found in 2003 in the same city and to other prevalence studies conducted in Africa. The poor access of the population to sanitary infrastructures may explain this result. Data from our study provide valuable key for sanitation programs and prevention of fecal-related infectious diseases.

Indexed as

AdultBlastocystisCitiesDientamoebaFemaleGeography, MedicalHumansIntestinal Diseases, ParasiticMadagascarMalePhylogenyPrevalenceProspective StudiesProtozoan InfectionsRural PopulationSanitation

Identifiers

PMID30304028
PMCPMC6179227
OpenAlexW2897345327

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.