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Prevalence of Opportunistic Intestinal Protozoan Infection Among HIV/AIDS Patients in Jalingo Metropolis

Received: 18 July 2020     Accepted: 19 August 2020     Published: 19 September 2020
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Abstract

Opportunistic protozoans parasitic infection occur frequently in individuals with weakened immune system including people with HIV/AIDS. The study sought to determine the prevalence of opportunistic intestinal protozoan infection in HIV/AIDS patients in Jalingo metropolis. The procedure of wet mount technique and faecal concentration techniques processed the faeces collected. The CD4+ count of patients were determined using the Partee Cyflow Counter, which determines the percentage of CD4+ cells of individuals. A total of eight hundred and fifty (850) faecal samples were collected from sero-positive and sero-negative HIV/AIDS persons in Jalingo metropolis. Out of the 850 subjects 650 (76.47%) were sero-positive while 200 (23.53%) were sero-negative (Control). The sero-positive subjects showed higher prevalence of 118 (18.15%) of opportunistic parasitic protozoan infection according to the following hospital locations: Government House, 12 (25.71%); Ummah Clinic, 8 (21.82%); Taraba State Specialist Hospital, 50 (18.18%) and Federal Medical Centre, 38 (15.20%). The prevalence was higher among female positives, 68 (l9.60%) than the male, 50 (16.50%) with no significant difference (p>0.05). The infection based on age groups revealed that the age group 10-15 years had the highest prevalence of 27 (48.21%) while the age group 41-45 years had the least prevalence of 2 (2.63%). Subjects involved in farming had higher prevalence 30 (46.15%) while the least was found among those of trading/business, 33 (13.86%) with no significant difference in infection (p>0.05). C. parvum had the highest prevalence, 46 (24.46%) among the sero-positive individuals while E. coli the highest among sero-negative, 9 (60.00%). It is recommended that clinicians caring for HIV/AIDS patients should request for routine stool examination for the specific diagnosis of opportunistic intestinal parasites infections.

Published in Biomedical Sciences (Volume 6, Issue 3)
DOI 10.11648/j.bs.20200603.16
Page(s) 74-78
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Protozoans, Infections, HIV/AIDS, Patients, Opportunistic

References
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[5] Cheesbrough M. District laboratory practice in tropical countries. New York-Cambridge Press. Part1, 2nd Edition, 2012; 249-258.
[6] Alemu G, Alelign D, Abossie A. 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. Ethiop J Health Sci. 2018; 28 (2): 147-156. doi: 10.4314/ejhs.v28i2.6.
[7] Barcelos Natane Barbosa, Silva Lorena de Freitas e, Dias Regyane Ferreira Guimarães, Menezes Filho Hélio Ranes de, Rodrigues Rosângela Maria. Opportunistic and non-opportunistic intestinal parasites in HIV/ AIDS patients in relation to their clinical and epidemiological status in a specialized medical service in Goiás, Brazil. Rev. Inst. Med. trop. S. Paulo [Internet]. 2018 [cited 2020 Aug 18]; 60: e13. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652018005000206&lng=en. Epub Mar 08, 2018. https: //doi.org/10.1590/s1678-9946201860013.
[8] Akinbo F O, Anate P J, Akinbo D B, Omoregie R, Okoosi S, Abdulsalami A, Isah B. Risk factors of intestinal parasitic infections among human immunodeficiency virus-infected patients on highly active antiretroviral therapy. Port Harcourt Med J, 2017; 11: 15-20.
[9] Teklay, G., Haftom, K., Abebaw, A. G. Intestinal parasites among HIV/AIDS patients attending University of Gondar Hospital, northwest Ethiopia. Ethiop. J. Health Dev. 2019; 33 (2): 64-72.
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[11] Gebre B, Alemayehu T, Girma M, Ayalew F, Tadesse BT, Shemelis T. Cryptosporidiosis And Other Intestinal Parasitic Infections And Concomitant Threats Among HIV-Infected Children In Southern Ethiopia Receiving First-Line Antiretroviral Therapy. HIV AIDS (Auckl). 2019; 11: 299-306. Published 2019 Nov 15. doi: 10.2147/HIV.S215417.
[12] Awofala AA, Ogundele OE. HIV epidemiology in Nigeria. Saudi J Biol Sci. 2016. doi: 10.1016/j.sjbs.2016.03.006.
[13] Jegede FE, Oyeyi TI, Abdulrahman SA, Mbah HA, Badru T, Agbakwuru C et al. Effect of HIV and malaria parasites co-infection on immune-hematological profiles among patients attending anti-retroviral treatment (ART) clinic in Infectious Disease Hospital Kano, Nigeria. PloS One. 2017; 12 (3): e0174233.
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[15] Ahmadpour E, Safarpour H, Xiao L, Zarean M, Hatam-Nahavandi K, Barac A, Picot S, Rahimi MT, Rubino S, Mahami-Oskouei M, Spotin A, Nami S, Baghi HB. Cryptosporidiosis in HIV-positive patients and related risk factors: A systematic review and meta-analysis. Parasite, 2020; 27. https://doi.org/10.1051/parasite/2020025.
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    Onyeuku Okechukwu Chinwe, Elkanah Obadiah Sambo, Obiorah Sylvester Chibuzor, Elkanah Deborah Sambo, Egeonu Stephen Ugoeze. (2020). Prevalence of Opportunistic Intestinal Protozoan Infection Among HIV/AIDS Patients in Jalingo Metropolis. Biomedical Sciences, 6(3), 74-78. https://doi.org/10.11648/j.bs.20200603.16

