meisam khazaei

Intestinal parasitic infections pose a significant public health challenge in developing countries, with children being particularly susceptible. The prevalence of these infections varies across communities. This study aimed to determine the prevalence of intestinal parasitic infections among students in 12 primary schools on Kish Island, Iran, and to evaluate the infection status of family members of infected students.

A cross-sectional study was conducted on 443 students aged 7‒12 years in Kish Island, southern Iran, from May 2016 to 2017. Stool samples from 179 boys (40.4%) and 264 girls (40.4%) across 12 primary schools were examined for evidence of parasitic infections using direct wet mount, formalin ethyl acetate, and trichrome stain methods. Modified Ziehl Neelsen (ZN) staining was used to detect coccidian parasites. Conventional PCR was also employed to identify the genotype of Giardia lamblia. Data were analyzed using SPSS version 19.

The prevalence of intestinal parasites was 5.2%. The highest incidence rate was found in Entamoeba coli (2.0%), followed by Giardia lamblia (1.6%). The prevalence rate of infection was significantly correlated with the type of drinking water (P<0.05). No significant difference was observed in the prevalence of intestinal parasitic infections between males and females (P>0.05). In this study, the genotypes of Giardia lamblia were molecularly characterized by studying the glutamate dehydrogenase (gdh) gene. This study represents the first molecular characterization of G. lamblia in children on Kish Island, with sequence analysis revealing assemblage B (BIII 100.0%).

This study indicates a low prevalence of parasitic infections in a sensitive population (children) on Kish Island. The prevalence of Giardia lamblia, a more pathogenic parasite, was quite low in our study. This cross-sectional study was conducted on all island residents; no significant difference was observed among them.

Cutaneous leishmaniasis is a global health problem. The discovery of new and highly efficient anti-leishmanial treatments with lower toxicity is globally needed. The current study was carried out to evaluate the anti-leishmanial effects of artemether (ART) and ART-loaded nanostructured lipid carriers (ART-NLCs) against promastigotes and amastigotes of Leishmania major.

Solvent diffusion evaporation technique was applied to prepare ART-NLCs. These nanoparticles were characterized using a particle size analyzer (PSA), transmission electron microscopy (TEM), and dynamic light scattering (DLS). The antiparasitic activity on amastigote was assessed in J774 cell culture. The drug cytotoxicity on promastigote and macrophage was assessed using the MTT technique after 24 and 48 h and compared with NLCs, ART, and amphotericin B, as the control agents. The selectivity index was calculated for the agents.

The DLS and PSA techniques confirmed that ART-NLCs were homogenous in size with an average diameter of 101 ± 2.0 nm and span index of 0.9. The ART-NLCs significantly heighten the antileishmanial activity of ART (P < 0.001). The IC50 values of ART and ART-NLCs on promastigotes after 24 and 48 h were 76.08, 36.71 and 35.14, 14.81 μg/mL, respectively while they were calculated 53.97, 25.43 and 20.13, 11.92 for amastigotes. Also, ART-NLCs had the lowest cytotoxicity against macrophages. Furthermore, among the agents tested, ART-NLCs had the highest selectivity index.

ART-NLCs had lower cytotoxic effects than ART and amphotericin B, also its selectivity index was significantly higher. Based on the findings of the study, this formulation could be a promising candidate for further research into leishmaniasis treatment.