Cryptosporidiosis among HIV/AIDS Patients with Diarrhoea and Associated Risk Factors in Jos, North-Central Nigeria

2021 ◽  
Vol 4 (2) ◽  
pp. 9-18
Author(s):  
A S Dahal ◽  
O M Okolo ◽  
KC Daam ◽  
D Nanma ◽  
O F Obishakin ◽  
...  
Keyword(s):  
Risk Factors ◽  
T Lymphocytes ◽  
Cryptosporidium Parvum ◽  
Personal Hygiene ◽  
Aids Patients ◽  
North Central ◽  
Stool Samples ◽  
Associated Risk Factors ◽  
Study Participants ◽  
Hiv Aids

Cryptosporidiosis is an opportunistic, parasitic infection caused by Cryptosporidium parvum. It is transmitted via faecal-oral route and causes life-threatening, cholera-like diarrhoea in immunocompromised individuals such as HIV/AIDS patients. This study aimed to determine the prevalence of cryptosporidiosis and associated risk factors among HIV/AIDS patients with diarrhoea. This was a cross-sectional study of 100 HIV/AIDS patients with diarrhoea in a tertiary health institution in Jos, North-central Nigeria between April and November 2019. Fifteen millilitres (15ml) of stool samples were collected from each patient after signing a consent form and filling a well-structured questionnaire. The oocytes of Cryptosporidium parvum were identified in the stool samples using modified Ziehl-Neelsen stain and polymerase chain reaction (PCR). The results obtained were computed using SPSS version 21. The mean age (standard deviation) of the study participants was 37.0 (± SD9.6), with a minimum age of 20years and a maximum age of 63 years. The study comprises of 53(53.0%) males and 47(47.0%) females. Fifty-four (54) of the participants were on antiretroviral (ARV) drugs while 46 were ARV drug naïve. The prevalence of cryptosporidiosis among the study population was 13.0%. Cryptosporidiosis was found in 10(21.7%) of the 46 ARV drugs naïve participants and in 3(5.6%) of the 54 participants on antiretroviral therapy. This was statistically significant at p = 0.016. There was also a significant relationship (p = 0.012) between the prevalence of cryptosporidiosis and the level of CD4+ T-lymphocytes count of the study participants. The infection was more among participants with CD4+ T-lymphocytes count less than 200 cells/μl. This stress the need for good personal hygiene, sanitation and compliance to antiretroviral treatment among HIV/AIDS patients to reduce the risk of opportunistic infections such as cryptosporidiosis.

scholarly journals Sero–Prevalence, and Associated Risk Factors of Toxoplasma gondii Infection in Pregnant Women and HIV/AIDS Patients in Selected Cities of Ethiopia

2014 ◽  
Vol V (10) ◽  
pp. 17-29 ◽  
Author(s):  
Anteneh HAILU HAILU ◽  
Kassahun NEGASHE NEGASHE ◽  
Aweke TASE TASEW ◽  
Medhint GETACH GETACHEW ◽  
Tesfaye SISAY SISAY ◽  
...  
Keyword(s):  
Risk Factors ◽  
Toxoplasma Gondii ◽  
Pregnant Women ◽  
Aids Patients ◽  
Women And Hiv ◽  
Toxoplasma Gondii Infection ◽  
Associated Risk Factors ◽  
Hiv Aids

scholarly journals Feco-prevalence of Helicobacter Pylori Infection and Associated Risk Factors Among Patients Living with HIV/AIDS on ART at Tefera Hailu Memorial General Hospital Sekota, Northeast Ethiopia

2020 ◽  
Author(s):  
Mulualem Kiros ◽  
Mucheye Gizachew ◽  
Teklay Gebrecherkos
Keyword(s):  
Risk Factors ◽  
Helicobacter Pylori ◽  
Family Members ◽  
Water Sources ◽  
P Value ◽  
Aids Patients ◽  
Northeast Ethiopia ◽  
H Pylori ◽  
Associated Risk Factors ◽  
Hiv Aids

