scholarly journals Prevalence of Intestinal Parasitic Infection among HIV Positive Persons Who Are Naive and on Antiretroviral Treatment in Hiwot Fana Specialized University Hospital, Eastern Ethiopia

ISRN AIDS ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Zelalem Teklemariam ◽  
Degu Abate ◽  
Habtamu Mitiku ◽  
Yadeta Dessie
Keyword(s):  
Antiretroviral Treatment ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
University Hospital ◽  
Stool Examination ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Intestinal Parasitic Infection ◽  
Eastern Ethiopia ◽  
Naive Group

Background. Intestinal parasitic infection affects the health and quality of life of people living with HIV. This study was aimed to determine the prevalence of intestinal parasites among HIV positive individuals who are naive and who are on antiretroviral treatment (ART) in Hiwot Fana Specialized University Hospital, Eastern Ethiopia. Methods. A comparative cross-sectional study was conducted on 371 (112 ART-naive group and 259 on ART) HIV positive individuals. Stool specimens were collected and examined by direct wet mount, formol ether concentration technique, and modified ziehl-Neelsen methods. Results. The overall prevalence of intestinal parasitic infections was 33.7%; it was significantly higher among the study participants who were ART-naive group (45.5%) (AOR: 2.60(1.56,4.34)) and diarrheic (53.3%) (AOR: 2.30(1.34,3.96)) and with CD4 count <200 cells/μL (46%) (AOR: 2.07(1.06,4.04)). The most commonly identified parasites were Entamoeba histolytica/E. dispar (13.5%), Giardia lamblia (8.1%), Strongyloides stercoralis (4.0%), and Cryptosporidium species (2.2%). Conclusion. HIV positive individuals with diarrhea and low CD4 count and ART naive groups were more infected with intestinal parasites than their counterparts. Early stool examination and treatment of intestinal parasites for HIV/AIDS patients is essential.

Prevalence of opportunistic intestinal parasite infection in HIV positive population of central India region

2014 ◽  
Vol 3 (6) ◽  
pp. 330-334
Author(s):  
Desh Deepak Singh ◽  
Vinod Singh ◽  
Rambir Singh ◽  
L. K. Dwivedi
Keyword(s):  
Parasitic Infection ◽  
Research Centre ◽  
Stool Examination ◽  
Parasitic Infections ◽  
Hiv Positive ◽  
Intestinal Parasitic Infection ◽  
Aids Patients ◽  
Intestinal Parasitic Infections ◽  
Mortality And Morbidity ◽  
Hiv Aids

Intestinal parasitic infections are major cause of public health problems and mortality and morbidity in tropical countries. However, everyone is suscepti-ble to parasitic infections but HIV/AIDS patients having lower immune status are at greater risk. The aim of this study was to determine the prevalence of intestinal parasitic infections in patients living with HIV/AIDS. A total of 244 consecutively sampled HIV/AIDS patients from Peoples College of Medical Sciences and Research Centre, Bhopal were included in the study. Prior con-sent of every subject was taken before collecting the stool and blood sample of every volunteer for microscopic examination and CD4 cells count. The prevalence of intestinal parasitic infection was 31.5% among HIV/AIDS pa-tients. Maximum Isospora belli infection (n=27; 35%) were observed. Para-sitic density was higher among the patients having lower CD4 T cells counts (<200/μL). Also, the prevalence of intestinal parasitic infection was decreas-ing with improvement in CD4 cell count. Considering the outcome of present study, stool examination of every HIV positive individual should also be man-datorily done to identify intestinal parasitic infections, if present and treated accordingly.

scholarly journals Prevalence and Correlates of Intestinal Parasites among Patients Admitted to Mirembe National Mental Health Hospital, Dodoma, Tanzania

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Azan A. Nyundo ◽  
David Z. Munisi ◽  
Ainory P. Gesase
Keyword(s):  
Neglected Tropical Diseases ◽  
Intestinal Parasites ◽  
Psychiatric Patients ◽  
Parasitic Infection ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infection ◽  
Psychiatric Facility ◽  
Concentration Data ◽  
Cross Sectional ◽  
Stool Samples

