Opportunistic and other intestinal parasites among HIV/AIDS patients attending Gambi higher clinic in Bahir Dar city, North West Ethiopia

Asian Pac J Trop Med. 2011 Aug;4(8):661-5. doi: 10.1016/S1995-7645(11)60168-5.

Abstract

Objective: To determine the magnitude of opportunistic and non-opportunistic intestinal parasitic infections among HIV/AIDS patients in Bahir Dar.

Methods: Cross-sectional study was conducted among HIV/AIDS patients attending Gambi higher clinic from April1-May 30, 2009. Convenient sampling technique was employed to identify the study subjects and hence a total of 248 subjects were included. A pre-tested structured questionnaire was used to collect socio-demographic data of patients. Stool samples were examined by direct saline, iodine wet mount, formol-ether sedimentation concentration and modified Ziehl-Neelsen staining technique.

Results: Out of 248 enrolled in the study, 171(69.0%) (90 males and 81 females) were infected with one or more intestinal parasites. The highest rate of intestinal parasites were observed among HIV/AIDS patients (80.3%, 151/188), and the infection rate of HIV negative individuals was 33.3% (20/60). Cryptosporidum parvum (43.6%), Isospora belli (15.5%) and Blastocystis hominis (10.5%) were opportunistic parasites that were found only in HIV/AIDS patients.

Conclusions: Opportunistic parasite infections are common health problem among HIV/AIDS patients in the study area. Therefore, early detection and treatment of these parasites are important to improve the quality of life of HIV/AIDS patients.

MeSH terms

  • AIDS-Related Opportunistic Infections / epidemiology
  • AIDS-Related Opportunistic Infections / parasitology*
  • AIDS-Related Opportunistic Infections / virology
  • Adult
  • Blastocystis hominis / isolation & purification*
  • Blastocystis hominis / physiology
  • Cross-Sectional Studies
  • Cryptosporidium parvum / isolation & purification*
  • Cryptosporidium parvum / physiology
  • Ethiopia / epidemiology
  • Feces / parasitology
  • Female
  • HIV / physiology*
  • HIV Infections / epidemiology
  • HIV Infections / parasitology*
  • HIV Infections / virology
  • HIV Seropositivity / immunology
  • Histocytochemistry
  • Humans
  • Intestinal Diseases, Parasitic / epidemiology
  • Intestinal Diseases, Parasitic / parasitology*
  • Intestinal Diseases, Parasitic / virology
  • Isospora / isolation & purification*
  • Isospora / physiology
  • Male
  • Prevalence
  • Surveys and Questionnaires