Abstract Background: Globally, two-thirds of humans are infected with Helicobacter pylori (H. pylori), a flagellated Gram negative bacterium, brings peptic ulcer disease and others, mainly, in HIV patients on ART. Its infection among HIV/AIDS patients is not well understood in developing countries, including the study area.Objective: To assess prevalence of H. pylori infection and associated risk factors among HIV/AIDS on ART patients at Tefera Hailu General Memorial hospital Sekota Northeast, Ethiopia. Methods: An institution based cross sectional study was conducted on HIV/AIDS on ART patients from February to June 2019. A face-to-face interview was administered to assess risk factors for H. pylori infection by using semi structured questionnaire. A stool sample was tested for H. pylori antigen using the ImmunoCardSTAT HpSA kit as per the manufactures` instruction. Data were entered into excel spreadsheet, cleaned, exported to and analyzed by using the SPSS version 20. Logistic regression model was used to determine the association between explanatory and outcome variables. For all cases, p-value < 0.05 was considered statistically significant. Results: A total of 88 HIV/AIDS patients on ART were included in this study. Of these, 53.4% were females, 54.5% were urban dwellers, 69.3% were single, 51.1% had formal education and 58.0% were non-employed. From these, study participants, a total of 88 stool samples were collected and analyzed, and 57 (64.8%, 95% CI: 54.5-73.9) H. pylori positivity was observed. Among explanatory variables tested, number of family members (AOR: 17.059; 95%CI: 1.751, 166.185; p-value = 0.015) and water sources for drinking and cooking (AOR: 0.096; 95%CI: 0.010, 0.951; p-value = 0.045) were statistically significant with H pylori positivity. Other factors did not show association with H. pylori infection (p-value > 0.05). Conclusion: Prevalence of H. pylori among HIV on ART patients was within the ranges of global prevalence (10%-76%). Number of family members and water sources for drinking and cooking purpose were found to be factors associated with the H. pylori positivity in this study. This finding necessitates the need to design and apply intervention measures that could decrease transmission and thus minimize the clinical consequences of infection.

scholarly journals Opportunistic Intestinal Protozoan Infection Among HIV/AIDS Patients and the Associated Risk Factors in Jalingo Local Government, Taraba State

2021 ◽  
Vol 7 (4) ◽  
pp. 193
Author(s):  
Onyeuku Okechukwu Chinwe ◽  
Agbo Oche Joseph ◽  
Obiorah Sylvester Chibuzor ◽  
Elkanah Obadiah Sambo ◽  
Elkanah Deborah Sambo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Local Government ◽  
Intestinal Protozoan ◽  
Aids Patients ◽  
Protozoan Infection ◽  
Associated Risk Factors ◽  
Hiv Aids

Serological Evaluation of Toxoplasmosis and Related Risk Factors Among HIV+/AIDS Patients in Northern Iran

2021 ◽  
Author(s):  
Hasan Rafati-Sajedi ◽  
Bijan Majidi-Shad ◽  
Reza Jafari-Shakib ◽  
Zahra Atrkar-Roshan ◽  
Mohammad Reza Mahmoudi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Aids Patients ◽  
Northern Iran ◽  
Related Risk ◽  
Hiv Aids

Factors associated to first line antiretroviral therapy (ART) failure among HIV/AIDS patients at Sanglah Hospital, Bali

2017 ◽  
pp. 4
Author(s):  
Cok Istri Sri Dharma Astiti ◽  
A.A Sagung Sawitri ◽  
Tuti Parwati
Keyword(s):  
Risk Factors ◽  
Treatment Failure ◽  
Clinical Stage ◽  
Hiv And Aids ◽  
First Line ◽  
Aids Patients ◽  
Factors Associated ◽  
Art Initiation ◽  
Risk Of Treatment ◽  
Hiv Aids

Background and purpose: The incidence of first line ART failure is increasing in the South East Asia region. The main referral hospital in Bali has recorded an increased use of second line ART due to the first line ART failure. This study aims to explore risk factors associated to first line ART failure.Methods: A case control study was conducted among people living with HIV and AIDS at Sanglah Hospital Denpasar who started first line ART between 2004 and 2013. Cases were those who diagnosed as having clinical treatment failure and still on treatment in 2015. Controls were those with no treatment failure. Sex and year of ART initiation were matched between case and control. Data were obtained from medical records that include initial regiments, HIV mode of transmission, the WHO HIV clinical stage, CD4 count, opportunistic infections, body mass index, hemoglobin level, and drug substitution at the beginning and during treatment. Risk factors were analysed using logistic regression.Results: Out of 68 HIV/AIDS patients with clinical ART failure, 72.1% were confirmed with immunological and 36.8% were confirmed with virological failure. Median time before treatment failure was 3.5 years. Factors associated to ART failure were HIV clinical stage IV with (AOR=3.43; 95%CI=1.65-7.13) and being widow/widower (AOR=4.85; 95%CI=1.52-15.53). Patients with TB co-infection have a lower risk for treatment failure due to early diagnosis and treatment through TB-HIV program with (AOR=0.32; 95%CI=0.14-0.70).Conclusions: Higher HIV clinical stage at ART initiation increases the risk of treatment failure. HIV-TB co-infection indirectly reduces the risk of treatment failure.

scholarly journals Prevalence of Obesity and Associated Risk Factors amongst Teaching Staff of Juba University, South Sudan

2016 ◽  
Vol 5 (6) ◽  
pp. 7
Author(s):  
Amegovu Kiri Andrew ◽  
Mawadri Micheal ◽  
Mading James
Keyword(s):  
Risk Factors ◽  
South Sudan ◽  
Physical Activities ◽  
Health Concern ◽  
P Value ◽  
Teaching Staff ◽  
Prevalence Of Obesity ◽  
Associated Risk Factors ◽  
The University ◽  
Study Participants

