Prevalence of Intestinal Parasites and Associated Factors among HIV Patients who had Follow up at Debre Markos Referral Hospital,Northwest Ethiopia,from 2015-2019.

Gietaneh, Wodaje; Agegne, Ayalnesh; Gedif, Getnet

doi:10.21203/rs.2.14283/v1

Cited by 3 publications

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“…In this study, 22 cross-sectional articles were reported from one city administration and six regions of Ethiopia. Eight studies conducted in Amhara regional state [4,17,18,[30][31][32][33][34], six studies were done in Oromia regional state [28,[35][36][37][38][39], four studies conducted in South Nations, Nationalities and Peoples Regional state (SNNPR) [5,29,40,41], two articles reported from Tigray regional state [16,21], one study reported from Harari regional state [19] and one study was conducted in Oromia region, Afar region and Dire Dawa city administration [42] (Table 1).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Intestinal parasitic infections and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis

et al. 2020

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Background Intestinal parasitic infections are major public health problems throughout the world, particularly in people living with HIV/AIDS. People living with HIV/AIDS are vulnerable groups for a variety of diseases, hence they are easily affected by opportunistic and non-opportunistic intestinal parasites due to the weakening of their immunity. Therefore, this study aimed to estimate the pooled prevalence and factors associated with intestinal parasitic infections among people living with HIV/AIDS in Ethiopia. Methods Articles were identified through search engines in the online electronic databases PubMed/MEDLINE, EMBASE, HINARI, CINAHL, Cochrane Library, Google Scholar, and reference lists of previous studies following the PRISMA Protocol. Studies conducted between 2003 and 2020 with English language were included in this study. This review included papers with having high-quality NOS scores. Meta-analysis was computed using STATA version 11 software. Heterogeneity was assessed using the Cochrane Q-test and I2 test statistics. Subgroup and sensitivity analysis was employed with evidence of heterogeneity. Publication bias was determined using the funnel plot and Egger’s regression test statistic. Results This study included a total of twenty-two cross-sectional studies with 5,833 study participants. The mean age of the study participants was 35 years old. The pooled prevalence of intestinal parasitic infection among people living with HIV/AIDS in Ethiopia was 39.15% (95%CI: 32.34, 45.95). The pooled prevalence of intestinal parasitic infections among people living with HIV/AIDS who had taking ART and who had not to start ART was found to be 28.27% (95%CI 22.47, 34.06) and 41.63% (95%CI: 28.75, 54.52) respectively. Unavailability of latrine (AOR: 4.87, (95% CI: 2.39, 9.92)), CD4+ T cell count <200cells/μl ((AOR: 3.53, (95%CI: 1.98, 6.27)), and having a history of diarrhea (AOR: 4.79 (95%CI: 1.53, 14.99) were factors significantly associated with intestinal parasitic infections. Conclusion In this study, the overall pooled prevalence of intestinal parasitic infections among HIV/AIDS patients in Ethiopia was relatively high. CD4+ T-cell count <200cells/μl, unavailability of a latrine, and history of diarrhea were significantly associated with intestinal parasitic infections. Therefore, the policymakers and health care professionals could give special attention to the presence of latrines, early detection and treatment of intestinal parasitic infections, and early initiation of ART drugs.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Intestinal parasitic infections and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis

et al. 2020

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“…This prevalence was higher than the study conducted at Benin city Edo state Nigeria (18%), Kombolcha North Central Ethiopia (13.9%), Debre Markos referral hospital Northwest Ethiopia (24.2%), Dessie hospital ART clinic Northeast Ethiopia (17.6%), and hospital Kano Nigeria (11%). [11][12][13][14][15] This study was lower than the prevalence of intestinal…”

Section: Discussionmentioning

confidence: 99%

Prevalence of intestinal parasites and its association factors, knowledge, attitude and practice about intestinal parasite Saint Peter TB specialized hospital Addis Ababa, Ethiopia

