Evaluation of parasites causing gastro-intestinal tract infestations in HIV/AIDS patients

Kotgire, Santosh; Tankhiwale, Nilima; Tankhiwale, S; De, Abhijit; Das, Debabrata

doi:10.4103/0019-557x.92422

Cited by 6 publications

(5 citation statements)

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“…This fi rst place with regard to the prevalence of Cryptosporidium spp. was in accordance with the studies done in India [6,21,22]. The higher prevalence of Cryptosporidium spp., Isospora belli infections and other opportunistic parasites found in HIV sero-positive individuals need an intervention to avoid their opportunistic and pathogenic potentials and to provide guidelines for therapy and necessary data for planning and evaluation of care and management of HIV-positive patients.…”

Section: Discussionsupporting

confidence: 92%

“…Among amoeba, the prevalence of Entamoeba coli (23.9%) was higher to the prevalence found in Equatorial Guinea (15.8%) [15].The higher prevalence of Entamoeba coli among amoeba was also recently found in prisoners in Ouagadougou, Burkina Faso [23]. The prevalence of Entamoeba histolytica (8.3%) was in concordance with the fi nding in Nigeria and Ethiopia respectively 9.2% and 6.1%, but lower than those found in India 24.4% [5,18,22]. The prevalence rate of Giardia intestinalis (9.3%) was higher than an earlier study and that found in India, 4.1% [12,24].…”

Section: Discussionsupporting

confidence: 75%

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Opportunistic and other intestinal parasites infections among HIV-positive patients in the era of combination antiretroviral therapy and preventive treatment in Ouagadougou, Burkina Faso

A¹,

Yacouba²,

Sawadogo³

et al. 2017

J HIV Clin Sci Res

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Background: One of the particularities of human immunodeficiency virus (HIV) infection in the tropics is its frequent association with parasitic diseases so frequent in this area. Aim: The aim of this study was to update the epidemiological and clinical profile of intestinal parasites among HIV-positive patients in the era of combination antiretroviral therapy (ART) and preventive treatment in Ouagadougou, Burkina Faso. Materials and Methods: A cross-sectional study was conducted in a single health care system, Yalgado Ouédraogo University hospital, between January 2013 and December 2014. A total of 131 HIV-infected patients were included in the study. Blood and Stool samples were collected for CD4 counts and for intestinal parasitic examination using direct, formol-ether concentration, a concentration method using sodium chloride solution, modified Ziehl-Neelsen and Weber modified trichrome. Odds ratio was calculated to estimate the risk attributable to different factors with confidence intervals. Chi-square (X2) or Fisher’s Exact Test statistical analysis was used to test level of significance at p<0.05 using SPSS 20.0.0. Results: A prevalence of 73.3% of intestinal parasites was recorded. Most of the parasitic infections were protozoa (97.9%) with few helminths (2.1%). Cryptosporidium spp. (29.2%), was the most commonly found parasite followed by Entamoeba coli (23.9%) and Isospora belli (21.9%). There were 76 cases (78.5%) of single infection and 20 cases (21.5%) of mixed infection. Paradoxically, patients who use preventive treatment were more infected with opportunistic parasites (p= 0.05, OR=2.16, 95% CI= 1.06-4.40). In multivariate analysis, patients with diarrhea (OR=4.04, 95% CI=1.94-8.41), and illiterate (OR=3.70, 95% CI=1.68-8.14) had higher risk of opportunistic parasites. The diarrheic patients were 0.29 times more likely to be infected with opportunistic parasites. Conclusion: Despite the advent of combination ART and preventive treatment of opportunistic infections, intestinal parasites remain very prevalent and associated with diarrhea among patients with HIV in Ouagadougou.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 75%

Opportunistic and other intestinal parasites infections among HIV-positive patients in the era of combination antiretroviral therapy and preventive treatment in Ouagadougou, Burkina Faso

