Evolution of parasitic diseases in a collectivity of HIV positive children

Abstract

Introduction: Intestinal parasitism represents an important problem of children health. Infestations with protozoa and helmints even have an increased incidence in children they weren’t observed because they were asymptomatic and atypical but with negative influence on their health regardless their immune status. Objective: To evaluate parasitic infections in a collectivity of 38 children HIV+ from Cernavoda city (Hospis “St. Laurence”) over a period of 10 years (2002 - 2012). Material and method: We performed two coproparasitologic examinations (in year 2002 - before antiretroviral treatment and in year 2012 - after 10 years of antiretroviral treatment) by concentration and staining methods and ELISA for Cryptosporidium parvum antigen. Results: In our group of study the median age was 11.65 yrs. in 2002 and 20.6 yrs. in 2012. Sex ratio was M: F = 1:1.2. In year 2002 we found an incidence of parasitic disease of 94.9%, and in year 2012 we found an incidence of 26.31%. In year 2002 we found 6 cases of Giardia intestinalis, 5 cases of Blastocystis hominis, 15 cases of Chilomastix mesnili, 2 cases of Entamoeba coli, 1 case of Ascaris lumbricoides, 2 cases of Hymenolepis nana and 5 cases of poliparasitic disease. In year 2012 we found 4 cases of Giardia intestinalis, 2 cases of Entamoeba coli, 2 cases of Blastocystis hominis and one case of Isospora belli and another one case of Ascaris lumbricoides. Conclusions: After ten years of HAART the incidence of parasitic diseases registered an important decrease from 94.9% to 26.31%.

Prevalence of Intestinal Parasitic Infection and Associated Factors Among HAART Initiated Children Attending at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

“…25 However, the prevalence is lower than studies conducted in Ethiopia (48%), 26 Indonesia (57.1%), 27 Egypt (94%), 28 and Ovidius" University Constanta (94.9%). 29 Moreover, our finding is higher than the result reported by Gebre et al 19 ( to implementation of a periodic deworming program, variation in sample size, and the presence of multiple infection.…”

Intestinal Parasitoses in HIV Infected Children in a Nigerian Tertiary Hospital

“…Comparison of our results with other studies is however difficult because of a scarcity of similar studies. The available studies excluded under fives either on ethical grounds or for other unstated reasons [16,17].…”