Background. Neglected tropical diseases continue to be one of the leading causes of morbidity and mortality in the developing world. Psychiatric patients are among groups at risk for parasitic infection although control and monitoring programs largely overlook this population. This study aimed at determining prevalence and factors associated with intestinal parasitic infection among patients admitted to a psychiatric facility.Method. The study followed cross-sectional design; all the residing patients that met the inclusion criteria were included in the survey. Stool samples were collected and examined by direct wet preparation and formol-ether concentration. Data were analyzed with STATA version 12.1; Chi-square test was computed to determine the level of significance atpvalue < 0.05.Results.Of all 233 patients who returned the stool samples, 29 (12.45%) screened were positive for an intestinal parasite. There was no significant association between parasite carriage and age, sex, or duration of hospital stay.Conclusion. The study shows that intestinal parasitic infection is common among patients in a psychiatric facility and highlights that parasitic infections that enter through skin penetration may be a more common mode of transmission than the oral route. Furthermore, the study underscores the need for surveillance and intervention programs to control and manage these infections.

scholarly journals The Burden of Multiple Intestinal Helminthes among Primary School Children in Doma, Doma Local Government Area, Nasarawa State, Nigeria

2019 ◽  
pp. 1-7
Author(s):  
I. A. Alaku ◽  
E. A. Omudu ◽  
N. G. Imainde ◽  
D. D. Attah
Keyword(s):  
Public Health ◽  
Local Government ◽  
Primary School ◽  
Ascaris Lumbricoides ◽  
Primary Schools ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Local Government Area ◽  
Health Concern ◽  
Intestinal Parasitic Infection

Intestinal parasitic infections have always been an important public health problem in the tropics particularly in developing countries such as Nigeria for example. A cross-sectional survey involving 440 schools going children of both sexes aged 6 - >12 years was conducted in 4 primary schools at a different location in Doma Local Government Area (LGA) of Nasarawa State, Nigeria, between September 2015 to February 2016 to determine the prevalence of intestinal parasites. Of the 440 samples examined 155 (35.22%) were infected with different intestinal parasites. The parasites observed included Entamoeba histolytica (6.59%), bookworm (5.22%), Ascaris lumbricoides (53.40%), Trichuris trichiuria (0.45%), E. coli (4.77%) and mixed infection of Ascaris lumbricoides and hookworm (7.27%) with Ascaris lumbricoides having the highest prevalence. Doma south primary school 38 (34.54) Islamiyya nursery/primary school and Doma west primary school had the lowest prevalence with 36 (32.72%) and 34 (30.90%) respectively. An overall prevalence of (35.22%) intestinal parasitic infection in school going children is moderately high and of public health concern. There is need to intensified integrated control measure to reduce or completely eradicate the intestinal parasitic infection in school pupils.

scholarly journals Intestinal parasitic infections among HIV infected patients on antiretroviral therapy attending Debretabor General Hospital, Northern Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Ermias Alemayehu ◽  
Alemu Gedefie ◽  
Aderaw Adamu ◽  
Jemal Mohammed ◽  
Brhanu Kassanew ◽  
...  
Keyword(s):  
General Hospital ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Cross Sectional Study ◽  
Parasitic Infections ◽  
Northern Ethiopia ◽  
Intestinal Parasitic Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Concentration Technique

