Intestinal Parasitic Infections in HIV Infected and Non-Infected Patients in a Low HIV Prevalence Region, West-Cameroon

Nkenfou, Céline Nguefeu; Nana, Christelle Tafou; Payne, Vincent Khan
February 2013
PLoS ONE;Feb2013, Vol. 8 Issue 2, p1
Academic Journal
The magnitude of intestinal parasitic infection in acquired immunodeficiency syndrome patients requires careful consideration in the developing world where poor nutrition is associated with poor hygiene and several tropical diseases. However, there have been very few studies addressing this issue in Cameroon. This study was conducted to determine the prevalence of intestinal parasitosis in HIV/AIDS patients in Dschang -Cameroon. Stool and blood specimens from HIV/AIDS patients and control group were screened respectively for intestinal parasites and for HIV antibodies. Intestinal parasites were identified using direct microscopy, formalin-ether concentration and Ziehl Neelsen methods. Out of 396 participants recruited among patients consulting at hospital, 42 (10.6%) were HIV positive, thirty of them treatment naïve. The overall prevalence of intestinal parasites was 14.64%. Out of 42 HIV/AIDS patients, 59.5% (25/42) were infected with intestinal parasites, while only 9.32% (33/354) of the HIV negative patients were infected with intestinal parasites. The parasites detected in our study population included Crystosporidium parvum (2.53%), Entamoeba histolytica (7.52%), Entamoeba coli (4.04%), Giardia lamblia (0.25%), Trichuris trichura (0.25%), Strongyloides stercoralis (0.25%) and Taenia spp. (0.25%). In the HIV infected group, Crystosporidium parvum (19.04%), Entamoeba histolytica (19.04%), Entamoeba coli (21.42%), Giardia lamblia (2.38%), Strongyloides stercoralis (0.25%) and Taenia spp. (0.25%) were found. Crystosporidium parvum was found to be significantly higher in HIV/AIDS patients than in controls (P<0.05). Multivariate analysis showed that the HIV status and the quality of water were the major risk factors for intestinal parasitosis. Routine examinations of stool samples for parasites would significantly benefit the HIV patients by contributing in reducing morbidity and improving the efficiency of antiretroviral treatment. Even after the introduction of free anti-retroviral drugs, opportunistic intestinal infections are still a threat. HIV patients should be screened routinely for intestinal parasites and treated for their overall well being.


Related Articles

  • A study of the prevalence of intestinal parasitic infection in HIV positive individuals in Mashhad, Northeast Iran. Berenji, Fariba; Sarvghad, Mohammad Reza; Fata, Abdolmajid; Hosseininejad, Zahra; Saremi, Elena; Ganjbakhsh, Majid; Jahanparvar, Robabeh Izadi // Jundishapur Journal of Microbiology;2010, Vol. 3 Issue 2, p61 

    Introduction and objective: Intestinal parasitic infection is an important problem in the Human Immunodeficiency Virus (HIV)-infected patients. The aim of this study was to investigate the prevalence of intestinal parasitic infections among HIV+ patients in Mashhad, Iran. Materials and methods:...

  • Prevalence of Intestinal Parasitic Infection Among Inhabitants and Tribes of Chelgerd, Iran, 2008-2009. PESTEHCHIAN, NADER; NAZARI, MAHNAZ; HAGHIGHI, ALI; SALEHI, MANSOUR; YOSEFI, HOSEINALI; KHOSRAVI, NASER // Journal of Clinical & Diagnostic Research;May2015, Vol. 9 Issue 5, p1 

    Introduction: Although a notable development in treating and controlling of parasitic infections in recent years has occurred but, these infections are still counted as important problems in many countries. Aim: The aim of this study is to determine the prevalence of intestinal parasitic...

