Prevalence of Opportunistic Intestinal Parasites and Associated Factors among HIV Patients while Receiving ART at Arba Minch Hospital in Southern Ethiopia: A Cross-sectional Study
Opportunistic Intestinal Parasites (OIPs) commonly cause morbidity in HIV/AIDS patients due to the decline of CD4 T-cells. The burden of Opportunistic Intestinal Parasitic Infections (OIPIs) in Ethiopia is expected to be high due to poor sanitation and co-pandemicity of HIV/AIDs. Therefore, frequent...
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| Veröffentlicht in: | Ethiopian journal of health sciences 2018-03, Vol.28 (2), p.147-156 |
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| creator | Alemu, Getaneh Alelign, Dagninet Abossie, Ashenafi |
| description | Opportunistic Intestinal Parasites (OIPs) commonly cause morbidity in HIV/AIDS patients due to the decline of CD4
T-cells. The burden of Opportunistic Intestinal Parasitic Infections (OIPIs) in Ethiopia is expected to be high due to poor sanitation and co-pandemicity of HIV/AIDs. Therefore, frequent assessment of the magnitude and associated factors for intestinal parasitosis is essential for the management of HIV/AIDS patients.
A hospital based cross-sectional study was conducted among patients attending Arba Minch Hospital Antiretroviral Therapy (ART) Clinic from March to June 2016. Stool specimens were processed for parasitological examination using direct wet mount, formol-ether sedimentation and modified Ziehl-Neelsen staining techniques. CD4+ T-cell count data were taken from patients' medical records. A structured questionnaire was used to collect data on socio-demographic characteristics and possible associated factors for OIPIs. All the data were analyzed using SPSS version 20.
Two hundred and twenty ART patients participated in the study. The overall prevalence of intestinal parasitic infections was 28.18% while that of OIPIs alone was 17.72%. Among identified intestinal parasites, Cryptosporidium species accounts for the highest frequency (19/220, 8.63%), followed by Cyclospora species (13/220, 5.90%). Presence of domestic animals (AOR=2.07, 95%CI:1.07-8.40, P= 0.032) and CD4
T-cell count |
| doi_str_mv | 10.4314/ejhs.v28i2.6 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6016335</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>29983512</sourcerecordid><originalsourceid>FETCH-LOGICAL-c346t-7a0faf98e73b4f98730f836b9b4fdb7b9cf20defdc7a1a5cc6830748dddb16b73</originalsourceid><addsrcrecordid>eNpVUdtq3DAQFaWhWdK85bnoA-qtZHkluw8FsyTdhZSE3F6FLMnxBK9kJO2GfFd_sHLThnZe5nbmzAwHoTNKlhWj1Rf7NMTloayhXPJ3aFFWlBWCCvIeLSgpm4LWK3GMTmN8IrMJwiv2AR2XTVOzFS0X6Od1sAc1Wqct9j2-miYf0t5BTKDx1iWbA6dGfK2CipBTrJzBbYxeg0rW4Aulkw-5vPPuEW-2DxmawLoU8fMAo8U3Vls4QG62N3dYJdyGTuEf4PSANz5OkDI9OHzr92mwweHzNICfQH3FLV4HH2MRrU7g5zNu0968fERHvRqjPf3jT9D9xfndelNcXn3frtvLQrOKp0Io0qu-qa1gXZW9YKSvGe-anJlOdI3uS2Jsb7RQVK205jUjoqqNMR3lnWAn6Nsr77Tvdtbo_FRQo5wC7FR4kV6B_L_jYJCP_iA5oZyxVSb4_Eqg5zeC7d9mKZGzfnLWT_7WT_IM__TvvjfwX7XYLyqAnVY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Prevalence of Opportunistic Intestinal Parasites and Associated Factors among HIV Patients while Receiving ART at Arba Minch Hospital in Southern Ethiopia: A Cross-sectional Study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>African Journals Online (Open Access)</source><source>PubMed Central</source><creator>Alemu, Getaneh ; Alelign, Dagninet ; Abossie, Ashenafi</creator><creatorcontrib>Alemu, Getaneh ; Alelign, Dagninet ; Abossie, Ashenafi</creatorcontrib><description>Opportunistic Intestinal Parasites (OIPs) commonly cause morbidity in HIV/AIDS patients due to the decline of CD4
T-cells. The burden of Opportunistic Intestinal Parasitic Infections (OIPIs) in Ethiopia is expected to be high due to poor sanitation and co-pandemicity of HIV/AIDs. Therefore, frequent assessment of the magnitude and associated factors for intestinal parasitosis is essential for the management of HIV/AIDS patients.
