Kaohsiung Journal of Medical Sciences
Volume 26, Issue 3 , Pages 136-143, March 2010

Intestinal Parasitic Infection Detected by Stool Examination in Foreign Laborers in Kaohsiung

  • Meng-Hsuan Hsieh

      Affiliations

    • Department of Occupational Medicine, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung, Taiwan
  • ,
  • Wen-Yi Lin

      Affiliations

    • Department of Occupational Medicine, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung, Taiwan
  • ,
  • Chia-Yen Dai

      Affiliations

    • Division of Hepatobiliary, Department of Internal Medicine, Kaohsiung, Taiwan
    • Community Medicine Center, Department of Occupational and Environmental Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Faculty of Internal Medicine, College of Medicine, Kaohsiung, Taiwan
  • ,
  • Jee-Fu Huang

      Affiliations

    • Faculty of Internal Medicine, College of Medicine, Kaohsiung, Taiwan
    • Department of Internal Medicine, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung, Taiwan
  • ,
  • Chao-Kuan Huang

      Affiliations

    • Department of Occupational Medicine, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung, Taiwan
  • ,
  • Hsu-Han Chien

      Affiliations

    • Department of Health Examination Center, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung, Taiwan
  • ,
  • Chao-Ling Wang

      Affiliations

    • Community Medicine Center, Department of Occupational and Environmental Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
  • ,
  • Wan-Long Chung

      Affiliations

    • Division of Hepatobiliary, Department of Internal Medicine, Kaohsiung, Taiwan
    • Faculty of Internal Medicine, College of Medicine, Kaohsiung, Taiwan
  • ,
  • Jiunn-Ren Wu

      Affiliations

    • Department of Laboratory Medicine, and Pediatrics, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung, Taiwan
    • Faculty of Pediatrics, College of Medicine, Kaohsiung, Taiwan
  • ,
  • Eng-Rin Chen

      Affiliations

    • Faculty of Parasitology, College of Medicine, Kaohsiung, Taiwan
  • ,
  • Chi-Kung Ho

      Affiliations

    • Graduate Institution of Occupational Safety and Health, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Department of Health, Kaohsiung City Government, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Chi-Kung Ho, Department of Health, Kaohsiung City Government, 132 Kaisyuan 2nd Road, Lingya District, Kaohsiung 802, Taiwan
  • ,
  • Ming-Lung Yu

      Affiliations

    • Division of Hepatobiliary, Department of Internal Medicine, Kaohsiung, Taiwan
    • Faculty of Internal Medicine, College of Medicine, Kaohsiung, Taiwan

Received 6 March 2009; accepted 27 July 2009.

Most foreign laborers in Taiwan come from Southeast Asia, where public health is not as well funded as in Taiwan, and parasitic infections are still common. Therefore, we recruited foreign laborers to undergo examination for parasitic infection to determine the infection conditions and follow-up conditions in foreign laborers whose stools were found to be abnormal. A total of 7,360 foreign laborers were enrolled for stool examination in our hospital, and the merthiolate iodine formaldehyde method was used to diagnose intestinal parasite infection. In total, 331 (4.5%) foreign laborers were found to be infected, and Blastocystis hominis was identified as the most prevalent intestinal parasite (2.54%), followed by Trichuris trichiura (0.54%) and hookworm (0.53%). Parasite infection rates among laborers of different nationalities were also significantly different (p < 0.001). Forty-two intestinal-parasite-infected foreign laborers received anti-parasitic therapy in our hospital, and treatment was successful. Among the 154 intestinal-parasite-infected foreign laborers who did not receive treatment in our hospital but were later re-examined, 132 were parasite-free. B. hominis has been the most prevalent intestinal parasite infecting foreign laborers in Taiwan ever since it was added to the list of infections to be screened for stool examination by the Taiwan Centers for Disease Control in 2002. It is important to closely monitor, control and treat parasite-infected foreign laborers to minimize the danger to public health.

Key Words:  foreign laborers , intestinal parasites , stool examination

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PII: S1607-551X(10)70020-6

doi:10.1016/S1607-551X(10)70020-6

Kaohsiung Journal of Medical Sciences
Volume 26, Issue 3 , Pages 136-143, March 2010