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

Bayleyegn, Biruk; Woldu, Berhanu; Yalew, Aregawi; Kasew, Desie; Asrie, Fikir

doi:10.2147/hiv.s287659

Cited by 3 publications

(4 citation statements)

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“…The occurrence higher intestinal parasitic infection in patients with WHO stage III was in line with other study nding [21,36]. Similarly, in this study, viral load ≥150 copies/ml was also signi cantly associated with intestinal parasitic infection, which also is reported in other study [22]. The higher the viral load, may be related with low level of CD4 count and advanced WHO stage, which leads to the quicker a person's immune system will be damaged, increasing their chances of catching infections that the body would normally ght off very easily.…”

Section: Discussionsupporting

confidence: 93%

“…In this study, intestinal parasitic infections occurrence was signi cantly higher in patients with CD 4 count <200 cell/mm 3 , which is in line with other study ndings [20][21][22][23][24][25]33]. Unlike others, in our study the occurrence of intestinal parasitic infections was also signi cantly higher in patients with CD 4 count 200-500 cell/mm 3 .…”

Section: Discussionsupporting

confidence: 91%

“…This study was a hospital based cross-sectional study which was conducted to assess the prevalence of intestinal parasites among HIV/AIDS patients at southwest district of Ethiopia. Accordingly, the overall prevalence of intestinal parasites was 35.1% which was higher than study ndings in different parts of Ethiopia in which the average prevalence of intestinal parasites among HIV/AIDS patients was 18.2% [20][21][22][23]. However, this nding is lower than a nding in Nekemte (73.3%) [24], Gondar (45.3%) [25],…”

Section: Discussionmentioning

confidence: 58%

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Prevalence Of Intestinal Parasites And Associated Risk Factors Among HIV/AIDS Patients Attending At Anti-Retroviral Treatment (ART) Clinic At Mizan-Tepi University Teaching Hospital, Southwest Ethiopia.

Abayneh

Duguma

2022

Preprint

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Background: Intestinal parasitic infections are still very common, especially in areas where immune-compromised patients like HIV/AIDS patients are high prevalent. Therefore, the aim of this study was to assess the prevalence of intestinal parasite and risk factor among HIV/ AIDS patients attending ART clinic in Mizan-Tepi university teaching hospital, Southwest Ethiopia. Method: A cross -sectional survey was conducted from July to September, 2021. A total of 191 study subjects were participated in this study. A structured questionnaire was used for collecting socio-demographic and risk factors data. Stool sample was collected and processed using direct wet mount, formol-ether concentration technique and modified Ziehl-Neelson staining techniques. Data was analyzed using statistical package for social sciences (SPSS) Version 25 software and logistic regressions were applied to assess any association between explanatory factors and outcome variables. Result: From a total of 191 stool samples, 67 (35.1%) were positive for intestinal parasites. The prevalence of intestinal parasites among patients on-ART was 31.5% (45/143) and 45.8% (22/48) among ART naïve group. Entamoeba histolytica/dispar (7.7%) and (12.5%) and Giardia lamblia (7.0%) and (10.4%) was the most predominant parasites detected both in ART and ART naïve groups (p > 0.05). Drinking untreated water (AOR = 0.13; 95% CI: 0.016-1.012), consuming raw food (AOR = 0.23; 95% CI: 0.025-2.108), eating unwashed raw vegetables (AOR = 2.26; 95% CI: 1.052-4.843); CD4 count <200cells/ mm3 (AOR = 0.22; 95% CI: 0.062-0.798), CD4 count 200-500cells/mm3 (AOR = 0.40; 95% CI: 0.195-0.811), WHO stage II (AOR = 0.30; 95% CI: 0.156-0.589), WHO stage III (AOR = 0.32; 95% CI: 0.108-0.917) and viral load ≥150 copies/ml (AOR = 0.44; 95% CI: 0.220-0.873) were showed significant association with prevalence of intestinal parasite.Conclusion: In this study, higher rate of intestinal parasitosis were associated with hygienic practices like drinking untreated water, consuming raw food and eating unwashed raw vegetables and with some clinical findings such as lower CD4 counts, increased viral load and being WHO stage II & III. Therefore, public health measures and adherence to ART should be strengthened to improve the immune status and to reducing vulnerability of the patients for intestinal parasites.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 58%

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Prevalence Of Intestinal Parasites And Associated Risk Factors Among HIV/AIDS Patients Attending At Anti-Retroviral Treatment (ART) Clinic At Mizan-Tepi University Teaching Hospital, Southwest Ethiopia.