A hospital based cross-sectional study was conducted among patients attending Arba Minch Hospital Antiretroviral Therapy (ART) Clinic from March to June 2016. Stool specimens were processed for parasitological examination using direct wet mount, formol-ether sedimentation and modified Ziehl-Neelsen staining techniques. CD4+ T-cell count data were taken from patients' medical records. A structured questionnaire was used to collect data on socio-demographic characteristics and possible associated factors for OIPIs. All the data were analyzed using SPSS version 20.
Two hundred and twenty ART patients participated in the study. The overall prevalence of intestinal parasitic infections was 28.18% while that of OIPIs alone was 17.72%. Among identified intestinal parasites, Cryptosporidium species accounts for the highest frequency (19/220, 8.63%), followed by Cyclospora species (13/220, 5.90%). Presence of domestic animals (AOR=2.07, 95%CI:1.07-8.40, P= 0.032) and CD4
T-cell count <500cell/µl (AOR=4.66, 95%CI:1.17-5.35, P= 0.001) were significantly associated with OIPIs.
The study indicated that co-infection rate of OIPs is high among ART patients. It also found that contact with domestic animals and having CD4+ count <500 cell/µl predict for the presence of OIPs.</description><identifier>ISSN: 1029-1857</identifier><identifier>EISSN: 2413-7170</identifier><identifier>EISSN: 1029-1857</identifier><identifier>DOI: 10.4314/ejhs.v28i2.6</identifier><identifier>PMID: 29983512</identifier><language>eng</language><publisher>Ethiopia: Research and Publications Office of Jimma University</publisher><subject>Adolescent ; Adult ; AIDS-Related Opportunistic Infections - diagnosis ; AIDS-Related Opportunistic Infections - etiology ; AIDS-Related Opportunistic Infections - parasitology ; Animals ; Animals, Domestic ; CD4 Lymphocyte Count ; Child ; Coinfection ; Cross-Sectional Studies ; Ethiopia - epidemiology ; Feces - parasitology ; Female ; HIV Infections - complications ; HIV Infections - drug therapy ; Hospitals ; Humans ; Intestinal Diseases, Parasitic - diagnosis ; Intestinal Diseases, Parasitic - epidemiology ; Intestinal Diseases, Parasitic - etiology ; Intestines - parasitology ; Male ; Middle Aged ; Original ; Parasites - growth & development ; Prevalence ; Risk Factors ; Sanitation ; Young Adult</subject><ispartof>Ethiopian journal of health sciences, 2018-03, Vol.28 (2), p.147-156</ispartof><rights>2018 Getaneh Alemu, et al. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c346t-7a0faf98e73b4f98730f836b9b4fdb7b9cf20defdc7a1a5cc6830748dddb16b73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016335/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016335/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29983512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alemu, Getaneh</creatorcontrib><creatorcontrib>Alelign, Dagninet</creatorcontrib><creatorcontrib>Abossie, Ashenafi</creatorcontrib><title>Prevalence of Opportunistic Intestinal Parasites and Associated Factors among HIV Patients while Receiving ART at Arba Minch Hospital in Southern Ethiopia: A Cross-sectional Study</title><title>Ethiopian journal of health sciences</title><addtitle>Ethiop J Health Sci</addtitle><description>Opportunistic Intestinal Parasites (OIPs) commonly cause morbidity in HIV/AIDS patients due to the decline of CD4
T-cells. The burden of Opportunistic Intestinal Parasitic Infections (OIPIs) in Ethiopia is expected to be high due to poor sanitation and co-pandemicity of HIV/AIDs. Therefore, frequent assessment of the magnitude and associated factors for intestinal parasitosis is essential for the management of HIV/AIDS patients.