Abstract Background: Parasitic infections are known causes of morbidity among HIV infected patients with low CD4+ counts who are on antiretroviral therapy; mainly as a result of immune suppression. Thus, this study aimed to assess the extent of intestinal parasitic infection and its related risk factors among HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia.Patients and methods: A health facility based cross sectional study was conducted on a total of 383 HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia from December 2018 to March 2019. An interview based structured questionnaire were used to gather socio-demographic and risk factor data. About 5 grams of fresh stool specimen and 4 ml of venous blood sample were collected, then transported and tested in accordance with the laboratory standard operating procedures. The obtained data was entered into SPSS version 22.0; and analyzed. P-value <0.05 with 95% confidence interval was considered statistically significant.Result: The overall prevalence of intestinal parasites was 25.3%; with 18% and 23.8% by direct wet mount and formol-ether concentration technique respectively. 8 (2.1%) patients were infected by multiple parasites in concentration technique. Ascaris lumbricoides, 23(25.3%) was the most frequently identified parasite. Parasitic infection was significantly higher among illiterates (P=0.011); patients with a CD4 count of <200 cells/mm3 (P<0.001) and among patients who did not have latrine (P=0.049) than their counter parts.Conclusion: Relatively higher prevalence of intestinal parasitic infection was found among HIV/AIDS patients. The distribution of intestinal parasites is greatly affected by illiteracy, reduced CD4+ counts and absence of toilet. Thus, HIV/AIDS patients with low CD4+ counts should be diagnosed consistently for intestinal parasites and routine stool examination and awareness creation should be advocated to be included as an essential component of the ART monitoring strategy for improved patient care.

scholarly journals Gastrointestinal Parasitic Infestation in HIV Positive and Negative Patients Attending Clinics in a Tertiary Health Care Centre in Benue State, Nigeria.

2019 ◽  
Vol 2 (2) ◽  
pp. 126-131
Author(s):  
L Utume ◽  
TE Ikpom ◽  
AE Obaje ◽  
EA Omudu
Keyword(s):  
Intestinal Parasites ◽  
Demographic Data ◽  
Parasitic Infection ◽  
Gastrointestinal Parasites ◽  
Personal Hygiene ◽  
Hiv Positive ◽  
Hiv Status ◽  
Coverage Area ◽  
Health Care Centre ◽  
Awareness Campaigns

Gastrointestinal parasitic infection is usually asymptomatic thus goes unnoticed and untreated for long periods of time, often resulting in other serious health complications. In HIV positive patients, the effects usually are more devastating owing to the fact that such patients are already immunocompromised. For this study, HIV positive patients were raised from the BSUTH STD/ART clinic records while HIV negative patients were recruited from other clinics by confirming their HIV status  using Determine test strips to check for HIV antibodies; socio-demographic data was generated from questionnaires administered. Patients already placed on anti-helminths or anti-protozoan medicines were exempted from the study. Stool samples (n=550; 304 males 246 females) were examined for intestinal parasites using the standard parasitological procedures for direct wet mount and Formol-Ether Concentration methods. Gastrointestinal parasites were identified from 199 (36.2%) samples implying positive results for these infections: Giardia lamblia (3.8%), Entamoeba histolytica (8.9%), Ascaris lumbricoides (7.1%), Entamoeba coli (4.2%), Trichuris trichuria (3.3%), Strongyloides stercoralis (2.2%), Taenia sp. (1.8%), Trichomonas hominis (0.5%) and hookworms (2.9%). Out of this 199 only 55 (27.6%) were HIV positive; statistically there was a significant relationship between HIV status and the rate of parasitic infection (P<0.05). Personal hygiene practices, environmental sanitary conditions, overcrowding, limited access to clean potable water and poor drainage systems influenced gastrointestinal parasitic infection in both HIV positive and negative patients, HIV status may have increased intensity of gastrointestinal parasitic infection. The need for preventive awareness campaigns and mass chemoprophylaxis exercises cannot be overemphasized; government and private sector collaborations will have a wider coverage area and make a lot of impact.

scholarly journals Intestinal parasite infections and associated factors among inmates of Arba Minch prison, southern Ethiopia: cross sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gemechu Ameya ◽  
Zerihun Zerdo ◽  
Mihret Tesfaye ◽  
Chimdo Jabesa ◽  
Abayneh Awaje ◽  
...  
Keyword(s):  
Giardia Lamblia ◽  
Associated Factors ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infection ◽  
Cross Sectional ◽  
High Prevalence

