Title of article :
Prevalence of Intestinal Parasitic Infections in Relation to the HIV Status of Patients Attending the Care Units in Three Divisions in the Centre Region of Cameroon
Author/Authors :
jupsa mbiandou, stephanie Laboratory of Parasitology and Ecology - Faculty of Science - Department of Animal Biology and Physiology - University of Yaoundé I, Yaoundé, Cameroon , fosso, samuel Department of Microbiology - Parasitology - Hematology - Faculty of Medicine and Biomedical Sciences - University of Yaoundé I, Yaoundé, Cameroon , bille, edimo Laboratory of Parasitology - Yaoundé University Teaching Hospital, Yaoundé, Cameroon , matoh armand, beleck National Committee for the Fight against AIDS - Bamenda, Cameroon , djeunga hugues, nana Laboratory of Parasitology and Ecology - Faculty of Science - Department of Animal Biology and Physiology - University of Yaoundé I, Yaoundé, Cameroon
Pages :
7
From page :
1
To page :
7
Abstract :
background: depression of the immune system caused by the human immunodeficiency virus (hiv) promotes the onset of opportunistic infections including intestinal parasites. objectives: in this study, we are comparing the prevalence of these parasitic infections among individuals infected with hiv (hiv^+) and non-infected (hiv^-) enrolled in four hiv care units in the centre region of cameroon. methods: a cross-sectional study was conducted and stool samples were collected from 283 hiv positive subjects and 245 seronegative subjects. these samples were processed using direct wet mount, formol-ether concentration, kato-katz procedure, modified ziehl-neelsen staining, and baermann techniques to identify both common and opportunistic intestinal parasites. logistic regression analyses were used to assess the association between hiv infection and socio-demographics factors as well as infection with intestinal parasites. results: atotal of 123 (23.4%) individuals were found infected with at leastoneprotozoan parasite species, andnine (1.7%) with intestinal worms. overall, infection rates were 27.9% and 22.4% amonghiv^+ and hiv- subjects, respectively. the frequencies of cryptosporidium spp. and entamoeba histolytica/dispar were significantly more important among hiv^+ subjects (p < 0.0455). pentatrichomonas hominis and entamoeba coli were significantly more prevalent among hiv- subjects (p < 0.0210). heterogeneity was observed in the distribution of intestinal parasites, according to socio-demographic parameters. in addition, cryptosporidium spp. was significantly associated with the decrease in cd4 cell count (p = 0.0035). the frequencies of infections with cryptosporidium spp., isospora belli, and iodamoeba buetschlii were significantly more important in hiv positive patients not taking antiretroviral (p < 0.0226). conclusions: cryptosporidium spp., entamoeba histolytica/dispar, and blastocystis spp. were the intestinal pathogens more often foundamonghiv infected individuals. hiv positive subjects were significantlymoreinfected with intestinal parasites than seronegatives in intermediate and rural settings, among individuals aged more than 45 years and among unemployed individuals.
Keywords :
Intestinal Parasites , HIV Infection , Prevalence , Socio-Demographic Parameters
Journal title :
Astroparticle Physics
Serial Year :
2019
Record number :
2484947
Link To Document :
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