Intestinal parasitic infections in HIV/AIDS patients presenting with diarrhoea in Jakarta, Indonesia
We investigated the occurrence of intestinal parasites in Indonesian HIV/AIDS patients with chronic diarrhoea prior to administering antiretroviral therapy. The influence of age, CD4 + cell count and season on parasite occurrence was also studied. In total, 318 unconcentrated stool samples were anal...
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| Veröffentlicht in: | Transactions of the Royal Society of Tropical Medicine and Hygiene 2009-09, Vol.103 (9), p.892-898 |
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| creator | Kurniawan, A. Karyadi, T. Dwintasari, S.W. Sari, I.P. Yunihastuti, E. Djauzi, S. Smith, H.V. |
| description | We investigated the occurrence of intestinal parasites in Indonesian HIV/AIDS patients with chronic diarrhoea prior to administering antiretroviral therapy. The influence of age, CD4
+ cell count and season on parasite occurrence was also studied. In total, 318 unconcentrated stool samples were analysed using Lugol's iodine and modified acid fast staining to detect intestinal coccidia
. Most samples (94.5%) were from males aged 21–40 years with CD4
+ counts ≤50 cells/mm
3. Parasites were found in 84.3% of samples (single species infections, 71.4%; polyparasitism, 12.9%), with protozoan pathogens occurring most commonly.
Cryptosporidium (4.9%),
Cyclospora cayetanensis (4.5%) and
Giardia duodenalis (1.9%) were the most frequent single infections, but
Blastocystis hominis (72.4%) was the most commonly occurring protist.
Cryptosporidium and
C. cayetanensis occurred in 11.9% and 7.8% of all (single and mixed) infections. The most common co-infection was with
B. hominis and
Cryptosporidium (6.3%). Intestinal protozoan pathogens were detected more frequently in cases with CD4
+ counts ≤200/mm
3. No seasonal influence was determined for
Cryptosporidium,
C. cayetanensis or
B. hominis, but gross seasonal disturbances may have influenced our findings. Intestinal parasites should be looked for routinely in this group of individuals and should be treated to reduce complications and the likelihood of transmission. |
| doi_str_mv | 10.1016/j.trstmh.2009.02.017 |
| format | Article |
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+ cell count and season on parasite occurrence was also studied. In total, 318 unconcentrated stool samples were analysed using Lugol's iodine and modified acid fast staining to detect intestinal coccidia
. Most samples (94.5%) were from males aged 21–40 years with CD4
+ counts ≤50 cells/mm
3. Parasites were found in 84.3% of samples (single species infections, 71.4%; polyparasitism, 12.9%), with protozoan pathogens occurring most commonly.
Cryptosporidium (4.9%),
Cyclospora cayetanensis (4.5%) and
Giardia duodenalis (1.9%) were the most frequent single infections, but
Blastocystis hominis (72.4%) was the most commonly occurring protist.
Cryptosporidium and
C. cayetanensis occurred in 11.9% and 7.8% of all (single and mixed) infections. The most common co-infection was with
B. hominis and
Cryptosporidium (6.3%). Intestinal protozoan pathogens were detected more frequently in cases with CD4
+ counts ≤200/mm
3. No seasonal influence was determined for
Cryptosporidium,
C. cayetanensis or
B. hominis, but gross seasonal disturbances may have influenced our findings. Intestinal parasites should be looked for routinely in this group of individuals and should be treated to reduce complications and the likelihood of transmission.</description><identifier>ISSN: 0035-9203</identifier><identifier>EISSN: 1878-3503</identifier><identifier>DOI: 10.1016/j.trstmh.2009.02.017</identifier><identifier>PMID: 19327806</identifier><identifier>CODEN: TRSTAZ</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; AIDS-Related Opportunistic Infections ; Biological and medical sciences ; Blastocystis hominis ; Blastocystis hominis - isolation & purification ; CD4 ; CD4 Lymphocyte Count ; Coccidia ; Cohort Studies ; Cross-Sectional Studies ; Cryptosporidium ; Cryptosporidium - isolation & purification ; Cyclospora - isolation & purification ; Cyclospora cayetanensis ; Diarrhea - parasitology ; Diarrhoea ; General aspects ; Giardia - isolation & purification ; Giardia duodenalis ; HIV Infections - complications ; HIV Infections - immunology ; HIV Infections - parasitology ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Immunocompromised ; Incidence ; Indonesia - epidemiology ; Infectious diseases ; Intestinal Diseases, Parasitic - epidemiology ; Intestinal Diseases, Parasitic - parasitology ; Male ; Medical sciences ; Parasitic diseases ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Young Adult</subject><ispartof>Transactions of the Royal Society of Tropical Medicine and Hygiene, 2009-09, Vol.103 (9), p.892-898</ispartof><rights>2009 Royal Society of Tropical Medicine and Hygiene</rights><rights>Royal Society of Tropical Medicine and Hygiene 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-e0c42b096fea1600d6becc941046c1c00194ef8ebf729c191d216ca03eadc8663</citedby><cites>FETCH-LOGICAL-c500t-e0c42b096fea1600d6becc941046c1c00194ef8ebf729c191d216ca03eadc8663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21980427$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19327806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kurniawan, A.</creatorcontrib><creatorcontrib>Karyadi, T.</creatorcontrib><creatorcontrib>Dwintasari, S.W.</creatorcontrib><creatorcontrib>Sari, I.P.</creatorcontrib><creatorcontrib>Yunihastuti, E.</creatorcontrib><creatorcontrib>Djauzi, S.</creatorcontrib><creatorcontrib>Smith, H.V.</creatorcontrib><title>Intestinal parasitic infections in HIV/AIDS patients presenting with diarrhoea in Jakarta, Indonesia</title><title>Transactions of the Royal Society of Tropical Medicine and Hygiene</title><addtitle>Trans R Soc Trop Med Hyg</addtitle><addtitle>Trans R Soc Trop Med Hyg</addtitle><description>We investigated the occurrence of intestinal parasites in Indonesian HIV/AIDS patients with chronic diarrhoea prior to administering antiretroviral therapy. The influence of age, CD4
+ cell count and season on parasite occurrence was also studied. In total, 318 unconcentrated stool samples were analysed using Lugol's iodine and modified acid fast staining to detect intestinal coccidia
. Most samples (94.5%) were from males aged 21–40 years with CD4
+ counts ≤50 cells/mm
3. Parasites were found in 84.3% of samples (single species infections, 71.4%; polyparasitism, 12.9%), with protozoan pathogens occurring most commonly.