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    ACS Style

    Onyeuku Okechukwu Chinwe; Elkanah Obadiah Sambo; Obiorah Sylvester Chibuzor; Elkanah Deborah Sambo; Egeonu Stephen Ugoeze. Prevalence of Opportunistic Intestinal Protozoan Infection Among HIV/AIDS Patients in Jalingo Metropolis. Biomed. Sci. 2020, 6(3), 74-78. doi: 10.11648/j.bs.20200603.16

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    AMA Style

    Onyeuku Okechukwu Chinwe, Elkanah Obadiah Sambo, Obiorah Sylvester Chibuzor, Elkanah Deborah Sambo, Egeonu Stephen Ugoeze. Prevalence of Opportunistic Intestinal Protozoan Infection Among HIV/AIDS Patients in Jalingo Metropolis. Biomed Sci. 2020;6(3):74-78. doi: 10.11648/j.bs.20200603.16

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  • @article{10.11648/j.bs.20200603.16,
      author = {Onyeuku Okechukwu Chinwe and Elkanah Obadiah Sambo and Obiorah Sylvester Chibuzor and Elkanah Deborah Sambo and Egeonu Stephen Ugoeze},
      title = {Prevalence of Opportunistic Intestinal Protozoan Infection Among HIV/AIDS Patients in Jalingo Metropolis},
      journal = {Biomedical Sciences},
      volume = {6},
      number = {3},
      pages = {74-78},
      doi = {10.11648/j.bs.20200603.16},
      url = {https://doi.org/10.11648/j.bs.20200603.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20200603.16},
      abstract = {Opportunistic protozoans parasitic infection occur frequently in individuals with weakened immune system including people with HIV/AIDS. The study sought to determine the prevalence of opportunistic intestinal protozoan infection in HIV/AIDS patients in Jalingo metropolis. The procedure of wet mount technique and faecal concentration techniques processed the faeces collected. The CD4+ count of patients were determined using the Partee Cyflow Counter, which determines the percentage of CD4+ cells of individuals. A total of eight hundred and fifty (850) faecal samples were collected from sero-positive and sero-negative HIV/AIDS persons in Jalingo metropolis. Out of the 850 subjects 650 (76.47%) were sero-positive while 200 (23.53%) were sero-negative (Control). The sero-positive subjects showed higher prevalence of 118 (18.15%) of opportunistic parasitic protozoan infection according to the following hospital locations: Government House, 12 (25.71%); Ummah Clinic, 8 (21.82%); Taraba State Specialist Hospital, 50 (18.18%) and Federal Medical Centre, 38 (15.20%). The prevalence was higher among female positives, 68 (l9.60%) than the male, 50 (16.50%) with no significant difference (p>0.05). The infection based on age groups revealed that the age group 10-15 years had the highest prevalence of 27 (48.21%) while the age group 41-45 years had the least prevalence of 2 (2.63%). Subjects involved in farming had higher prevalence 30 (46.15%) while the least was found among those of trading/business, 33 (13.86%) with no significant difference in infection (p>0.05). C. parvum had the highest prevalence, 46 (24.46%) among the sero-positive individuals while E. coli the highest among sero-negative, 9 (60.00%). It is recommended that clinicians caring for HIV/AIDS patients should request for routine stool examination for the specific diagnosis of opportunistic intestinal parasites infections.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Opportunistic Intestinal Protozoan Infection Among HIV/AIDS Patients in Jalingo Metropolis
    AU  - Onyeuku Okechukwu Chinwe
    AU  - Elkanah Obadiah Sambo
    AU  - Obiorah Sylvester Chibuzor
    AU  - Elkanah Deborah Sambo
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    DO  - 10.11648/j.bs.20200603.16
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    JF  - Biomedical Sciences
    JO  - Biomedical Sciences
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.bs.20200603.16
    AB  - Opportunistic protozoans parasitic infection occur frequently in individuals with weakened immune system including people with HIV/AIDS. The study sought to determine the prevalence of opportunistic intestinal protozoan infection in HIV/AIDS patients in Jalingo metropolis. The procedure of wet mount technique and faecal concentration techniques processed the faeces collected. The CD4+ count of patients were determined using the Partee Cyflow Counter, which determines the percentage of CD4+ cells of individuals. A total of eight hundred and fifty (850) faecal samples were collected from sero-positive and sero-negative HIV/AIDS persons in Jalingo metropolis. Out of the 850 subjects 650 (76.47%) were sero-positive while 200 (23.53%) were sero-negative (Control). The sero-positive subjects showed higher prevalence of 118 (18.15%) of opportunistic parasitic protozoan infection according to the following hospital locations: Government House, 12 (25.71%); Ummah Clinic, 8 (21.82%); Taraba State Specialist Hospital, 50 (18.18%) and Federal Medical Centre, 38 (15.20%). The prevalence was higher among female positives, 68 (l9.60%) than the male, 50 (16.50%) with no significant difference (p>0.05). The infection based on age groups revealed that the age group 10-15 years had the highest prevalence of 27 (48.21%) while the age group 41-45 years had the least prevalence of 2 (2.63%). Subjects involved in farming had higher prevalence 30 (46.15%) while the least was found among those of trading/business, 33 (13.86%) with no significant difference in infection (p>0.05). C. parvum had the highest prevalence, 46 (24.46%) among the sero-positive individuals while E. coli the highest among sero-negative, 9 (60.00%). It is recommended that clinicians caring for HIV/AIDS patients should request for routine stool examination for the specific diagnosis of opportunistic intestinal parasites infections.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Laboratory Services, Taraba State Specialist Hospital, Jalingo, Nigeria

  • Department of Biological Sciences, Taraba State University, Jalingo, Nigeria

  • Department of Laboratory Services, Federal Medical Centre, Jalingo, Nigeria

  • Department of Biological Sciences, Taraba State University, Jalingo, Nigeria

  • Department of Laboratory Services, Federal Medical Centre, Jalingo, Nigeria

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