Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia

Robsen Miressa, Mebrate Dufera Department of Biology, College of Natural and Computational Sciences, Wollega University, Nekemte, EthiopiaCorrespondence: Mebrate Dufera Email mebratedufera@gmail.comBackground: Intestinal parasites are endemic in many regions of the world where Human Immunodeficiency...

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Autores principales:	Miressa R, Dufera M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	hiv positive cd4+t cell count intestinal parasitic infection risk factors Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/be63f9ee3d214af38d091b2504d0cc26
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spelling	oai:doaj.org-article:be63f9ee3d214af38d091b2504d0cc262021-12-02T15:44:04ZPrevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia1179-1373https://doaj.org/article/be63f9ee3d214af38d091b2504d0cc262021-05-01T00:00:00Zhttps://www.dovepress.com/prevalence-and-predisposing-factors-of-intestinal-parasitic-infections-peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Robsen Miressa, Mebrate Dufera Department of Biology, College of Natural and Computational Sciences, Wollega University, Nekemte, EthiopiaCorrespondence: Mebrate Dufera Email mebratedufera@gmail.comBackground: Intestinal parasites are endemic in many regions of the world where Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome (HIV/AIDS) patients are prevalent. This study aimed to assess the extent of intestinal parasitic infection (IPI) and predisposing factors among HIV positive patients visiting Nekemte Specialized Hospital, Western Ethiopia.Methods: A hospital-based cross-sectional study was conducted among HIV positive patients and HIV negative controls who visited Nekemte Specialized Hospital from April to August 2020. A structured questionnaire was used to collect socio-demographic and risk-factor data. Stool samples and blood were collected and tested. Data were analyzed using SPSS version 20. P< 0.05 was considered statistically significant.Results: The occurrence of IPIs was considerably higher (73.3%) among HIV positive subjects compared to HIV negative controls (22.7%). Rate of infection with IPI was higher in individuals with CD4+ T cell count < 200 cells/μL. The species-specific distribution of parasites among HIV positive was higher for Giardia lamblia 35% followed by Entamoeba histolytica, 16% and hookworm 17.5%. Among the risk factors; age, educational status and occupation were significantly related with IPI (P< 0.05). Habit of washing hands (OR=1.146, 95% CI: 0.189– 1.936) and contact with animals (OR=2.926, 95% CI: 1.955– 4.380) were expressively associated with IPI. Furthermore, eating raw meat, lack of safe water sources and usage were meaningfully connected with IPIs with OR=1.203, 95% CI: 0.590– 2.454 and OR=0.172, 95% CI: 0.112– 0.263, respectively.Conclusion: HIV positive individuals were highly affected by IPI than HIV negative controls. The spreading of intestinal parasites was critically affected by reduced CD4+ T cell counts. Consistent screening and treatment of IPIs and awareness creation is very vital in improving the overall quality life of HIV/AIDS patients.Keywords: HIV positive, CD4+T cell count, intestinal parasitic infection; IPI, risk factorsMiressa RDufera MDove Medical Pressarticlehiv positivecd4+t cell countintestinal parasitic infectionrisk factorsImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 505-512 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hiv positive cd4+t cell count intestinal parasitic infection risk factors Immunologic diseases. Allergy RC581-607
spellingShingle	hiv positive cd4+t cell count intestinal parasitic infection risk factors Immunologic diseases. Allergy RC581-607 Miressa R Dufera M Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia
description	Robsen Miressa, Mebrate Dufera Department of Biology, College of Natural and Computational Sciences, Wollega University, Nekemte, EthiopiaCorrespondence: Mebrate Dufera Email mebratedufera@gmail.comBackground: Intestinal parasites are endemic in many regions of the world where Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome (HIV/AIDS) patients are prevalent. This study aimed to assess the extent of intestinal parasitic infection (IPI) and predisposing factors among HIV positive patients visiting Nekemte Specialized Hospital, Western Ethiopia.Methods: A hospital-based cross-sectional study was conducted among HIV positive patients and HIV negative controls who visited Nekemte Specialized Hospital from April to August 2020. A structured questionnaire was used to collect socio-demographic and risk-factor data. Stool samples and blood were collected and tested. Data were analyzed using SPSS version 20. P< 0.05 was considered statistically significant.Results: The occurrence of IPIs was considerably higher (73.3%) among HIV positive subjects compared to HIV negative controls (22.7%). Rate of infection with IPI was higher in individuals with CD4+ T cell count < 200 cells/μL. The species-specific distribution of parasites among HIV positive was higher for Giardia lamblia 35% followed by Entamoeba histolytica, 16% and hookworm 17.5%. Among the risk factors; age, educational status and occupation were significantly related with IPI (P< 0.05). Habit of washing hands (OR=1.146, 95% CI: 0.189– 1.936) and contact with animals (OR=2.926, 95% CI: 1.955– 4.380) were expressively associated with IPI. Furthermore, eating raw meat, lack of safe water sources and usage were meaningfully connected with IPIs with OR=1.203, 95% CI: 0.590– 2.454 and OR=0.172, 95% CI: 0.112– 0.263, respectively.Conclusion: HIV positive individuals were highly affected by IPI than HIV negative controls. The spreading of intestinal parasites was critically affected by reduced CD4+ T cell counts. Consistent screening and treatment of IPIs and awareness creation is very vital in improving the overall quality life of HIV/AIDS patients.Keywords: HIV positive, CD4+T cell count, intestinal parasitic infection; IPI, risk factors
format	article
author	Miressa R Dufera M
author_facet	Miressa R Dufera M
author_sort	Miressa R
title	Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia
title_short	Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia
title_full	Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia
title_fullStr	Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia
title_full_unstemmed	Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia
title_sort	prevalence and predisposing factors of intestinal parasitic infections among hiv positive patients visiting nekemte specialized hospital, western ethiopia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/be63f9ee3d214af38d091b2504d0cc26
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Prevalence and Predisposing Factors of Intestinal Parasitic Infections Among HIV Positive Patients Visiting Nekemte Specialized Hospital, Western Ethiopia

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