Abayneh

Duguma

2022

Preprint

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“…Adolescents who had a habit of at least one-time consumption of raw meat had 1.5 times increased odds of being infected by intestinal parasites. is finding was comparable with studies done in Northwest Ethiopia [25] and Gondar [43]. is could have happened because most of the tapeworms that affect humans come from eating undercooked animal products/meat as well as raw or undercooked fish that is contaminated.…”

Section: Discussionsupporting

confidence: 87%

Intestinal Parasite Infection and Its Association with Undernutrition among Early Adolescents in Hawassa University Technology Village, Southern Ethiopia

Gujo¹,

Kare²,

Shuramo³

2021

Advances in Public Health

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Background. Different studies presented negating findings of the association between intestinal parasite infections (IPIs) and undernutrition among early adolescents in Ethiopia. This study was aimed at assessing intestinal parasite infection and its association with undernutrition among early adolescents in four selected districts of the Sidama region. Method. An institution-based cross-sectional study was conducted in October 2020 among 792 early adolescents. The multistage stage sampling was applied to select 16 primary schools. Simple random sampling was applied to select study participants. Trained data collectors administered questionnaires. Stool samples were collected and analyzed. Anthropometric measurements were taken and indices were calculated using AnthroPlus software. Data were entered into and analyzed by SPSS version 25 software. Association between IPI and undernutrition was measured using multivariable analysis. The outputs are presented using an adjusted odds ratio (AOR) with 95% confidence intervals (CIs). Result. The prevalence of IPI, thinness, and stunting was 32% (95% CI: 28.7%, 35.3%), 17.5% (95% CI: 14.8%, 20.2%), and 21.5% (95 CI: 18.6%, 24.4%), respectively. The higher odds of IPIs were observed among adolescents stunted (AOR = 3.61; 95% CI: 2.44–5.33), those who are thin (AOR = 3.07; 95% CI: 2.02–4.66), those who did not wash their hands after toilet (AOR = 1.89; 95% CI: 1.35–2.66), those who ate raw meat (AOR = 1.50; 95% CI: 1.03–2.14), and those whose family did not own toilet (AOR = 1.71; 95% CI: 1.18–2.46). Conclusion. The prevalence of IPI, thinness, and stunting was high and has public health significance in the study area. IPIs were associated with stunting, thinness, lack of toilets, not washing hands after a toilet visit, and eating raw meat. Strengthening nutrition interventions, deworming programs, and health education on personal and environmental hygiene and sanitation are recommended.

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Prevalence of intestinal parasites and associated factors among patients with HIV/AIDS at the anti-retroviral treatment clinic of Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

Abayneh,

Habtemariam,

Duguma

et al. 2024

Front. Public Health

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BackgroundIntestinal parasitic infections remain very common, particularly in areas with a high prevalence of immune-compromised patients, such as HIV/AIDS patients. The purpose of this study was to determine the prevalence of intestinal parasites and associated factors in people living with HIV/AIDS at an ART clinic in Mizan-Tepi University Teaching Hospital, southwest Ethiopia.MethodA cross-sectional survey was conducted from July to September 2021. A total of 191 adult people living with HIV/AIDS participated in this study. Data on socio-demographic, clinical, and other risk factors were collected using a structured questionnaire. Stool samples were collected and processed using a direct wet mount, formol-ether concentration, and modified Ziehl-Nelson staining techniques. The data were analyzed using the Statistical Package for Social Sciences Version 25 software.ResultsAmong 67 adult individuals living with HIV/AIDS, the prevalence of intestinal parasites was 35.1%. Specifically, 31.5% (45/143) of patients on antiretroviral therapy (ART) and 45.8% (22/48) of ART-naïve patients were infected. The distribution of intestinal parasites was as follows: protozoa were found in 14.7% of ART-treated patients and 22.9% of ART-naïve patients; helminths in 15.4% of ART-treated patients and 16.7% of ART-naïve patients; and opportunistic parasites in 1.4% of ART-treated patients and 6.25% of ART-naïve patients. Significant associations with a higher prevalence of intestinal parasites were observed for a CD4 count <200 cells/mm3 (Adjusted Odds Ratio [AOR] = 3.77; 95% Confidence Interval [CI]: 1.01–13.15; p = 0.04), consumption of unwashed raw vegetables (AOR = 3.29; 95% CI: 1.23–8.86; p = 0.02), and residing in rural areas (AOR = 2.34; 95% CI: 1.27–4.32; p = 0.01).ConclusionThe findings indicate that a significant proportion of adults living with HIV/AIDS are affected by intestinal parasites, with a notably higher prevalence among ART-naïve patients compared to those on ART. Factors such as a low CD4 count, consumption of unwashed raw vegetables, and rural residence are associated with increased risk of intestinal parasite infections. These results underscore the importance of improving hygiene practices and access to healthcare, particularly in rural areas, to reduce the burden of parasitic infections among individuals living with HIV/AIDS.

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

Cited by 3 publications

References 42 publications

Prevalence Of Intestinal Parasites And Associated Risk Factors Among HIV/AIDS Patients Attending At Anti-Retroviral Treatment (ART) Clinic At Mizan-Tepi University Teaching Hospital, Southwest Ethiopia.

Prevalence Of Intestinal Parasites And Associated Risk Factors Among HIV/AIDS Patients Attending At Anti-Retroviral Treatment (ART) Clinic At Mizan-Tepi University Teaching Hospital, Southwest Ethiopia.

Intestinal Parasite Infection and Its Association with Undernutrition among Early Adolescents in Hawassa University Technology Village, Southern Ethiopia

Prevalence of intestinal parasites and associated factors among patients with HIV/AIDS at the anti-retroviral treatment clinic of Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

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