Background and study aim: Opportunistic parasitic infections have been documented to cause serious complications among ‎immunocompromised patients, including those undergoing hemodialysis (HD). Therefore, this study ‎aimed to determine the prevalence of common parasitic infections and associated morbidity among the ‎HD pediatric patients at Ain Shams University Pediatric Hemodialysis Unit‎‎.
Patients and Methods: ‎A comparative cross-sectional study was conducted on 50 HD patients and 20 apparently healthy ‎individuals from January 2018 to March 2019. Stool samples were examined for parasites using direct ‎smear, formol ether concentration, and staining with modified Ziehl- Neelsen stain. The serological ‎analysis for anti-Toxoplasma IgM and IgG and complete blood count was performed. The results were ‎correlated with the history, physical, and demographic data of the study groups‎.‎
Results: The overall prevalence rate of intestinal parasitoses among patients with HD was a little bit higher than ‎the control group (70% versus 60%, respectively) but this was statistically insignificant. Blastocystis ‎hominis (30%), Entamoeba histolytica (28%), and Giardia lamblia (20%) were the most frequent ‎among children with HD, with a statistically significant difference in Blastocystis hominis infection ‎rates between patients and their counterparts. Moreover, the overall Toxoplasma gondii ‎seroprevalence rate among patients with HD was (22%) and the anti-Toxoplasma IgM was (2%)‎‎‎.
Conclusion: The overall rate of opportunistic parasitic infections and related clinical symptoms in children with ‎HD was slightly more frequent than in the control group. So, stool examination for intestinal parasites ‎and Toxoplasma gondii screening should be incorporated into routine clinical care for children with ‎HD‎‎‎.