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Prevalence of intestinal parasites in newly diagnosed HIV/AIDS patients in Ilorin, Nigeria

Background: Human immune-deficiency virus/acquired immune-deficiency syndrome predisposes to opportunistic parasitic infestations of the gastrointestinal tract. This study aimed to determine the prevalence of intestinal parasites in newly diagnosed treatment naı¨ve HIV/AIDS patients. Methods: This h...

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Published: 2017
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/12715
042 |a dc 
720 |a Obateru, O. A.  |e author 
720 |a Bojuwoye, B. J.  |e author 
720 |a Olokoba, A. B.  |e author 
720 |a Fadeyi, A.  |e author 
720 |a Fowotade, A.  |e author 
720 |a Olokoba, L. B.  |e author 
260 |c 2017 
520 |a Background: Human immune-deficiency virus/acquired immune-deficiency syndrome predisposes to opportunistic parasitic infestations of the gastrointestinal tract. This study aimed to determine the prevalence of intestinal parasites in newly diagnosed treatment naı¨ve HIV/AIDS patients. Methods: This hospital-based cross-sectional study was carried out from December 2010 to June 2011. Questionnaires were administered to 238 HIV/AIDS subjects, and 238 age and sexmatched controls. CD4+ T cell count was carried out on HIV-positive subjects. Stool samples were examined using direct microscopic and modified Ziehl-Neelsen methods. Positivity of intestinal parasites was taken as the presence of worms, oocyst, cyst, ova or larvae in the stool samples. Results: Ninety males and 148 females were studied for the HIV-positive and HIV-negative controls respectively. Intestinal parasitic infestation in HIV-positive subjects was 68.5%, and was significantly higher than in the HIV-negative controls 49.2% (P < 0.05). In HIV-positive subjects, Cryptosporidium spp. was the commonest (55.0%) parasite isolated. Others were Cyclospora cayetanensis (41.2%), Isospora belli (3.0%), Entamoeba histolytica (8.4%), Giardia lamblia (3.7%), Ascaris lumbricoides (2.5%), Strongyloides stercoralis (1.7%), Trichuris trichiura (0.8%) and Schistosoma mansoni (0.4%). HIV-positive patients with CD4+ T cell count of less than 200 cells/ul were more at risk of opportunistic parasites compared to the HIV-negative controls. Conclusion: The prevalence of intestinal parasites in newly diagnosed HIV/AIDS individuals was high, and its association with CD4+ T cell count was demonstrated. Routine screening for parasitic infestations at diagnosis is indicated to reduce the burden of the disease. 
024 8 |a 2090-5068 
024 8 |a 2090-5076 
024 8 |a ui_art_obateru_prevalence_2017 
024 8 |a Alexandria Journal of Medicine 53, pp. 111-116 
024 8 |a https://repository.ui.edu.ng/handle/123456789/12715 
653 |a Intestinal parasites 
653 |a HIV/AIDS 
653 |a Newly diagnosed 
653 |a Treatment naive 
653 |a Adults 
245 0 0 |a Prevalence of intestinal parasites in newly diagnosed HIV/AIDS patients in Ilorin, Nigeria