Prevalence of intestinal parasites in a cohort of HIV- infected patients from Antioquia, Colombia
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| Natura: | Artículo científico |
| Lingua: | en |
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Instituto Nacional de Salud
2021
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| _version_ | 1876422727548534784 |
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| author | Jorge Botero-Garcés |
| author_facet | Jorge Botero-Garcés |
| contents | Prevalence of intestinal parasites in a cohort of HIV- infected patients from Antioquia, Colombia Jorge Botero-Garcés Esteban Villegas-Arbeláez Sofía Giraldo Johanna Urán-Velásquez Laura Arias-Agudelo Juan Carlos Alzate-Ángel Gisela María García-Montoya Ana Luz Galván-Díaz Medicina HIV AIDS diarrhea Colombia parasitic Introduction: HIV infection is still a public health problem worldwide and co-infections with other infectious agents including intestinal parasites are of particular concern, mainly in developing countries like Colombia.Objective: To conduct a cross-sectional study in patients attending an HIV care program in Antioquia given that there have been few intestinal parasites prevalence studies among the HIV population in the country.Material and methods: We evaluated stool samples from 192 patients by direct wet mount and concentration, modified Ziehl Neelsen staining, and agar plate culture. Univariate and correlation analyses were done to explore the association between socio-demographic and clinical characteristics and parasitological data.Results: The overall prevalence of intestinal parasites in HIV-positive subjects was 29.2% (56/192; 95% CI: 22.8% - 35.6%). Entamoeba histolytica/dispar/moshkosvkii with 13.0% (25/192; 95% CI: 8.2% - 17.8%) and Blastocystis with 12.0% (23/192; 95% CI: 7.4% -16.6%) were the most frequent. Opportunistic parasites like Cryptosporidium spp. and Cystoisospora belli were less prevalent, each one with 0.5% of positive samples (1/192; 95% CI: 0.1% - 1.5%). Commensal protozoa were also detected with a prevalence of 18.8% (36/192; 95% CI: 13.3% - 24.3%). Most of the individuals in the study had a controlled viral load and an LTCD4 count greater than 200 cel/µL. A small percentage (9.3%) had diarrhea. Bivariate analysis and multivariate logistic regression showed that only age and having pets had a significant association with intestinal parasites in this cohort.Conclusions: Our results confirmed that the evaluated population is at high risk of intestinal parasite infection, which highlights the need for routine screening of gastrointestinal parasites to provide prompt treatment and reduce possible complications. 2021 artículo científico 0120-4157 https://www.redalyc.org/articulo.oa?id=84369728014 https://www.redalyc.org/journal/843/84369728014/ https://www.redalyc.org/journal/843/84369728014/html/ https://www.redalyc.org/journal/843/84369728014/84369728014.epub https://www.redalyc.org/journal/843/84369728014/movil 10.7705/biomedica.5992 en http://www.redalyc.org/revista.oa?id=843 Biomédica application/pdf Instituto Nacional de Salud Biomédica (Colombia) Num.2 Vol.41 |
| format | Artículo científico |
| id | redalyc_84369728014 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Instituto Nacional de Salud |
| spellingShingle | Prevalence of intestinal parasites in a cohort of HIV- infected patients from Antioquia, Colombia Jorge Botero-Garcés Medicina HIV AIDS diarrhea Colombia parasitic Prevalence of intestinal parasites in a cohort of HIV- infected patients from Antioquia, Colombia Jorge Botero-Garcés Esteban Villegas-Arbeláez Sofía Giraldo Johanna Urán-Velásquez Laura Arias-Agudelo Juan Carlos Alzate-Ángel Gisela María García-Montoya Ana Luz Galván-Díaz Medicina HIV AIDS diarrhea Colombia parasitic Introduction: HIV infection is still a public health problem worldwide and co-infections with other infectious agents including intestinal parasites are of particular concern, mainly in developing countries like Colombia.Objective: To conduct a cross-sectional study in patients attending an HIV care program in Antioquia given that there have been few intestinal parasites prevalence studies among the HIV population in the country.Material and methods: We evaluated stool samples from 192 patients by direct wet mount and concentration, modified Ziehl Neelsen staining, and agar plate culture. Univariate and correlation analyses were done to explore the association between socio-demographic and clinical characteristics and parasitological data.Results: The overall prevalence of intestinal parasites in HIV-positive subjects was 29.2% (56/192; 95% CI: 22.8% - 35.6%). Entamoeba histolytica/dispar/moshkosvkii with 13.0% (25/192; 95% CI: 8.2% - 17.8%) and Blastocystis with 12.0% (23/192; 95% CI: 7.4% -16.6%) were the most frequent. Opportunistic parasites like Cryptosporidium spp. and Cystoisospora belli were less prevalent, each one with 0.5% of positive samples (1/192; 95% CI: 0.1% - 1.5%). Commensal protozoa were also detected with a prevalence of 18.8% (36/192; 95% CI: 13.3% - 24.3%). Most of the individuals in the study had a controlled viral load and an LTCD4 count greater than 200 cel/µL. A small percentage (9.3%) had diarrhea. Bivariate analysis and multivariate logistic regression showed that only age and having pets had a significant association with intestinal parasites in this cohort.Conclusions: Our results confirmed that the evaluated population is at high risk of intestinal parasite infection, which highlights the need for routine screening of gastrointestinal parasites to provide prompt treatment and reduce possible complications. 2021 artículo científico 0120-4157 https://www.redalyc.org/articulo.oa?id=84369728014 https://www.redalyc.org/journal/843/84369728014/ https://www.redalyc.org/journal/843/84369728014/html/ https://www.redalyc.org/journal/843/84369728014/84369728014.epub https://www.redalyc.org/journal/843/84369728014/movil 10.7705/biomedica.5992 en http://www.redalyc.org/revista.oa?id=843 Biomédica application/pdf Instituto Nacional de Salud Biomédica (Colombia) Num.2 Vol.41 |
| title | Prevalence of intestinal parasites in a cohort of HIV- infected patients from Antioquia, Colombia |
| topic | Medicina HIV AIDS diarrhea Colombia parasitic |
| url | https://www.redalyc.org/articulo.oa?id=84369728014 https://www.redalyc.org/journal/843/84369728014/ https://www.redalyc.org/journal/843/84369728014/html/ https://www.redalyc.org/journal/843/84369728014/84369728014.epub https://www.redalyc.org/journal/843/84369728014/movil |