Cryptosporidium (4.9%),
Cyclospora cayetanensis (4.5%) and
Giardia duodenalis (1.9%) were the most frequent single infections, but
Blastocystis hominis (72.4%) was the most commonly occurring protist.
Cryptosporidium and
C. cayetanensis occurred in 11.9% and 7.8% of all (single and mixed) infections. The most common co-infection was with
B. hominis and
Cryptosporidium (6.3%). Intestinal protozoan pathogens were detected more frequently in cases with CD4
+ counts ≤200/mm
3. No seasonal influence was determined for
Cryptosporidium,
C. cayetanensis or
B. hominis, but gross seasonal disturbances may have influenced our findings. Intestinal parasites should be looked for routinely in this group of individuals and should be treated to reduce complications and the likelihood of transmission.</description><subject>Adult</subject><subject>AIDS-Related Opportunistic Infections</subject><subject>Biological and medical sciences</subject><subject>Blastocystis hominis</subject><subject>Blastocystis hominis - isolation & purification</subject><subject>CD4</subject><subject>CD4 Lymphocyte Count</subject><subject>Coccidia</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Cryptosporidium</subject><subject>Cryptosporidium - isolation & purification</subject><subject>Cyclospora - isolation & purification</subject><subject>Cyclospora cayetanensis</subject><subject>Diarrhea - parasitology</subject><subject>Diarrhoea</subject><subject>General aspects</subject><subject>Giardia - isolation & purification</subject><subject>Giardia duodenalis</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - immunology</subject><subject>HIV Infections - parasitology</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunocompromised</subject><subject>Incidence</subject><subject>Indonesia - epidemiology</subject><subject>Infectious diseases</subject><subject>Intestinal Diseases, Parasitic - epidemiology</subject><subject>Intestinal Diseases, Parasitic - parasitology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Parasitic diseases</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Young Adult</subject><issn>0035-9203</issn><issn>1878-3503</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks1u1DAUhS0EotPCGyCUDXRDMtd24sQbpFJ-JqXAgoIqNpbHuWE8zTiD7eHn7fEoo7KrWPkuvnOu7M-EPKFQUKBivi6iD3GzKhiALIAVQOt7ZEabusl5Bfw-mQHwKpcM-BE5DmENwCpayYfkiErO6gbEjHStixiidXrIttrrYKM1mXU9mmhHF9KYLdqv87P29ecERIsuhmzrMaTBuu_ZLxtXWWe196sR9R6_0DfaR_0ia103OgxWPyIPej0EfHw4T8iXt2-uzhf55ad37fnZZW4qgJgjmJItQYoeNRUAnViiMbKkUApDDQCVJfYNLvuaSUMl7RgVRgNH3ZlGCH5CTqferR9_7NK11MYGg8OgHY67oGrO66aqZJXI53eSjNKSsrpMYDmBxo8heOzV1tuN9n8UBbX3oNZq8qD2HhQwlTyk2NND_265we5f6PDwCXh2AHQweui9dsaGW45R2UDJ9kXziRt32_9dnU8JGyL-vs1of6NEzetKLa6_qVcX4sMVu_6o3if-5cRjMvPTolfBJMsGO-vTJ1DdaO9e-BfMp8c9</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Kurniawan, A.</creator><creator>Karyadi, T.</creator><creator>Dwintasari, S.W.</creator><creator>Sari, I.P.</creator><creator>Yunihastuti, E.</creator><creator>Djauzi, S.</creator><creator>Smith, H.V.</creator><general>Elsevier Ltd</general><general>Royal Society of Tropical Medicine and Hygiene</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Intestinal parasitic infections in HIV/AIDS patients presenting with diarrhoea in Jakarta, Indonesia</title><author>Kurniawan, A. ; Karyadi, T. ; Dwintasari, S.W. ; Sari, I.P. ; Yunihastuti, E. ; Djauzi, S. ; Smith, H.V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-e0c42b096fea1600d6becc941046c1c00194ef8ebf729c191d216ca03eadc8663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>AIDS-Related Opportunistic Infections</topic><topic>Biological and medical sciences</topic><topic>Blastocystis hominis</topic><topic>Blastocystis hominis - isolation & purification</topic><topic>CD4</topic><topic>CD4 Lymphocyte Count</topic><topic>Coccidia</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Cryptosporidium</topic><topic>Cryptosporidium - isolation & purification</topic><topic>Cyclospora - isolation & purification</topic><topic>Cyclospora cayetanensis</topic><topic>Diarrhea - parasitology</topic><topic>Diarrhoea</topic><topic>General aspects</topic><topic>Giardia - isolation & purification</topic><topic>Giardia duodenalis</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - immunology</topic><topic>HIV Infections - parasitology</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunocompromised</topic><topic>Incidence</topic><topic>Indonesia - epidemiology</topic><topic>Infectious diseases</topic><topic>Intestinal Diseases, Parasitic - epidemiology</topic><topic>Intestinal Diseases, Parasitic - parasitology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Parasitic diseases</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kurniawan, A.