EVALUATION OF PROTOZOAN PARASITES CAUSING DIARRHOEA IN HIV POSITIVE PATIENTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 59
Abstract
BACKGROUND Opportunistic parasitic infections are among the most serious infections in Human Immunodeficiency Virus (HIV) positive patients and claim a number of lives every year. The present study was conducted to determine the prevalence of intestinal parasites and to elucidate the association between intestinal opportunistic parasitic infection and CD4 (CD4+ T lymphocyte) counts in HIV positive patients. METHODS The study was carried out at Department of Microbiology, on 50 HIV positive patients admitted to or attending the OPD of a tertiary healthcare centre in Kolhapur during the period from June 2013 to June 2015. Air dried smears from stool samples were stained by modified Acid fast stain, directly and after formol ether concentration technique for demonstrating oocysts of Cryptosporidium parvum, I. belli and C. cayetanensis. RESULTS Intestinal parasitic pathogens were detected in 54% patients and the major pathogens included Cryptosporidium parvum (18%), the most common followed by Entamoeba histolytica (14%), Giardia lamblia (10%), Ascaris lumbricoides (6%) and 4% each of Isospora belli, Ancylostoma duodenale, Trichuris trichiura and Strongyloides stercoralis. CONCLUSION Intestinal parasitic infections caused diarrhoea in fifty four percent of patients, which was much more than the control group (16%). Proportion of opportunistic pathogens in patients with CD4 count < 200 cells/mm3 was significantly higher (69%) as compared to the patients having CD4 count > 200-499 and > 500 cells/mm3 .
Authors and Affiliations
Uday , Saral Ghosh
Keywords
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- EP ID EP154430
- DOI 10.14260/jemds/2016/931
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