et al. 2021

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Background: Intestinal parasitic infections and HIV/AIDS have been the leading and persisting public health problems in the world. There vital causes of morbidity and mortality are remarkably high in Sub-Saharan Africa.Methods: A cross-sectional study was conducted among patients attending Saint Peter hospital from December 2019 to May 2020. A total of 328 participants were select by using convenient sampling method. Socio-demographic data and knowledge, attitude and practice were collected using a structured questioner. Stool specimen was collected using clean container and processed and analyzed for parasitological examination using direct wet mount, formal-ether sedimentation and modified Ziehl-Neelsen (ZN) staining techniques. Venous blood was collected and the CD4+ T-lymphocyte and hemoglobin analyzed by Presto instrument. The data were analyzed by using SPSS version 23 and p values less than 0.05 were considered statistically significant.Results: A total of 328 HIV-positive individuals (59.8% female) of age ranging from 13-72 years (mean=41.8, SD=10.8) participated in this study. The overall prevalence of intestinal parasites among the study participants was 26.2% (86/328), from this 88.4% (76/86) was infected by single parasite. IP was significantly associated with CD4 count <200 AOR (4.736 CI: 2.338-9.594; p<0.001) and also anemia AOR (3.271 CI: 1.069-10.010).Conclusions: Intestinal parasitic infections are still common health problems among HIV/ADIS patients in the study area, so the health professionals need to give attention to parasitological examinations in the routine treatment of HIV/AIDS patients and also give education on these three parts knowledge, attitude and practice, but more focus and follow up on the practice of HIV/AIDS patients on transmission, prevention and control mechanisms of intestinal parasitosis.

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“…The sample size was determined by using the single population proportion formula, with the formula n = (Z a/2 ) 2 *P (1-P)/d 2 , where n is the minimum required sample size, P is the prevalence of intestinal parasite among HIV patients from a previous study (p = 24.2%) (16), d is the marginal error between the sample and the population (d = 0.05), and Z is the critical value at 95% certainty (1.96). Then n = (1.96) 2 (0.242) (0.799)/(0.05) 2 = 297.…”

Section: Sample Size Determinationmentioning

confidence: 99%

Magnitude of intestinal parasitic infections and its determinants among HIV/AIDS patients attending at antiretroviral treatment centers in East and West Gojam Zones, Northwest, Ethiopia: institution based cross-sectional study

Endalamaw,

Alemneh,

Amare

et al. 2024

AIDS Res Ther

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Background Intestinal parasitic infections (IP) are a major source of morbidity in people living with Human immunodeficiency virus (HIV), particularly in resource-limited settings, mostly as a result of high viral load. Hence, this study aimed to investigate the magnitude of intestinal parasitic infections and its determinants among patients with HIV/AIDS attending public health facilities in East and West Gojam Zones in Ethiopia. Methods Institution-based cross-sectional study was conducted on 327 people living with HIV visiting public health facilities from December 2022 to May 2023. A simple random sampling technique was used to recruit participants. Face-to-face interviews were used to collect socio-demographics and determinants. The fresh stool was collected from each patient, transported, and tested in accordance with laboratory standard operating procedures of wet mount, formol-ether concentration technique, and modified acid-fast staining. Data were entered and analyzed in the statistical package for Social Science (SPSS) version 20. A 95% CI with p-value < 0.05 was considered statistically significant. Results The overall prevalence of IP in patients with HIV/AIDS was 19.3% (63/327). Hookworm was the most identified parasite 33.3% (21/63) followed by E.histolytica 17% (11/63) and G.lamblia 14.3% (9/63). Parasitic infections were significantly higher among viral load > 1000cps/ml (p = 0.035), WHO stage 4 (p = 0.002), CD4 < 200 cell/mm3 (p = 0.001), and bare foot walking (p = 0.001). Conclusion IP infections are moderately high among patients with HIV/AIDS in the study area. The proportion of parasites was greatly affected by high viral load, WHO stage 4, CD4 < 200 cell/mm3, and being barefoot; this gives valuable insight to health professionals, health planners and community health workers. As a result, viral load monitoring, and WHO stage controlling were periodically assessed in patients with HIV/AIDS. Health education, awareness creation, routine stool examination, and environmental hygiene were regularly advocated to increase the life of patients with HIV/AIDS.

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Prevalence of Intestinal Parasites and Associated Factors among HIV Patients who had Follow up at Debre Markos Referral Hospital,Northwest Ethiopia,from 2015-2019.

Cited by 3 publications

References 7 publications

Intestinal parasitic infections and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis

Intestinal parasitic infections and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis

Prevalence of intestinal parasites and its association factors, knowledge, attitude and practice about intestinal parasite Saint Peter TB specialized hospital Addis Ababa, Ethiopia

Magnitude of intestinal parasitic infections and its determinants among HIV/AIDS patients attending at antiretroviral treatment centers in East and West Gojam Zones, Northwest, Ethiopia: institution based cross-sectional study

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