</creatorcontrib><creatorcontrib>Karyadi, T.</creatorcontrib><creatorcontrib>Dwintasari, S.W.</creatorcontrib><creatorcontrib>Sari, I.P.</creatorcontrib><creatorcontrib>Yunihastuti, E.</creatorcontrib><creatorcontrib>Djauzi, S.</creatorcontrib><creatorcontrib>Smith, H.V.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kurniawan, A.</au><au>Karyadi, T.</au><au>Dwintasari, S.W.</au><au>Sari, I.P.</au><au>Yunihastuti, E.</au><au>Djauzi, S.</au><au>Smith, H.V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intestinal parasitic infections in HIV/AIDS patients presenting with diarrhoea in Jakarta, Indonesia</atitle><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle><stitle>Trans R Soc Trop Med Hyg</stitle><addtitle>Trans R Soc Trop Med Hyg</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>103</volume><issue>9</issue><spage>892</spage><epage>898</epage><pages>892-898</pages><issn>0035-9203</issn><eissn>1878-3503</eissn><coden>TRSTAZ</coden><abstract>We investigated the occurrence of intestinal parasites in Indonesian HIV/AIDS patients with chronic diarrhoea prior to administering antiretroviral therapy. The influence of age, CD4
+ cell count and season on parasite occurrence was also studied. In total, 318 unconcentrated stool samples were analysed using Lugol's iodine and modified acid fast staining to detect intestinal coccidia
. Most samples (94.5%) were from males aged 21–40 years with CD4
+ counts ≤50 cells/mm
3. Parasites were found in 84.3% of samples (single species infections, 71.4%; polyparasitism, 12.9%), with protozoan pathogens occurring most commonly.
Cryptosporidium (4.9%),
Cyclospora cayetanensis (4.5%) and
Giardia duodenalis (1.9%) were the most frequent single infections, but
Blastocystis hominis (72.4%) was the most commonly occurring protist.
Cryptosporidium and
C. cayetanensis occurred in 11.9% and 7.8% of all (single and mixed) infections. The most common co-infection was with
B. hominis and
Cryptosporidium (6.3%). Intestinal protozoan pathogens were detected more frequently in cases with CD4
+ counts ≤200/mm
3. No seasonal influence was determined for
Cryptosporidium,
C. cayetanensis or
B. hominis, but gross seasonal disturbances may have influenced our findings. Intestinal parasites should be looked for routinely in this group of individuals and should be treated to reduce complications and the likelihood of transmission.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>19327806</pmid><doi>10.1016/j.trstmh.2009.02.017</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0035-9203 |
| ispartof | Transactions of the Royal Society of Tropical Medicine and Hygiene, 2009-09, Vol.103 (9), p.892-898 |
| issn | 0035-9203 1878-3503 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733785595 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adult AIDS-Related Opportunistic Infections Biological and medical sciences Blastocystis hominis Blastocystis hominis - isolation & purification CD4 CD4 Lymphocyte Count Coccidia Cohort Studies Cross-Sectional Studies Cryptosporidium Cryptosporidium - isolation & purification Cyclospora - isolation & purification Cyclospora cayetanensis Diarrhea - parasitology Diarrhoea General aspects Giardia - isolation & purification Giardia duodenalis HIV Infections - complications HIV Infections - immunology HIV Infections - parasitology Human immunodeficiency virus Human viral diseases Humans Immunocompromised Incidence Indonesia - epidemiology Infectious diseases Intestinal Diseases, Parasitic - epidemiology Intestinal Diseases, Parasitic - parasitology Male Medical sciences Parasitic diseases Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Young Adult |
| title | Intestinal parasitic infections in HIV/AIDS patients presenting with diarrhoea in Jakarta, Indonesia |
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