Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, Ethiopia

Abstract Background Gastrointestinal diseases caused by Salmonella, Shigella, and intestinal parasites remain major public health problems in developing countries such as in East Africa. Food handlers with poor hygiene practices contribute significantly to the spread. This study aimed to determine t...

Full description

Saved in:
Bibliographic Details
Main Authors: Tarik Yenew Tessema, Tewachew Awoke, Zewdu Bishaw Aynalem, Bazezew Asfaw Guadie, Biruk Legese, Rima D. Shrestha, Daniel Mekonnen
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-025-11237-2
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849334934260416512
author Tarik Yenew Tessema
Tewachew Awoke
Zewdu Bishaw Aynalem
Bazezew Asfaw Guadie
Biruk Legese
Rima D. Shrestha
Daniel Mekonnen
author_facet Tarik Yenew Tessema
Tewachew Awoke
Zewdu Bishaw Aynalem
Bazezew Asfaw Guadie
Biruk Legese
Rima D. Shrestha
Daniel Mekonnen
author_sort Tarik Yenew Tessema
collection DOAJ
description Abstract Background Gastrointestinal diseases caused by Salmonella, Shigella, and intestinal parasites remain major public health problems in developing countries such as in East Africa. Food handlers with poor hygiene practices contribute significantly to the spread. This study aimed to determine the magnitude of Salmonella, Shigella, and intestinal parasites, identify associated factors, and determine the antibiotic susceptibility profiles of bacterial isolates among food handlers in Bahir Dar University students’ cafeterias, Northwest Ethiopia. Methods A facility-based cross-sectional study was conducted on 404 food handlers from April 27 to June 24, 2023. Participants were recruited using computer-generated simple random sampling. Self-administered questionnaires and observation checklists were used to collect data. Stool specimens were transported in Cary-Blair medium, enriched in Selenite F broth, sub-cultured on xylose lysine deoxycholate agar for isolation of Salmonella and Shigella, and identified by biochemical tests. Intestinal parasites were identified through wet mount. Antibiotic susceptibility testing was done using the Kirby-Baur method based on CLSI guidelines. Data were entered into Epi-Data 3.1, analyzed with SPSS 25, and logistic regression was employed to assess associations between variables. Results From the total 404 food handlers, the prevalence of Salmonella, Shigella, and intestinal parasites was 2.2%, 0.7%, and 28.2%, respectively. Entamoeba histolytica/dispar was the predominant parasite detected. All Salmonella and Shigella isolates were susceptible to ciprofloxacin and chloramphenicol. Salmonella, 8/9 (88.9%) and Shigella, 3/3 (100%) were ampicillin resistant. Fingernail status (AOR = 10.36, 95% CI: 5.64, 19.03, p-value: <0.001), medical checkups (AOR = 3.65, 95% CI: 1.47, 9.07, p-value: 0.005), hand washing before meals (AOR = 3.06, 95% CI: 1.09, 8.63, p-value: 0.034) and after using toilet (AOR = 3.21, 95% CI: 1.40, 7.33, p-value: 0.006) were significantly associated with intestinal infections. Conclusion Regular screening, along with strict adherence to hygiene practices such as proper hand washing and trimmed fingernails, is essential to reduce the risk of contamination and prevent the transmission of Salmonella, Shigella, and intestinal parasites.
format Article
id doaj-art-5160d17cd59e40238bb66e57ca5a1e90
institution Kabale University
issn 1471-2334
language English
publishDate 2025-07-01
publisher BMC
record_format Article
series BMC Infectious Diseases
spelling doaj-art-5160d17cd59e40238bb66e57ca5a1e902025-08-20T03:45:27ZengBMCBMC Infectious Diseases1471-23342025-07-012511910.1186/s12879-025-11237-2Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, EthiopiaTarik Yenew Tessema0Tewachew Awoke1Zewdu Bishaw Aynalem2Bazezew Asfaw Guadie3Biruk Legese4Rima D. Shrestha5Daniel Mekonnen6Department of Medical Laboratory Sciences, Bahir Dar Blood Bank Service, Amhara Regional Health BureauDepartment of Medical Laboratory Sciences, College of Medicine and Health Sciences, Bahir Dar UniversityDepartment of Nursing, College of Medicine and Health Sciences, Injibara UniversityDepartment of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Injibara UniversityDepartment of Medical Laboratory Sciences, College of Health Sciences, Debre Tabor