{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:46:44Z","timestamp":1791820004255,"version":"4.3.4"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100021068","name":"Universidad de Las Am\u00e9ricas","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021068","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020906","name":"Universidad de Las Am\u00e9ricas Chile","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020906","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ijidonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Infectious Diseases"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.ijid.2026.109026","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:09:48Z","timestamp":1785539388000},"page":"109026","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["High prevalence and territorial heterogeneity of intestinal parasite detection in Ecuador: A large registry-based cross-sectional study using routine stool examinations"],"prefix":"10.1016","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1895-7498","authenticated-orcid":false,"given":"Esteban","family":"Ortiz-Prado","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebasti\u00e1n","family":"Cadena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Duran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Larrea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norma","family":"P\u00e1ez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viviana","family":"Sarlabous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayra","family":"S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricio","family":"Toledo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Vergara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Vasconez-Gonzalez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan S.","family":"Izquierdo-Condoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.ijid.2026.109026_bib0001","doi-asserted-by":"crossref","first-page":"127","DOI":"10.14740\/gr1622","article-title":"Intestinal parasitic infections in 2023","volume":"16","author":"Ahmed","year":"2023","journal-title":"Gastroenterol Res"},{"key":"10.1016\/j.ijid.2026.109026_bib0002","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/s40249-024-01238-9","article-title":"Global burden of soil-transmitted helminth infections, 1990\u20132021","volume":"13","author":"Chen","year":"2024","journal-title":"Infect Dis Poverty"},{"issue":"11","key":"10.1016\/j.ijid.2026.109026_bib0003","doi-asserted-by":"crossref","first-page":"371","DOI":"10.3390\/tropicalmed7110371","article-title":"Intestinal parasitic infection and nutritional status in children under five years old: a systematic review","volume":"7","author":"Fauziah","year":"2022","journal-title":"Trop Med Infect Dis"},{"key":"10.1016\/j.ijid.2026.109026_bib0004","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2022.1029375","article-title":"Waterborne diseases and ethnic-related disparities: a 10 years nationwide mortality and burden of disease analysis from Ecuador","volume":"10","author":"Ortiz-Prado","year":"2022","journal-title":"Front Public Health"},{"key":"10.1016\/j.ijid.2026.109026_bib0005","article-title":"World Health Organization","year":"2023","journal-title":"Soil-Transmitted Helminth Infect"},{"issue":"3","key":"10.1016\/j.ijid.2026.109026_bib0006","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0298767","article-title":"Prevalence of intestinal parasitic infections and associated risk factors among patients attending Debarq Primary Hospital, northwest Ethiopia","volume":"19","author":"Alelign","year":"2024","journal-title":"PLOS One"},{"issue":"1","key":"10.1016\/j.ijid.2026.109026_bib0007","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1186\/s13071-021-04968-z","article-title":"Prevalence of intestinal parasites and molecular characterization of giardia intestinalis, blastocystis spp. And entamoeba histolytica in the village of Fort\u00edn Mboror\u00e9 (Puerto Iguaz\u00fa, Misiones, Argentina)","volume":"14","author":"Candela","year":"2021","journal-title":"Parasit Vectors"},{"issue":"3","key":"10.1016\/j.ijid.2026.109026_bib0008","doi-asserted-by":"crossref","first-page":"495","DOI":"10.3390\/ijerph15030495","article-title":"Protozoan parasites in drinking water: a system approach for improved water, sanitation and hygiene in developing countries","volume":"15","author":"Omarova","year":"2018","journal-title":"Int J Environ Res Public Health"},{"issue":"12","key":"10.1016\/j.ijid.2026.109026_bib0009","doi-asserted-by":"crossref","first-page":"5339","DOI":"10.3390\/app14125339","article-title":"Food and drinking water as sources of pathogenic protozoans: an update","volume":"14","author":"Rossi","year":"2024","journal-title":"Appl Sci"},{"issue":"3","key":"10.1016\/j.ijid.2026.109026_bib0010","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0005445","article-title":"Geospatial distribution of intestinal parasitic infections in Rio de Janeiro (Brazil) and its association with social determinants","volume":"11","author":"Faria","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"issue":"1","key":"10.1016\/j.ijid.2026.109026_bib0011","doi-asserted-by":"crossref","first-page":"39","DOI":"10.24171\/j.phrp.2019.10.1.08","article-title":"Enteroparasitism and risk factors associated with clinical manifestations in children and adults of Jalisco State in Western Mexico","volume":"10","author":"Galv\u00e1n-Ram\u00edrez","year":"2019","journal-title":"Osong Public Health Res Perspect. febrero de"},{"issue":"1 (enero\u2013marzo)","key":"10.1016\/j.ijid.2026.109026_bib0012","first-page":"23","article-title":"Intestinal parasites in children and adolescents from rural communities of Manab\u00ed, Ecuador","volume":"29","author":"Rivero Rodr\u00edguez","year":"2025","journal-title":"Infect Rev Asoc Colomb Infectol"},{"issue":"2","key":"10.1016\/j.ijid.2026.109026_bib0013","article-title":"Caracter\u00edsticas sociodemogr\u00e1ficas y cl\u00ednicas asociadas a la infecci\u00f3n parasitaria intestinal en los habitantes de la comuna Joa y Chade del Cant\u00f3n Jipijapa","volume":"6","author":"Castro