Obesity is a significant contributing factor in the development of various chronic diseases such as cardiovascular disease, hypertension, type 2 diabetes mellitus, stroke, osteoarthritis and certain cancer accounting for 2.8 million worldwide deaths annually. Recent global figures indicate that the prevalence of obesity is not just a problem of the developed countries but is also on the increase in the developing world, with over 115 million people suffering from obesity-related problems (WHO). In Africa, 8% of adults above 20 years are obese and 27% overweight (Steyn & Mchiza, 2014), Lack of empirical data remains an obstacle in monitoring the magnitude of current and future trends of overweight and obesity in sub Saharan Africa including South Sudan. This study investigated the prevalence of obesity and associated risk factors among teaching staff; a case at University of Juba in South Sudan (Rep). A cross-sectional study design was used. A total of 196 study participants drawn from various Colleges and faculties of Juba University using multi-stage systematic random sampling of 1st selecting the College, department and 2nd stage was the selection of participants using the exiting staff list obtained from the University administration. Key variables collected includes weight/kg, height, age, sex, physical activities, feeding habits and income of the study participants, which was used to determine the prevalence of obesity and associated risk factors. STATA version 12 was used to data analyze. Chi-square statistics were used to compare equality of distribution of obesity. Out of the 196 participants, 18.4% were males (160/196) and 81.6% were females (36/196). The mean age of the participant was estimated at 37 ± 8.5 years. Prevalence of Obesity (BMI> or=30) and Overweight (BMI >25 to <=30) among teaching staff was 4.1% and 10.2%, respectively. Of those found overweight/or obese, 20% were females (4/20) and  80% were males (16/20). While the age specific prevalence indicates obesity is highest among 35-44yrs (50%), followed by 45-55 yrs+ (37.5%) and 12.5% among 25-34yrs age groups. Age was found to be associated with obesity (P-value=0.0337, p<0.05)).Meal frequency was noted to be twice a day. Walking is the main physical activities for both males and females (97.5%) and nearly half of the participants (44.9%) had incomes 7500 South Sudan Pounds (SSP) an equivalent of $1000. Income levels was associated with BMI levels (P-value=0.0222; p<0.05). However, low prevalence of obesity among teaching staff at the University of Juba is not yet of an immediate public health concern, however, earlier preventive and control measures is required as most of the staff leads sedentary lifestyle. This study recommends public awareness intervention on dietary intake and physical exercises among others in schools and institutions at all levels to curtail an otherwise gradual rise in obesity and overweight in the near future. 

scholarly journals Seroprevalence of AsymptomaticLeishmania donovaniamong Laborers and Associated Risk Factors in Agricultural Camps of West Armachiho District, Northwest Ethiopia: A Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Animen Ayehu ◽  
Yibeltal Aschale ◽  
Wossenseged Lemma ◽  
Animut Alebel ◽  
Ligabaw Worku ◽  
...  
Keyword(s):  
Risk Factors ◽  
Leishmania Donovani ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Control Measures ◽  
Sectional Study ◽  
Cross Sectional ◽  
Associated Risk Factors ◽  
Study Participants

Background. Visceral leishmaniasis (VL, also called kala-azar) is a public health problem in Ethiopia, especially in sesame and sorghum growing areas. Compared to other populations, labor migrants are the most exposed. Knowing the seroprevalence ofLeishmania donovaniand associated risk factors is essential to design appropriate control measures. The main aim of this study was to assess the seroprevalence of asymptomaticL. donovaniamong laborers and associated risk factors in agricultural camps of West Armachiho district, Northwest Ethiopia. Therefore, this study was conducted to know the seroprevalence and associated risk factors ofL. donovaniinfection.Method. A cross-sectional study was conducted among 185 laborers from October to December 2017. A simple random sampling technique was used to select study participants from selected agricultural camps. After obtaining written informed consent, data were collected using a structured pretested Amharic version questionnaire using the interview technique. A single finger prick blood sample was collected from the study participants and the blood samples were subjected to the serological diagnostic method using the rk39 kit. The multivariable logistic regression model was used to identify risk factors associated withL. donovaniinfection.Result. Among 185 participants examined using rk39, 14 (7.6%) were seroreactive forL. donovani.Leishmania donovaniinfection had a statistically significant association with sleeping underBalanitestrees (AOR: 4.36, 95%CI: 1.186-16.06), presence of domestic animals near sleeping place (AOR: 4.68, 95% CI: 1.25-17.56), and lack of knowledge about VL transmission (AOR: 3.79, 95% CI: 1.07-13.47).Conclusion. Seroprevalence of asymptomaticL. donovaniamong laborers in agricultural camps of West Armachiho was low. Prevention measures and health education about risk factors that expose toL. donovaniinfection for the laborers are essential to prevent the spread of the disease.

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