Evidence map›Paper›PMID 42186089›Full record

ArticleInfectious diseases of poverty2026

Heavy burden of soil-transmitted helminth infections in a remote and impoverished indigenous community of Honduras revealed by real time polymerase chain reaction.

Maria Esther Araujo, Ana Sanchez, Gabriela Matamoros

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Article in Infectious diseases of poverty, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Maria Esther AraujoMicrobiology Research Institute, Faculty of Science, National Autonomous University of Honduras, Tegucigalpa, Honduras.
Ana SanchezDepartment of Health Sciences, Faculty of Applied Health Sciences, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, ON, L2S 3A1, Canada.
Gabriela MatamorosMicrobiology Research Institute, Faculty of Science, National Autonomous University of Honduras, Tegucigalpa, Honduras. gabriela.matamoros@unah.edu.hn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSoil-transmitted helminths (STH) remain highly prevalent in Honduras, disproportionately affecting rural and underserved populations. Diagnostic limitations, particularly for Necator americanus and Strongyloides stercoralis, hinder accurate burden estimation. This study aimed to determine the prevalence and species distribution of STH infections using real-time polymerase chain reaction (PCR) in a remote, resource-limited setting.

methodsA rapid, non-representative cross-sectional survey was conducted among children and adults in a remote community in the Honduran Moskitia. Stool samples were analyzed using multiplex real-time PCR. Prevalence was estimated with 95% confidence intervals. Differences between groups were assessed using Fisher's exact test, and logistic regression models were used to explore associations of infection with age and sex. Ct values were summarized using medians and interquartile ranges.

resultsOverall community STH prevalence was 85.2% [95% confidence intervals (CI): 78.6-92.3], with 72.2% (95% CI: 58.4-83.5) in adults and 98.1% (95% CI: 90.1-100) in school-aged children, who were predominantly infected with Trichuris trichiura (77.8%, 95% CI: 69.9-85.7), followed by Ascaris lumbricoides (50.0%, 95% CI: 40.6-59.4), N. americanus (29.6%, 95% CI: 21.0-38.2), and S. stercoralis (3.7%, 95% CI: 0.1-7.3). Younger age and female sex were identified as significant risk factors for T. trichiura.

conclusionsThe extreme hyperendemicity of STH infections in the study community poses a serious health risk to its population, particularly children. These findings support the need for larger, systematically designed parasitological surveys that integrate sensitive diagnostic molecular tools to help precisely map STH epidemiology and guide control efforts in this and other underserved regions.

Indexed as

HelminthiasisHelminthsSoilAdolescentAdultAgedAnimalsAscaris lumbricoidesChildChild, PreschoolCross-Sectional StudiesFecesFemaleHondurasHumansMaleSoilHondurasHyperendemicPrevalenceqPCRSoil-transmitted helminths

Identifiers

PMID42186089
PMCPMC13200298

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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.