UniversityDepartment of Internal Medicine, University of Illinois College of Medicine Peoria (UICOMP)Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Bahir Dar UniversityAbstract Background Gastrointestinal diseases caused by Salmonella, Shigella, and intestinal parasites remain major public health problems in developing countries such as in East Africa. Food handlers with poor hygiene practices contribute significantly to the spread. This study aimed to determine the magnitude of Salmonella, Shigella, and intestinal parasites, identify associated factors, and determine the antibiotic susceptibility profiles of bacterial isolates among food handlers in Bahir Dar University students’ cafeterias, Northwest Ethiopia. Methods A facility-based cross-sectional study was conducted on 404 food handlers from April 27 to June 24, 2023. Participants were recruited using computer-generated simple random sampling. Self-administered questionnaires and observation checklists were used to collect data. Stool specimens were transported in Cary-Blair medium, enriched in Selenite F broth, sub-cultured on xylose lysine deoxycholate agar for isolation of Salmonella and Shigella, and identified by biochemical tests. Intestinal parasites were identified through wet mount. Antibiotic susceptibility testing was done using the Kirby-Baur method based on CLSI guidelines. Data were entered into Epi-Data 3.1, analyzed with SPSS 25, and logistic regression was employed to assess associations between variables. Results From the total 404 food handlers, the prevalence of Salmonella, Shigella, and intestinal parasites was 2.2%, 0.7%, and 28.2%, respectively. Entamoeba histolytica/dispar was the predominant parasite detected. All Salmonella and Shigella isolates were susceptible to ciprofloxacin and chloramphenicol. Salmonella, 8/9 (88.9%) and Shigella, 3/3 (100%) were ampicillin resistant. Fingernail status (AOR = 10.36, 95% CI: 5.64, 19.03, p-value: <0.001), medical checkups (AOR = 3.65, 95% CI: 1.47, 9.07, p-value: 0.005), hand washing before meals (AOR = 3.06, 95% CI: 1.09, 8.63, p-value: 0.034) and after using toilet (AOR = 3.21, 95% CI: 1.40, 7.33, p-value: 0.006) were significantly associated with intestinal infections. Conclusion Regular screening, along with strict adherence to hygiene practices such as proper hand washing and trimmed fingernails, is essential to reduce the risk of contamination and prevent the transmission of Salmonella, Shigella, and intestinal parasites.https://doi.org/10.1186/s12879-025-11237-2SalmonellaShigellaIntestinal parasitesAntimicrobial susceptibilityFood handlersEthiopia
spellingShingle Tarik Yenew Tessema
Tewachew Awoke
Zewdu Bishaw Aynalem
Bazezew Asfaw Guadie
Biruk Legese
Rima D. Shrestha
Daniel Mekonnen
Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, Ethiopia
BMC Infectious Diseases
Salmonella
Shigella
Intestinal parasites
Antimicrobial susceptibility
Food handlers
Ethiopia
title Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, Ethiopia
title_full Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, Ethiopia
title_fullStr Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, Ethiopia
title_full_unstemmed Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, Ethiopia
title_short Prevalence of Salmonella, Shigella, and parasites in food handlers at Bahir Dar university, Ethiopia
title_sort prevalence of salmonella shigella and parasites in food handlers at bahir dar university ethiopia
topic Salmonella
Shigella
Intestinal parasites
Antimicrobial susceptibility
Food handlers
Ethiopia
url https://doi.org/10.1186/s12879-025-11237-2
work_keys_str_mv AT tarikyenewtessema prevalenceofsalmonellashigellaandparasitesinfoodhandlersatbahirdaruniversityethiopia
AT tewachewawoke prevalenceofsalmonellashigellaandparasitesinfoodhandlersatbahirdaruniversityethiopia
AT zewdubishawaynalem prevalenceofsalmonellashigellaandparasitesinfoodhandlersatbahirdaruniversityethiopia
AT bazezewasfawguadie prevalenceofsalmonellashigellaandparasitesinfoodhandlersatbahirdaruniversityethiopia
AT biruklegese prevalenceofsalmonellashigellaandparasitesinfoodhandlersatbahirdaruniversityethiopia
AT rimadshrestha prevalenceofsalmonellashigellaandparasitesinfoodhandlersatbahirdaruniversityethiopia
AT danielmekonnen prevalenceofsalmonellashigellaandparasitesinfoodhandlersatbahirdaruniversityethiopia