{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T15:59:51Z","timestamp":1779379191203,"version":"3.53.1"},"reference-count":98,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Experimental Allergy"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Inconsistent data exist regarding the influence of parasitic infection on the prevalence of allergic sensitization and disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the impact of geohelminth and protozoan infections on sensitization patterns and allergic symptoms of children living in low\u2010income communities in Gqeberha, South Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a cross\u2010sectional study, 587 schoolchildren aged 8\u201312\u00a0years were recruited in June 2016 and screened for reactivity to common allergens by skin prick tests (SPTs) and for parasitic infections by stool examination. Additionally, questionnaires were completed to record allergic symptoms the children may have experienced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Positive SPTs were found in 237\/587 children (40.4%), and about one\u2010third of whom were polysensitized. Sensitizations were most frequently detected against the house dust mites (HDM) <jats:italic>Dermatophagoides<\/jats:italic> spp. (31.9%) and <jats:italic>Blomia tropicalis<\/jats:italic> (21.0%). Infections with geohelminths (<jats:italic>Ascaris lumbricoides<\/jats:italic>, <jats:italic>Trichuris trichiura<\/jats:italic>) were found in 26.8% and protozoan infections (<jats:italic>Giardia intestinalis<\/jats:italic>, <jats:italic>Cryptosporidia<\/jats:italic> spp.) in 13.9% of study participants. Mixed logistic regression analyses revealed negative associations between parasite infection and sensitization to <jats:italic>Blomia tropicalis<\/jats:italic> (OR: 0.54, 95% CI 0.33\u20130.89) and to <jats:italic>Dermatophagoides<\/jats:italic> spp. (OR 0.65, 95% CI 0.43\u20130.96), and between protozoan infection and allergic sensitization to any aeroallergen, although these associations were not significant when adjusted for false discovery. Geohelminth infection and intensity of geohelminth infection were both associated with reduced risk of polysensitization (OR 0.41, 95% CI 0.21\u20130.86), and this association remained significant with adjustment for false discovery. Reported respiratory symptoms were associated with HDM sensitization (ORs from 1.54 to 2.48), but not with parasite infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and clinical relevance<\/jats:title><jats:p>Our data suggest that geohelminth infection and high geohelminth infection intensity are associated with a reduced risk of polysensitization.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cea.14100","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T00:49:48Z","timestamp":1643071788000},"page":"670-683","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Association between allergic sensitization and intestinal parasite infection in schoolchildren in Gqeberha, South 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