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Original report| Volume 3, ISSUE 4, P203-206, June 1999

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Prevalence of intestinal parasitic infections in patients with acquired immunodeficiency syndrome in Brazil

Open ArchiveDOI:https://doi.org/10.1016/S1201-9712(99)90025-5
Prevalence of intestinal parasitic infections in patients with acquired immunodeficiency syndrome in Brazil
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      Abstract

      Objectives: To evaluate the prevalence of intestinal parasitic infections and to investigate the possible associations of clinical status and laboratory findings with the different parasites found in stool samples.
      Methods: Each patient was provided with one standard fecal collection vial containing 10% formalin for detecting ova, larvae, and cysts. To detect Cryptosporidium parvum and Isospora belli, the acid-fast Kinyoun stain and fluorescent auramine-rhodamine stain were used.
      Results: A total of 200 patients with acquired immunodeficiency syndrome participated in this study; 40% were infected with at least one pathogenic species. The total prevalence of parasites was 16% for Giardia lamblia, 13% for Entamoeba coli, 7% for Cryptosporidium parvum, 3.5% for Endolimax nana, 2.5% for Ascaris lumbricoides, 2.5% for Strongyloides stercoralis, 2% for Isospora belli, and 0.5% for Blastocystis hominis. Results showed that diarrhea was significantly associated with cryptosporidiosis, giardiasis, and isosporiasis. However, no association was observed between the CD4+ cell counts and the manifestation of any particular parasite.
      Conclusions: The data support the value of standard fecal examinations in human immunodeficiency virus-infected patients, even in the absence of diarrhea, since these examinations easily can be performed, with low costs, and frequently disclose treatable conditions.

      Keywords

      References

        • Savioli L.
        • Bundy D.
        • Tomkins A.
        Intestinal parasitic infections: a soluble public health problem.
        Trans R Soc Trop Med Hyg. 1993; 86: 353-354
        • World Health Organization
        Prevention and control of intestinal parasitic infections.
        World Health Organ Tech Rep Serial. 1987; 749: 94
        • Quinn T.C.
        Global burden of the HIV pandemic.
        Lancet. 1996; 348: 99-106
        • Smith P.D.
        • Lane H.C.
        • Gill V.J.
        • et al.
        Intestinal infections in patients with the acquired immunodeficiency syndrome (AIDS).
        Ann Intern Med. 1988; 108: 328-333
        • McGowan I.
        • Chalmers A.
        • Smith G.R.
        • Jewell D.
        Advances in mucosal immunology.
        Gastroenterol Clin North Am. 1997; 26: 145-173
        • Soares R.L.S.
        • Camillo-Coura L.
        • Magalhães L.F.
        • Torres M.C.
        • Fonseca A.G.
        • Fonseca J.O.
        Isosporíase como causa freqiiente de diarrhea crônica em pacientes com AIDS em nosso meio.
        An Acad Nac Med. 1996; 156: 24-25
        • Centers for Disease Control
        Revised guidelines for the CD4+ T cell. Determinations in persons with HIV infection.
        MMWR Morb Mortal Wkly Rep. 1994; 43: 1-30
        • Amato-Neto V.
        • Correa L.L.C.
        Exame parasitológico das fezes.
        Editora Sarvier, São Paulo1991
        • Kaminsky R.G.
        Técnicas para laboratório de atención primaria de salud, manual de parasitologia.
        Organizácion Panamericana de la Salud, Honduras1996
        • National Committe for Clinical Laboratory Standards Publication M28-P
        Procedures for the recovery and identification of parasites from the intestinal tract: proposed guideline.
        Natl Comm Clin Lab Stand Publ. 1993; 13: 1-133
        • Smith P.D.
        Infectious diarrheas in patients with AIDS.
        Gastroenterol Clin North Am. 1993; 22: 535-548
        • Tarantola D.J.M.
        • Mann J.M.
        Global expansion of HIV infection and AIDS.
        Hosp Pract (Off Ed). 1996; 31: 63-79
        • Koontz F.
        • Weinstock J.V.
        Abordagem ao exame de fezes para parasitas.
        Clin Gastroenterol Am Norte. 1996; 3: 435-449
        • Hiatt R.A.
        • Markell E.K.
        • Ng E.
        How many stool examinations are necessary to detect pathogenic intestine protozoa?.
        Am J Trop Med Hyg. 1995; 53: 36-39
        • Blackman E.
        • Binder S.
        • Gaultier C.
        • Benvenist R.
        • Cecilio M.
        Cryptosporidiosis in HIV-infected patients: diagnostic sensitivity of stool examination based on number of specimens submitted.
        Am J Gastroenterol. 1996; 92: 451-453
        • Morris A.J.
        • Wilsom M.L.
        • Reller L.B.
        Application of rejection criteria for stool ovum and parasite examinations.
        J Clin Microbiol. 1992; 30: 3213-3216
        • Lew E.A.
        • Poles M.A.
        • Dieterich D.T.
        Diarrheal disease associated with HIV infection.
        Gastroenterol Clin North Am. 1997; 26: 494-495
        • Coura J.R.
        Parasitoses nos portadores de AIDS.
        J Bras Med. 1987; 53: 42-54
        • Rodrigues L.G.M.
        • Chequer P.
        SIDA no Brasil, 1982–1988.
        Bol Of Sanit Panam. 1988; 105: 504-509
        • Hashmey R.
        • Smith N.H.
        • Cron S.
        • Graviss E.A.
        • Chappell C.L.
        • White Jr, A.C.
        Cryptosporidiosis in Houston, Texas: a report of 95 cases.
        Medicine. 1997; 78: 118-139
        • Brasil Ministério da Saúde
        Programa Nacional de DST/AIDS. Associação Brasileira Interdisciplinar de AIDS/(ABIA).
        Bol Epidemiol (AIDS). 1997; 10: 1-50
        • De Hovitz J.A.
        • Pape J.W.
        • Boncy M.
        • Johnson Jr, W.D.
        Clinical manifestations and therapy of Isospora belli infection in patients with the acquired immunodeficiency syndrome.
        N Engl J Med. 1986; 315: 87-90
        • Benator D.A.
        • French A.L.
        • Beaudet L.M.
        • Levy C.S.
        • Orenstein J.M.
        Isospora belli infection associated with acalculous cholecystitis in a patient with AIDS.
        Ann Intern Med. 1994; 121: 663-664
        • Ebrahimzadeh A.
        • Bottone E.J.
        Persistent diarrhea caused by Isospora belli: therapeutic response to pyrimethamine and sulfadiazine.
        Diagn Microbiol Infect Dis. 1996; 26: 87-89

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      Publication history

      Accepted: March 13, 1999
      Received: November 28, 1998

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      DOI: https://doi.org/10.1016/S1201-9712(99)90025-5

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