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首页> 外文期刊>European Journal of General Medicine >CRYPTOSPORIDIOSIS IN HIV INFECTED PATIENTS WITH DIARRHOEA IN OSUN STATE SOUTHWESTERN NIGERIA
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CRYPTOSPORIDIOSIS IN HIV INFECTED PATIENTS WITH DIARRHOEA IN OSUN STATE SOUTHWESTERN NIGERIA

机译：尼日利亚西南部OSUN州患有腹泻的HIV感染患者的隐孢子虫病

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Aim: Although cryptosporidiosis is said to be rare among adult HIV patients in certain parts of Nigeria, there are no documented studies on the occurrence of this parasite among HIV patients in Southwestern Nigeria. Methods: We conducted a cross sectional study involving 150 patients (100 HIV infected and 50 HIV negative) with diarrhoea from two tertiary and one secondary health institutions in Southwestern Nigeria. Concentrated stool sample from each patient was screened for cryptosporidium oocysts with the modified cold Ziehl Neelsen method while direct sample was screened for other enteric parasites. Results: The overall parasite prevalence rate in the diarrhoea patients is 79.3% (119/150) with Cryptosporidium parvum 52.7%, Ascaris lumbricoides 11.3%, Hookworm 3.3%, Trichuris trichura 2% and Entamoeba histolytica 10%. The parasite prevalence rate in HIV infected patients is 97% while in HIV-negative patients, the rate is 44%. The rate is significantly higher among HIVinfected patients with diarrhoea than among HIV-negative patients with diarrhoea (OR=41.152, 95%CI=11.467-147.68, P Cryptosporidium which was found exclusively among HIV-infected patients. When Cryptosporidium prevalence was excluded from analysis, the parasite prevalence rates between the two groups was not significantly different (X2=0.8002, df=3, P=0.8494). Conclusion: Contrary to a previous report of apparent rarity of cryptosporidium infections in certain parts of Nigeria, this study revealed a high prevalence of this parasitosis among HIV infected patients in Southwestern Nigeria.
机译：目的：尽管据说在尼日利亚的某些地区，成年的艾滋病毒患者很少发生隐孢子虫病，但尚无文献报道有关尼日利亚西南部的艾滋病毒患者中这种寄生虫的发生情况。方法：我们进行了一项横断面研究，涉及尼日利亚西南部两家三级和一家二级卫生机构的150例腹泻患者（100例HIV感染者和50例HIV阴性）。使用改良的冷Ziehl Neelsen方法从每个患者的浓缩粪便样品中筛选隐孢子虫卵囊，而直接样品中则筛选其他肠寄生虫。结果：腹泻患者的总体寄生虫患病率为79.3％（119/150），其中小隐隐孢子虫为52.7％，A虫为11.3％，钩虫为3.3％，Trichuris trichura为2％，溶组织内阿米巴为10％。 HIV感染患者的寄生虫患病率为97％，而HIV阴性患者的寄生虫患病率为44％。 HIV感染的腹泻患者的发病率显着高于HIV阴性的腹泻患者（OR = 41.152，95％CI = 11.467-147.68，P隐孢子虫仅在HIV感染的患者中发现。 ，两组之间的寄生虫患病率没有显着差异（X 2 = 0.8002，df = 3，P = 0.8494）结论：与先前报道的在某些情况下隐孢子虫感染的罕见性相反该研究表明，在尼日利亚的部分地区，这种寄生虫病在尼日利亚西南部的艾滋病毒感染患者中普遍存在。

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