Abstract Background Intestinal parasitic infection is one of the parasitic infections affecting people living in prison. Helminths and intestinal protozoan infections are the most common parasitic infection that may cause serious life-threatening diseases in inmates living in developing countries. This study was aimed to investigate the prevalence and associated factors of intestinal parasitic infections (IPIs) among inmates living in Arba Minch prison, southern Ethiopia. Methods Institutional based cross sectional study was conducted on Arba Minch inmates, southern Ethiopian. Pre-tested semi-structured questionnaire was used to gather the data of socio-demographic characteristics, hygiene status of the prisoners, sanitation condition of the prison, and associated factors for IPIs by face to face interview. Direct wet-mount examination and formol-ether sedimentation techniques were used to examine intestinal parasitic infection from stool specimens. Binary logistic regression analysis was used to see the association between different variables and the IPI. Odds ratio with 95% CI was computed to determine the presence association and strength of the associated factors. Result A total of 320 prisoners were participated in this study. Of these, 154(48.1%) of them were infected with one or more intestinal parasites. Eight different intestinal parasites species were identified and Giardia lamblia was the predominant parasite. Among infected inmates, nearly one out of four of them had multiple parasitic infections dominated by Giardia lamblia and E. histolytica/dispar co-infection. Sleeping in group [AOR = 1.9; 95% CI: (1.0–3.8)], married prisoners [AOR = 1.8; 95% CI: (1.1–2.9)], and hand washing habits after handling soil [AOR = 2.4; 95% CI: (1.0–5.6)] were independently associated with IPI. Conclusion High prevalence of intestinal parasitic infection was detected in Arba Minch inmates, southern Ethiopian. Absence of hand washing, marital status, and way of sleeping were the factors associated with the IPI. Implementation of mass drug administration, education on water, sanitation and hygiene (WASH) and periodic screening of intestinal parasitic infection is very important to reduce the high prevalence IPIs in prison.

scholarly journals Predictors of Intestinal Parasitic Infection among Food Handlers Working in Madda Walabu University, Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Kemal Ahmed Kuti ◽  
Rameto Aman Nur ◽  
Geroma Morka Donka ◽  
Amene Abebe Kerbo ◽  
Adem Esmael Roba
Keyword(s):  
Disease Transmission ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Free Food ◽  
Cross Sectional Study ◽  
Intestinal Parasitic Infection ◽  
Food Handlers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Inadequate Knowledge

Background. Intestinal parasitic infection is one of the major health problems globally. It is more common in developing countries including Ethiopia. So, adequate evidence is needed regarding the predictors of intestinal parasitic infection. This study was aimed at determining the predictors of intestinal parasitic infection among food handlers working in Madda Walabu University, Ethiopia. Methods. An institution-based cross-sectional study was conducted from 15 May to 10 June 2017 among 198 symptom-free food handlers. Data on sociodemographic variables were collected through face-to-face interview using a structured questionnaire. Stool samples were collected immediately after the interview using labeled wide-mouthed plastic container and clean wooden applicator. Direct wet-mount method and formal-ether concentration techniques were performed to identify intestinal parasites. The data were analyzed using SPSS version 21.0. Descriptive statistics and crude and adjusted odds ratios with 95% confidence interval (CI) were calculated. p value of <0.05 was considered to declaration level of significance. Result. The response rate was 98% (198/202). The overall prevalence of intestinal parasites was 25.3% (50/198). The top three intestinal parasites found in this study were Ascaris lumbricoides 7.6% (15/198), Entamoeba histolytica/dispar 7.6% (15/198), and hookworm 5.6% (11/198). Inadequate handwashing practice (AOR: 13.876; 95% CI: 4.129, 46.632), inadequate knowledge about foodborne diseases (AOR: 3.596; 95% CI: 1.438, 8.989), lack of training on proper food handling (AOR: 5.960; 95% CI: 1.450, 24.497), and untrimmed fingernail (AOR: 2.939; 95% CI: 1.368, 6.135) were independent predictors of intestinal parasitic infection. Conclusion. High prevalence of intestinal parasites was observed among symptom-free food handlers who could be unobservable source of disease transmission. Inadequate handwashing, untrimmed fingernail, inadequate knowledge, and lack of training were independent predictors of intestinal parasitic infection in this study. This implies the need for timely and adequate training and enforcement of regular medical checkup system for food handlers.

scholarly journals A STUDY OF STOOL SAMPLE FROM HIV POSITIVE AND HIV NEGATIVE AT ANDHRA PRADESH.

