Distribución de la enteroparasitosis en el Altiplano Peruano: estudio en 6 comunidades rurales del departamento de Puno, Perú.

A prevalence study was carried out in six rural communities in the Peruvian Highlands with the purpose of achieving a better understanding of the distribution of entero-parasites. The communities were located along the banks of Lake Titicaca, in the provinces of Puno and El Collao, Department of Puno, Peru, at 3,800 m.a.s.l. To that effect, a total of 91 feces samples of adults and children from the following communities were analyzed: Conchaca, Puñutani, Capalla, Culta, Maraesqueña, and Jaillihuaya. Analysis techniques included Direct Examination, Kato Technique, Technique of Spontaneous Sedimentation in a Test Tube and the Lumbreras Rapid Sedimentation Technique. The general prelavence of intestinal parasitosis was found to be 91.2%. The pathogenic entero-parasites found were, in order of frequency, as follows: Hymenolepis nana 6.6%, Entamoeba histolytica 5.5%, Giardia lamblia 3.3%, Taenia sp. 2.2%, Ascaris lumbricoides 2.2%, Trichuris trichiura 1.1%, and Enterobius vermicularis 1.1%. The frequency of the non-pathogenic entero-parasites was as follows: Entamoeba coli 78%, Endolimax nana 39.6%, Iodamoeba butschlii 14.3%, Blastocystis hominis 9.9%, and Chilomastix mesnili 2.2%. Most of the patients had poly parasitism (58.2%), and protozoan infections prevailed over helminthic infection. From the total number of patients infected, 41.8% had one parasite, 33.0% had two parasites, 11.0% had three parasites, 4.4% had four parasites, and 1.1% had five parasites. These results show the high rates of parasitism in the rural population on the banks of Lake Titicaca, which would be associated with socioeconomic factors and the poor environmental sanitation conditions in this area.