A hospital based cross-sectional study was conducted among patients attending Arba Minch Hospital Antiretroviral Therapy (ART) Clinic from March to June 2016. Stool specimens were processed for parasitological examination using direct wet mount, formol-ether sedimentation and modified Ziehl-Neelsen staining techniques. CD4+ T-cell count data were taken from patients' medical records. A structured questionnaire was used to collect data on socio-demographic characteristics and possible associated factors for OIPIs. All the data were analyzed using SPSS version 20.
Two hundred and twenty ART patients participated in the study. The overall prevalence of intestinal parasitic infections was 28.18% while that of OIPIs alone was 17.72%. Among identified intestinal parasites, Cryptosporidium species accounts for the highest frequency (19/220, 8.63%), followed by Cyclospora species (13/220, 5.90%). Presence of domestic animals (AOR=2.07, 95%CI:1.07-8.40, P= 0.032) and CD4
T-cell count <500cell/µl (AOR=4.66, 95%CI:1.17-5.35, P= 0.001) were significantly associated with OIPIs.
The study indicated that co-infection rate of OIPs is high among ART patients. It also found that contact with domestic animals and having CD4+ count <500 cell/µl predict for the presence of OIPs.</description><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS-Related Opportunistic Infections - diagnosis</subject><subject>AIDS-Related Opportunistic Infections - etiology</subject><subject>AIDS-Related Opportunistic Infections - parasitology</subject><subject>Animals</subject><subject>Animals, Domestic</subject><subject>CD4 Lymphocyte Count</subject><subject>Child</subject><subject>Coinfection</subject><subject>Cross-Sectional Studies</subject><subject>Ethiopia - epidemiology</subject><subject>Feces - parasitology</subject><subject>Female</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - drug therapy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intestinal Diseases, Parasitic - diagnosis</subject><subject>Intestinal Diseases, Parasitic - epidemiology</subject><subject>Intestinal Diseases, Parasitic - etiology</subject><subject>Intestines - parasitology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Parasites - growth & development</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Sanitation</subject><subject>Young Adult</subject><issn>1029-1857</issn><issn>2413-7170</issn><issn>1029-1857</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUdtq3DAQFaWhWdK85bnoA-qtZHkluw8FsyTdhZSE3F6FLMnxBK9kJO2GfFd_sHLThnZe5nbmzAwHoTNKlhWj1Rf7NMTloayhXPJ3aFFWlBWCCvIeLSgpm4LWK3GMTmN8IrMJwiv2AR2XTVOzFS0X6Od1sAc1Wqct9j2-miYf0t5BTKDx1iWbA6dGfK2CipBTrJzBbYxeg0rW4Aulkw-5vPPuEW-2DxmawLoU8fMAo8U3Vls4QG62N3dYJdyGTuEf4PSANz5OkDI9OHzr92mwweHzNICfQH3FLV4HH2MRrU7g5zNu0968fERHvRqjPf3jT9D9xfndelNcXn3frtvLQrOKp0Io0qu-qa1gXZW9YKSvGe-anJlOdI3uS2Jsb7RQVK205jUjoqqNMR3lnWAn6Nsr77Tvdtbo_FRQo5wC7FR4kV6B_L_jYJCP_iA5oZyxVSb4_Eqg5zeC7d9mKZGzfnLWT_7WT_IM__TvvjfwX7XYLyqAnVY</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Alemu, Getaneh</creator><creator>Alelign, Dagninet</creator><creator>Abossie, Ashenafi</creator><general>Research and Publications Office of Jimma University</general><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>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Prevalence of Opportunistic Intestinal Parasites and Associated Factors among HIV Patients while Receiving ART at Arba Minch Hospital in Southern Ethiopia: A Cross-sectional Study</title><author>Alemu, Getaneh ; Alelign, Dagninet ; Abossie, Ashenafi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-7a0faf98e73b4f98730f836b9b4fdb7b9cf20defdc7a1a5cc6830748dddb16b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS-Related Opportunistic Infections - diagnosis</topic><topic>AIDS-Related Opportunistic Infections - etiology</topic><topic>AIDS-Related Opportunistic Infections - parasitology</topic><topic>Animals</topic><topic>Animals, Domestic</topic><topic>CD4 Lymphocyte Count</topic><topic>Child</topic><topic>Coinfection</topic><topic>Cross-Sectional Studies</topic><topic>Ethiopia - epidemiology</topic><topic>Feces - parasitology</topic><topic>Female</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - drug therapy</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intestinal