  • HIV and Parasitic Infection and the Effect of Treatment among Adult Outpatients in Malawi. Hosseinipour, Mina C.; Napravnik, Sonia; Joaki, George; Gama, Syze; Mbeye, Nyanyiwe; Banda, Blessings; Martinson, Francis; Hoffman, Irving; Cohen, Myron S. // Journal of Infectious Diseases;5/1/2007, Vol. 195 Issue 9, p1278 

    We measured enteric parasitic infection prevalence and the effect of treatment on human immunodeficiency virus (HIV) RNA levels to assess their importance to HIV primary care in resource-limited settings. Adults in Lilongwe, Malawi, were evaluated, treated, and followed-up for parasitic and HIV...

  • Geographical and temporal variation of injection drug users in Pakistan. Archibald, Chris P.; Shaw, Souradet Y.; Emmanuel, Faran; Otho, Suleman; Reza, Tahira; Altaf, Arshad; Musa, Nighat; Thompson, Laura H.; Blanchard, James F. // Sexually Transmitted Infections;Sep2013 Supplement 2, pii18 

    Objectives We describe the characteristics of injecting drug users (IDU) in Pakistan in 2006 and 2011, and assess the heterogeneity of IDU characteristics across different cities and years as well as factors associated with HIV infection. Methods Cross-sectional, integrated...

  • Spatial analysis of HIV infection and associated individual characteristics in Burundi: indications for effective prevention. Barankanira, Emmanuel; Molinari, Nicolas; Niyongabo, Théodore; Laurent, Christian // BMC Public Health;2/4/2016, Vol. 16 Issue 1, p1 

    Background: Adequate resource allocation is critical in the battle against HIV/AIDS, especially in Africa. The determination of the location and nature of HIV services to implement must comply with the geographic, social and behavioral characteristics of patients. We therefore...

  • Social-structural indices and between-nation differences in HIV prevalence. Tan, Judy Y; Earnshaw, Valerie A; Pratto, Felicia; Rosenthal, Lisa; Kalichman, Seth // International Journal of STD & AIDS;Jan2015, Vol. 26 Issue 1, p48 

    Research emphasises the role that social structures play in shaping national HIV prevalence. This study examined how social, economic, and political contexts that may represent the confluence of individual capabilities and environmental affordances or constraints are associated with national HIV...

  • Prevalence and determinants of HIV in tuberculosis patients in Wuxi City, Jiangsu province, China: a cross-sectional study. Chen, Judi; Cao, Weining; Chen, Renfang; Ren, Yong; Li, Tao // International Journal of STD & AIDS;Nov2016, Vol. 27 Issue 13, p1204 

    At least one-third of the 34 million people living with human immunodeficiency virus (HIV) worldwide are infected with latent tuberculosis (TB). The aim of this study was to determine the rate of HIV infection in TB patients and its determinants in Wuxi City, China. TB patients attending health...

  • HIV–malaria co-infection: effects of malaria on the prevalence of HIV in East sub-Saharan Africa. Cuadros, Diego F; Branscum, Adam J; Crowley, Philip H // International Journal of Epidemiology;Aug2011, Vol. 40 Issue 4, p931 

    Objective To examine the association between malaria and HIV prevalence in East sub-Saharan Africa.Methods Using large nationally representative samples of 19 735 sexually active adults from the 2003–04 HIV/AIDS indicator surveys conducted in Kenya, Malawi and Tanzania, and the atlas...

  • Intestinal parasitic and candida infection associated with HIV infection in Cameroon. Lehman, Leopold G.; Kangam, Lafortune; Mbenoun, Marthe-Lilianne; Zemo Nguepi, Eveline; Essomba, Noël; Tonga, Calvin; Bilong Bilong, Charles F. // Journal of Infection in Developing Countries;Feb2013, Vol. 7 Issue 2, p137 

    Introduction: HIV causes progressive impairment of the cellular immune system leading to increased susceptibility to infectious agents. Parasitic infestations are common in HIV-infected patients and usually lead to diarrhoea. Few studies have addressed the issue of intestinal parasites among...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics