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Original Article

Breast-Feeding Protects Infantile Diarrhea Caused by Intestinal Protozoan Infections

Ekhlas Hamed Abdel-Hafeez1, Usama Salah Belal1, Manal Zaki Mohamed Abdellatif1, Koji Naoi2, Kazumi Norose3
The Korean Journal of Parasitology 2013;51(5):519-524.
Published online: October 31, 2013

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Corresponding author (ekhlasha@yahoo.com)
• Received: May 2, 2013   • Revised: August 20, 2013   • Accepted: August 21, 2013

© 2013, Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Breast-Feeding Protects Infantile Diarrhea Caused by Intestinal Protozoan Infections
Korean J Parasitol. 2013;51(5):519-524.   Published online October 31, 2013
DOI: https://doi.org/10.3347/kjp.2013.51.5.519
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Breast-Feeding Protects Infantile Diarrhea Caused by Intestinal Protozoan Infections
Korean J Parasitol. 2013;51(5):519-524.   Published online October 31, 2013
DOI: https://doi.org/10.3347/kjp.2013.51.5.519
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Breast-Feeding Protects Infantile Diarrhea Caused by Intestinal Protozoan Infections
Image Image
Fig. 1 Intestinal protozoa isolated from feces of 322 infants with persistent diarrhea according to feeding state. The detailes of the mixed parasite infection from non-breast-fed group were as follows: Cryptosporidium spp. and E. histolytica/dispar; 4 (3.3%), Cryptosporidium spp. and G. lamblia; 4 (3.3%), and Cryptosporidium spp. and Blastocystis sp.; 6 (5.0%). aP<0.05 between breast-fed vs. non-breast-fed.
Fig. 2 Serum levels of IgE and TNF-α and intensity of parasite infection. (A) IgE. (B) TNF-α. Open circles, breast-fed group; filled circles, non-breast-fed group. X, infants infected with mixed parasites. Values are means±SD. aP<0.01 between breast-fed and non-breast-fed group in same intensity of parasite infections.

Fig. 1

Fig. 2

Breast-Feeding Protects Infantile Diarrhea Caused by Intestinal Protozoan Infections
Breast-fed Non-breast-fed Total Parasite intensity Single parasite infection 2.9 ± 0.9a 3.3 ± 0.9 3.1 ± 1.0 Mixed parasite infections - 2.7 ± 1.0 2.7 ± 1.0 Total 2.9 ± 0.9 3.2 ± 0.9 3.1 ± 1.0 Protozoa Breast-fed (n = 161)
Non-breast-fed (n = 161)
IgE (IU/ml) TNF-α (pg/ml) IgE (IU/ml) TNF-α (pg/ml) Positive (n = 183) 514.8 ± 95.2a,b 6.2 ± 0.7a,b 645.9 ± 67.8b 7.7 ± 1.2b  Boys (n = 72) 487.8 ± 97.2 5.8 ± 0.8c 653.1 ± 67.3 7.7 ± 1.1  Girls (n = 111) 534.3 ± 90.0 6.5 ± 0.6 641.7 ± 68.2 7.7 ± 1.2 Negative (n = 139) 118.1 ± 15.9 3.5 ± 0.5 121.1 ± 9.6 3.7 ± 0.3
Table 1. Parasite intensity of infected infants with persistent diarrhea according to feeding state

P<0.05 between breast-fed vs. non-breast-fed.

Table 2. The levels of serum IgE and TNF-α in infants with persistent diarrhea

P<0.01 between breast-fed and non-breast-fed group.

P<0.01 between positive and negative group.

P<0.05 between boys and girls.

Table 1.

Table 2.

PHD : Parasites, Hosts and Diseases

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