Jalca","year":"2021","journal-title":"J Sci Res"},{"issue":"5","key":"10.1016\/j.ijid.2026.109026_bib0014","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0011339","article-title":"Prevalence and associated risk factors of intestinal parasites among schoolchildren in Ecuador, with emphasis on the molecular diversity of giardia duodenalis, blastocystis spp. And enterocytozoon bieneusi","volume":"17","author":"Tapia-Veloz","year":"2023","journal-title":"PLoS Negl Trop Dis"},{"issue":"8","key":"10.1016\/j.ijid.2026.109026_bib0015","doi-asserted-by":"crossref","first-page":"2408","DOI":"10.1128\/JCM.37.8.2408-2411.1999","article-title":"Utility of multiple-stool-specimen ova and parasite examinations in a high-prevalence setting","volume":"37","author":"Cartwright","year":"1999","journal-title":"J Clin Microbiol"},{"issue":"11","key":"10.1016\/j.ijid.2026.109026_bib0016","doi-asserted-by":"crossref","first-page":"3044","DOI":"10.1128\/jcm.31.11.3044-3045.1993","article-title":"Multiple stool examinations for ova and parasites and rate of false-negative results","volume":"31","author":"Marti","year":"1993","journal-title":"J Clin Microbiol"},{"key":"10.1016\/j.ijid.2026.109026_bib0017","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.actatropica.2015.03.024","article-title":"A survey of intestinal parasites including associated risk factors in humans in Panama","volume":"147","author":"Sandoval","year":"2015","journal-title":"Acta Trop"},{"key":"10.1016\/j.ijid.2026.109026_bib0018","article-title":"Prevalence of intestinal parasitic infections in Brazil: a systematic review","volume":"54","author":"Oliveira Celestino","year":"2021","journal-title":"Rev Soc Bras Med Trop"},{"issue":"3","key":"10.1016\/j.ijid.2026.109026_bib0019","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0005445","article-title":"Geospatial distribution of intestinal parasitic infections in Rio de Janeiro (Brazil) and its association with social determinants","volume":"11","author":"Faria","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"issue":"6","key":"10.1016\/j.ijid.2026.109026_bib0020","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0013161","article-title":"Community surveys of the prevalence, distribution, and coinfection of helminth and protozoan infections in semiurban and rural areas of Gabon, Central Africa","volume":"19","author":"Dejon-Agob\u00e9","year":"2025","journal-title":"PLoS Negl Trop Dis"},{"key":"10.1016\/j.ijid.2026.109026_bib0021","doi-asserted-by":"crossref","first-page":"3212","DOI":"10.1186\/s12889-025-24074-4","article-title":"Worldwide prevalence of protozoans and helminths among disabled people: a systematic review and meta-analysis","volume":"25","author":"Halidi","year":"2025","journal-title":"BMC Public Health"},{"issue":"4","key":"10.1016\/j.ijid.2026.109026_bib0022","doi-asserted-by":"crossref","first-page":"535","DOI":"10.59169\/pentaciencias.v5i4.691","article-title":"Prevalencia de parasitosis intestinal en ni\u00f1os y ni\u00f1as del Ecuador","volume":"5","author":"Taco","year":"2023","journal-title":"Rev Cient\u00edfica Arbitr Multidiscip Pentaciencias"},{"issue":"9","key":"10.1016\/j.ijid.2026.109026_bib0023","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgph.0002690","article-title":"The development and validation of a survey to measure fecal-oral child exposure to zoonotic enteropathogens: the FECEZ Enteropathogens Index","volume":"4","author":"Ballard","year":"2024","journal-title":"PLOS Glob Public Health"},{"issue":"7","key":"10.1016\/j.ijid.2026.109026_bib0024","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.3390\/microorganisms13071549","article-title":"Waterborne transmission driving the prevalence of Blastocystis spp. in Los R\u00edos Region, Southern Chile","volume":"13","author":"Sanhueza Teneo","year":"2025","journal-title":"Microorganisms"},{"issue":"6","key":"10.1016\/j.ijid.2026.109026_bib0025","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/j.meegid.2009.06.008","article-title":"Reassessment of the epidemiology of amebiasis: state of the art","volume":"9","author":"Xim\u00e9nez","year":"2009","journal-title":"Infect Genet Evol"},{"issue":"10497","key":"10.1016\/j.ijid.2026.109026_bib0026","doi-asserted-by":"crossref","first-page":"2275","DOI":"10.1016\/S0140-6736(25)01204-8","article-title":"Leptospirosis deaths in children in the Amazon: syndemic inequities","volume":"405","author":"Ortiz-Prado","year":"2025","journal-title":"The Lancet"},{"key":"10.1016\/j.ijid.2026.109026_bib0027","article-title":"El Ni\u00f1o-Southern Oscillation: a call to action for public health emergency preparedness and response","volume":"27","author":"Ortiz-Prado","year":"2023","journal-title":"Lancet Reg Health \u2013 Am"},{"issue":"1","key":"10.1016\/j.ijid.2026.109026_bib0028","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1111\/imr.12563","article-title":"The intestinal microbiota: antibiotics, colonization resistance, and enteric pathogens","volume":"279","author":"Kim","year":"2017","journal-title":"Immunol Rev"}],"container-title":["International Journal of Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1201971226006612?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1201971226006612?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:52:42Z","timestamp":1791816762000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1201971226006612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":28,"alternative-id":["S1201971226006612"],"URL":"https:\/\/doi.org\/10.1016\/j.ijid.2026.109026","relation":{},"ISSN":["1201-9712"],"issn-type":[{"value":"1201-9712","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"High prevalence and territorial heterogeneity of intestinal parasite detection in Ecuador: A large registry-based cross-sectional study using routine stool examinations","name":"articletitle","label":"Article Title"},{"value":"International Journal of Infectious Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijid.2026.109026","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.","name":"copyright","label":"Copyright"}],"article-number":"109026"}}