A¹,

Yacouba²,

Sawadogo³

et al. 2017

J HIV Clin Sci Res

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show abstract

“…However, our results are more in line with those found in Equatorial Guinea and in Ethiopia, where respectively 81.5% and 80.3% of the HIV-positive patients studied were infected by intestinal parasites [15,18]. Ethiopia respectively 9.2% and 6.1%, but lower than those found in India 24.4% [5,18,22]. The prevalence rate of Giardia intestinalis (9.3%) was higher than an earlier study and that found in India, 4.1% [12,24].…”

Section: Discussionsupporting

confidence: 89%

Opportunistic and other intestinal parasites infections among HIVpositive patients in the era of combination antiretroviral therapy and preventive treatment in Ouagadougou, Burkina Faso

Yacouba

2017

J HIV Clin Sci Res

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Background: One of the particularities of human immunodefi ciency virus (HIV) infection in the tropics is its frequent association with parasitic diseases so frequent in this area. Aim: The aim of this study was to update the epidemiological and clinical profi le of intestinal parasites among HIV-positive patients in the era of combination antiretroviral therapy (ART) and preventive treatment in Ouagadougou, Burkina Faso. Materials and Methods: A cross-sectional study was conducted in a single health care system, Yalgado Ouédraogo University hospital, between January 2013 and December 2014. A total of 131 HIVinfected patients were included in the study. Blood and Stool samples were collected for CD4 counts and for intestinal parasitic examination using direct, formol-ether concentration, a concentration method using sodium chloride solution, modifi ed Ziehl-Neelsen and Weber modifi ed trichrome. Odds ratio was calculated to estimate the risk attributable to different factors with confi dence intervals. Chi-square (X 2) or Fisher's Exact Test statistical analysis was used to test level of signifi cance at p<0.05 using SPSS 20.0.0. Results: A prevalence of 73.3% of intestinal parasites was recorded. Most of the parasitic infections were protozoa (97.9%) with few helminths (2.1%). Cryptosporidium spp. (29.2%), was the most commonly found parasite followed by Entamoeba coli (23.9%) and Isospora belli (21.9%). There were 76 cases (78.5%) of single infection and 20 cases (21.5%) of mixed infection. Paradoxically, patients who use preventive treatment were more infected with opportunistic parasites (p= 0.05, OR=2.16, 95% CI= 1.06-4.40). In multivariate analysis, patients with diarrhea (OR=4.04, 95% CI=1.94-8.41), and illiterate (OR=3.70, 95% CI=1.68-8.14) had higher risk of opportunistic parasites. The diarrheic patients were 0.29 times more likely to be infected with opportunistic parasites. Conclusion: Despite the advent of combination ART and preventive treatment of opportunistic infections, intestinal parasites remain very prevalent and associated with diarrhea among patients with HIV in Ouagadougou.

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“…20 A considerably higher prevalence of giardiasis compared to the present finding has also been observed in previous works performed in other tropical regions, such as 14.9% from a study conducted at a mission hospital in tropical West Africa 30 and 8% from India. 31 Mixed infection was the other observation found in the present study. The combined prevalence of both double and triple infection accounted for 2.3%.…”

Section: Discussionmentioning

confidence: 60%

Prevalence of intestinal protozoan infections among individuals living with HIV/AIDS at Felegehiwot Referral Hospital, Bahir Dar, Ethiopia

Kiros

Nibret

Munshea

et al. 2015

International Journal of Infectious Diseases

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Evaluation of parasites causing gastro-intestinal tract infestations in HIV/AIDS patients

Cited by 6 publications

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Opportunistic and other intestinal parasites infections among HIV-positive patients in the era of combination antiretroviral therapy and preventive treatment in Ouagadougou, Burkina Faso

Opportunistic and other intestinal parasites infections among HIV-positive patients in the era of combination antiretroviral therapy and preventive treatment in Ouagadougou, Burkina Faso

Opportunistic and other intestinal parasites infections among HIVpositive patients in the era of combination antiretroviral therapy and preventive treatment in Ouagadougou, Burkina Faso

Prevalence of intestinal protozoan infections among individuals living with HIV/AIDS at Felegehiwot Referral Hospital, Bahir Dar, Ethiopia

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