Diseases, Parasitic - diagnosis</topic><topic>Intestinal Diseases, Parasitic - epidemiology</topic><topic>Intestinal Diseases, Parasitic - etiology</topic><topic>Intestines - parasitology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Parasites - growth & development</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Sanitation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alemu, Getaneh</creatorcontrib><creatorcontrib>Alelign, Dagninet</creatorcontrib><creatorcontrib>Abossie, Ashenafi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Ethiopian journal of health sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alemu, Getaneh</au><au>Alelign, Dagninet</au><au>Abossie, Ashenafi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Opportunistic Intestinal Parasites and Associated Factors among HIV Patients while Receiving ART at Arba Minch Hospital in Southern Ethiopia: A Cross-sectional Study</atitle><jtitle>Ethiopian journal of health sciences</jtitle><addtitle>Ethiop J Health Sci</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>28</volume><issue>2</issue><spage>147</spage><epage>156</epage><pages>147-156</pages><issn>1029-1857</issn><eissn>2413-7170</eissn><eissn>1029-1857</eissn><abstract>Opportunistic Intestinal Parasites (OIPs) commonly cause morbidity in HIV/AIDS patients due to the decline of CD4
T-cells. The burden of Opportunistic Intestinal Parasitic Infections (OIPIs) in Ethiopia is expected to be high due to poor sanitation and co-pandemicity of HIV/AIDs. Therefore, frequent assessment of the magnitude and associated factors for intestinal parasitosis is essential for the management of HIV/AIDS patients.
A hospital based cross-sectional study was conducted among patients attending Arba Minch Hospital Antiretroviral Therapy (ART) Clinic from March to June 2016. Stool specimens were processed for parasitological examination using direct wet mount, formol-ether sedimentation and modified Ziehl-Neelsen staining techniques. CD4+ T-cell count data were taken from patients' medical records. A structured questionnaire was used to collect data on socio-demographic characteristics and possible associated factors for OIPIs. All the data were analyzed using SPSS version 20.
Two hundred and twenty ART patients participated in the study. The overall prevalence of intestinal parasitic infections was 28.18% while that of OIPIs alone was 17.72%. Among identified intestinal parasites, Cryptosporidium species accounts for the highest frequency (19/220, 8.63%), followed by Cyclospora species (13/220, 5.90%). Presence of domestic animals (AOR=2.07, 95%CI:1.07-8.40, P= 0.032) and CD4
T-cell count <500cell/µl (AOR=4.66, 95%CI:1.17-5.35, P= 0.001) were significantly associated with OIPIs.
The study indicated that co-infection rate of OIPs is high among ART patients. It also found that contact with domestic animals and having CD4+ count <500 cell/µl predict for the presence of OIPs.</abstract><cop>Ethiopia</cop><pub>Research and Publications Office of Jimma University</pub><pmid>29983512</pmid><doi>10.4314/ejhs.v28i2.6</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ethiopian journal of health sciences, 2018-03, Vol.28 (2), p.147-156 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; African Journals Online (Open Access); PubMed Central |
| subjects | Adolescent Adult AIDS-Related Opportunistic Infections - diagnosis AIDS-Related Opportunistic Infections - etiology AIDS-Related Opportunistic Infections - parasitology Animals Animals, Domestic CD4 Lymphocyte Count Child Coinfection Cross-Sectional Studies Ethiopia - epidemiology Feces - parasitology Female HIV Infections - complications HIV Infections - drug therapy Hospitals Humans Intestinal Diseases, Parasitic - diagnosis Intestinal Diseases, Parasitic - epidemiology Intestinal Diseases, Parasitic - etiology Intestines - parasitology Male Middle Aged Original Parasites - growth & development Prevalence Risk Factors Sanitation Young Adult |
| title | Prevalence of Opportunistic Intestinal Parasites and Associated Factors among HIV Patients while Receiving ART at Arba Minch Hospital in Southern Ethiopia: A Cross-sectional Study |
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