Urologic Problems in Patients with Acquired Immunodeficiency Syndrome

Staiman, Victoria R.; Lowe, Franklin C.

doi:10.1100/tsw.2004.84

Cited by 13 publications

(17 citation statements)

References 85 publications

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“…In patients with low CD4 counts bladder areflexia and hyporeflexia is a common neurologic complication, which leads to urinary stasis, and ultimately infection. Individuals with AIDS seem to be at an augmented risk of UTI, both symptomatic and asymptomatic, in comparison with asymptomatic HIV-infected and non-HIV infected patients 8,9 . Diverse studies across the globe have reported the incidence of asymptomatic bacteriuria in HIV patients as 3.1%-to the maximum of 26%compared to an average prevalence of 0.04% in healthy population 3,9,10,11 .…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with AIDS seem to be at an augmented risk of UTI, both symptomatic and asymptomatic, in comparison with asymptomatic HIV-infected and non-HIV infected patients 8,9 . Diverse studies across the globe have reported the incidence of asymptomatic bacteriuria in HIV patients as 3.1%-to the maximum of 26%compared to an average prevalence of 0.04% in healthy population 3,9,10,11 . The present study reports asymptomatic bacteriuria (ASB) in 5.6% of HIV positive and 1 % of HIV negative individuals with a p value of 0.0358 which parallels with the findings of OM Ibadin 9 .…”

Section: Discussionmentioning

confidence: 99%

“…The mechanisms associated with HIV infection that may be responsible for the observed increase in the frequency of UTI remain to be established 12,13 . It can be explained on the basis of immunosuppression causing infections in various body systems including kidneys 9 . It is also recognised that local antibody production can afford some protection against bacterial invasion of the urinary tract in immunocompetent patients.…”

Section: Discussionmentioning

confidence: 99%

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Asymptomatic Bacteriuria in Hiv/Aids Patients: Occurrence and Risk Associated With Low Cd4 Counts.

K.S¹,

K.L²,

Nimitha³

et al. 2013

jemds

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BACKGROUND:People living with HIV/AIDS with progressive immune dysfunction have an augmented risk of Urinary tract infection, both symptomatic and asymptomatic, in comparison to non-infected individuals. AIMS: This prospective study was planned to know the frequency of asymptomatic bacteruria (ASB) in HIV sero-positives and its correlation to their immune status. Conventional culture method was compared with screening test using SD Urocolor TM 10 test strips for the presence of infection. Antibiogram of isolated uropathogens were analysed to understand the trends of drug resistance. SETTINGS AND DESIGN: Prospective Cohort Study. MATERIALS AND METHODS:Clean catch midstream urine samples collected from 270 HIV seropositive patients and 100 seronegative controls were screened for ASB by Urostrip urinalysis, Gram stain and culture. Antibiogram of significant growth isolates was done by Kirby-Bauer disc diffusion method. Their immune status was evaluated by CD4 + cell counting. STATISTICAL ANALYSIS USED: Sensitivity, Specificity, Odds ratio, Fisher extract test. RESULTS: ASB was detected in 5.6% (15/270) of HIV sero-positives and 1% (1/100) of seronegatives controls.13/15 HIV seropositive ASB cases had CD4 cell counts < 350 cells/ μL. The gram stain and urostrips had sensitivity of 93.33% & 80% and a specificity of 95.68% & 60.39% respectively. CONCLUSIONS: Occurrence of ASB was significantly high among the HIV sero-positives with CD4 cell counts < 350 cells/ μL. Conventional culture and gram staining continue to be the proficient methods for detecting ASB. Cotrimaxazole prophylaxis hardly influenced the presence of ASB in HIV sero-positives.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Asymptomatic Bacteriuria in Hiv/Aids Patients: Occurrence and Risk Associated With Low Cd4 Counts.

K.S¹,

K.L²,

Nimitha³

et al. 2013

jemds

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“…They were investigated and identified as HIV reactive by serological tests was done elsewhere. All of the patients were reported ELISA positive (as per WHO strategy-II 1993) for HIV-1/HIV-2 with at least two different kits [1].…”

Section: Laboratory Diagnosis Of Hiv Infectionmentioning

confidence: 99%

“…Although, infection may be present cultures are often negative. Most AIDS patients take prophylactic antimicrobials for opportunistic infections causing pneumonia or diarrhea and this renders culture negative [1].…”

Section: Introductionmentioning

confidence: 99%

A Study of Urine From Hiv-Positive and Hiv-Negative Individuals at Andhra Pradesh

Obulesu

2017

Asian J Pharm Clin Res

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Objective: The aim of this study is to investigate the variations, if any, in urinary bacterial pathogens in HIV-positive and HIV-negative individuals.Methods: Urine sample, macroscopic and microscopic examination for identification of bacteria use by method of Standard loop method, using identification methods, Grams-staining, Biochemical tests. Results:Out of 75 HIV-positive males, 52 males were married, 23 males were unmarried; risk factors are sexually 28, occupationally majority were labor, 31, age group more in 19-25 age, only 9 HIV-positive patients presented with symptoms of urinary tract infection, Escherichia coli was the most frequently occurring bacterial isolate from positive urine culture followed by Klebsiella spp. Conclusion:The study period of 1 year and 8 months revealed that it is difficult to locate/identify an HIV-positive person in a place like Kadapa on account of confidentiality/lack of awareness among the population. Having identified the HIV-positive cases, collection of urine samples from the patients also needed counseling and intervention by the respective clinicians, especially when patients were not having any symptoms. Out of 50 HIVnegative individuals, only 1 (2%) urine sample is showing significant bacteriuria.

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Corcos

Przydacz

2017

Consultation in Neurourology

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Urologic Problems in Patients with Acquired Immunodeficiency Syndrome

Cited by 13 publications

References 85 publications

Asymptomatic Bacteriuria in Hiv/Aids Patients: Occurrence and Risk Associated With Low Cd4 Counts.

Asymptomatic Bacteriuria in Hiv/Aids Patients: Occurrence and Risk Associated With Low Cd4 Counts.

A Study of Urine From Hiv-Positive and Hiv-Negative Individuals at Andhra Pradesh

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