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High prevalence of giardiasis, ascaridiasis and strongyloidiasis among HIV-infected patients in | Bahia, Brazil.

Brites C; International Conference on AIDS.

Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. WePeC4450.

C. Brites, Universidade Federal da Bahia, Bahia, Brazil, Tel.: +55 71 245 55 18, Fax: +55 71 247 27 56, E-mail: crbrites@svn.com.br

Objectives: To evaluate the prevalence of enteric parasites among HIV-infected patients in Bahia, Brazil, comparing the results with non HIV-infected patients attended at a public hospital. Methods: We reviewed the medical charts of HIV-infected patients attended at the Universidade Federal da Bahia Hospital (HUPES) during the period of January 1997 and July 1998. Demographic data, frequency and results of stools examinations, viral load (VL), and CD4 counts were registered for HIV patients. For HIV negative patients we reviewed the results of stools evaluations in a randomly selected sample of all tests performed at the same time period. Results: We analized a total of 6077 parasitology examinations (850 from HIV-infected patients). The overall prevalence of parasites was higher among HIV-positive subjects (OR = 1.30; 95%CI: 1.02-1.65, p = 0.03). The frequency of ancilostomiasis, schistosomiasis, and trichuriasis was similar for both groups. However, ascaridiasis (OR = 1.43; 95%CI: 1.01-2.01, p = 0.04), giardiasis (OR = 2.38; 95%CI: 1.39-4.05, p = 0.001), and strongyloidiasis (OR = 5.17; 95%CI: 2.53-10.17, p = 0.00002) were more frequent among HIV = infected patients, while E.nana and E.coli, were more frequent among HIV-negative subjects (p = 0.06 and 0.001 respectively). We din't find any correlation between gender, age, VL/CD4 levels and parasites detection. Conclusion: HIV-infected patients present a higher prevalence of enteric parasites in Bahia, Brazil, suggesting an increased susceptibility of these patients to those agents.

Publication Types:
  • Meeting Abstracts
Keywords:
  • AIDS Vaccines
  • Acquired Immunodeficiency Syndrome
  • Anti-HIV Agents
  • Brazil
  • CD4 Lymphocyte Count
  • Giardiasis
  • HIV
  • HIV Infections
  • HIV Seropositivity
  • Humans
  • Prevalence
  • Strongyloidiasis
  • Viral Load
Other ID:
  • GWAIDS0003222
UI: 102240718

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