2018 ◽  
Vol 11 (1) ◽  
pp. 394
Author(s):  
Gundala Obulesu ◽  
Hanumanthappa Ar ◽  
Prabakar Reddy E
Keyword(s):  
Andhra Pradesh ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Hiv Positive ◽  
Hiv Status ◽  
Concentration Technique ◽  
Wet Mount ◽  
Positive Person ◽  
Enteric Parasites ◽  
Hiv Negative

 Objective: The objective of this study is to investigate the variations, if any, in the types of intestinal parasites in HIV-positive and HIV-negative individuals.Methods: For their HIV status in our laboratory by enzyme-linked immunoasorbant assay and TRIDOT, sample stool, macroscopic and microscopic examination, formal-ether concentration technique f, saline wet mount, iodine wet mount, modified acid-fast stain. Results: For the purpose of statistical analysis, the enteric parasites are divided into the coccidian group (Cryptosporidium+Isospora belli) and conventional enteric parasites (Entamoeba histolytica, Giardia intestinalis, and Ascaris lumbricoides), and enteric parasitic infection is more common in HIV-positive patients with diarrhea than HIV-positive patient without diarrhea or HIV-negative individuals.Conclusion: The study period of 1 year and 8 months revealed that it is difficult to locate/identify a HIV-positive person in a place like Kadapa on account of confidentiality/lack of awareness among the population. Detection of intestinal parasites is 17.3% in HIV-positive patients and 12% in HIV-negative individuals.

scholarly journals Comparison of the Kato-Katz, Wet Mount, and Formol-Ether Concentration Diagnostic Techniques for Intestinal Helminth Infections in Ethiopia

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Mengistu Endris ◽  
Zinaye Tekeste ◽  
Wossenseged Lemma ◽  
Afework Kassu
Keyword(s):  
Negative Predictive Value ◽  
Ascaris Lumbricoides ◽  
Predictive Value ◽  
Gold Standard ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Standard Test ◽  
Intestinal Helminth ◽  
Intestinal Parasitic Infection ◽  
Wet Mount

Objective. The aim of this study was to evaluate the operational characteristics (sensitivity and negative predictive value (NPV)) of wet mount, formol-ether concentration (FEC), and Kato-Katz techniques for the determination of intestinal parasitic infections. Method. A total of 354 faecal specimens were collected from students in Northwest Ethiopia and screened with Kato-Katz, wet mount, and FEC for the presence of intestinal parasitic infection. Since a gold standard test is not available for detection of intestinal parasites, the combined results from the three methods were used as diagnostic gold standard. Result. The prevalences of intestinal parasites using the single wet mount, FEC, and Kato-Katz thick smear techniques were 38.4%, 57.1%, and 59%, respectively. Taking the combined results of three techniques as a standard test for intestinal parasitic infection, the sensitivity and negative predictive value of Kato-Katz is 81.0% (confidence interval (CI) = 0.793–0.810) and 66.2% (CI = 0.63–0.622), respectively. The FEC detected 56 negative samples that were positive by the gold standard, indicating 78.3% (CI = 0.766–0.783) and 63.2% (CI = 0.603–63) sensitivity and NPV, respectively. Furthermore, Kato-Katz detects 113 cases that were negative by a single wet mount. The κ agreement between the wet mount and Kato-Katz methods for the diagnosis of Ascaris lumbricoides and hookworm was substantial (κ=0.61 for Ascaris lumbricoides, κ=0.65 for hookworm).

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