Enteric Parasitosis In Aids/HIV-Positive Out-Patients And The Domestic Water Supply
Keywords:
acquired immunodeficiency syndrome, food hygiene, parasitic diseasesAbstract
Objective
People with HIV/AIDS constitute a high-risk group for contracting intestinal infections transmitted through water and food. The objective of this work was to evaluate the prevalence of intestinal parasites in a sample of outpatients and investigate the home availability of treated water.
Methods
To this end, medical records from medical records of HIV/AIDS patients related to parasitological fecal examinations carried out between January 2000 and December 2002 were used as a source of information, as well as information on the household availability of treated water.
Results
A total of 201 people with HIV/AIDS were included in the study. Among these patients, 95 (47.3%) were infected with at least 1 parasite. The incidence was 22.4% (45) for Ascaris lumbricoides, 17.9% (36) for Endolimax nana, 17.9% (36) for Entamoeba coli, 4.5% (9) for Strongyloides stercoralis, 3.0 % (6) for Entamoeba hystolitica, 2.5% (5) for Giardia lamblia, 2.0% (4) for Hymenolepis nana and 1.0% (2) for Trichuris trichiura. 95.5% of patients reported that their homes were connected to the collective treated water supply network. These results confirm the high prevalence of enteroparasitosis in HIV/AIDS patients. This study highlights the need to increase the availability of information for people with HIV/AIDS, about food hygiene and about infections acquired through water and food.
Conclusion
It is concluded that educational interventions in food safety should be a priority in the dietary treatment of HIV-positive patients, aiming to protect this group, known to be vulnerable, from intestinal parasites.
Downloads
References
Gerba CP, Rose JB, Haas CN. Sensitive populations: who is the greatest risk? lnt J Food Microbial 1996; 30(1-2): 113-23.
Watson A, Fracps BS, Samone MH, Wanke MD. Diarrhea and quality of life n ambulatory HIV-infected patients. Dig Dis Se 1996; 41 (9): 1794-800.
Simon D. Evaluation of diarrhea in HIV-infected patients. Gastroenterol Clin North Am 1998; 8(4):857-67.
Trione N, Corti M, Castello T, Abuin JC, Bellugarde E. Disseminated infection due to Strongyloides stercoralis in AIDS patients. A reported of 2 cases. Acta Gastroenterol Latinoam 2001; 31 (5):399-402
Prasad KN, Dhole NTN, Ayyagari A. ldentification of enteric pathogens in the HIV-positive patients with diarrhea in northern lndia. J Health Popul Nutr 2000; 18(1 ):23-6.
Mohandas S, Sehgal R, Sud A, Malla N. Prevalence of intestinal parasitic pathogens in HIV-seropositive individuais in northern lndia. JPN J lnfect Dis 2002; 55(3):83-4.
Joshi M, Chowdhary AS, Dalal PJ. Parasitic diarrhea in patients with AIDS. Natl Med J lndia 2002; 15(2):72-4.
Brink AK, Mahe C, Lugada WE, Gilks C, Whitworth J, French N, et ai. CD4 counts and enteric infections in a community-based cohort of HIV-infected adults in Uganda. J lnfec 2002; 45(2):99-106.
Wanke C, Cohan D, Thummakul T, Jongwuitiwes S, Grayson L, Hammer SM, et ai. Diarrheal disease in patients infected with human immunodeficiency virus in Bangkok, Thailand. Am J Trop Med Hyg 1999; 60(5):871-4.
Brasil P, Lima D, Paiva DD, Lobo M, Sodre F, Silva S, et ai. Emerging and opportunistic intestinal parasites in HIV-infected patients with chronic diarrhea in Rio de Janeiro, Brazil. J Eukaryot Microbial 1999; 46(5):40-1.
Weber R, Lederberger B, Zbinder R, Altwegg M, Pfyffer G, Spycher M, et ai. Enteric infections and diarrhea in human immunodeficiency virus-infected persons. Arch lntern Med 1999; 152(2): 1473-80.
Brasil P, Lima DB, Paiva DD, Lobo MS, Sodre FC, Silva SP, et ai. Clinicai and diagnostic aspects of intestinal microsporidiosis in HIV-infected patients with chronic diarrhea in Rio de Janeiro, Brazil. Rev lnst Med Trop São Paulo, 2000; 42(6): 299-304.
Waywa D, Kongkriengdaj S, Chaidatch S, Tiengrim S, Kowadisaiburana B, Chaikachonpat S, et ai. Protozoan enteric infection in AIDS related diarrhea in Thailand. South As J Trop Med Pub Health 2001; 32 (Suppl 2):151-5.
Wiwanitkit V Intestinal parasitic infections in Thai HIV-infected patients with different immunity status. BMC Gastroenterol [Serial on the Internet]. 2001 [cited 2002 Jan 14]; 1 :3 Available from: httpp//:www.biomedcenter.com/1471-230x/1 /3
Slifko TR, Smith HU, Rose JB. Emerging parasites zoonoses associated with water and food. lnt J Parasitai 2000; 30(12-13): 1379-93.
Crotty B, Small RA. lnvesting diarrhea in patients with acquired immunodeficiency syndrome. Gastroenterol 1996; 110(1):296-310.
Aranda-Michel J, Gianella RA. Acute diarrhea: A practical review Am J Med 1999; 106(6):670-6.
Guerrant RL, Van Gilder T, Steiner TS, Thielman NM, Slutsker L, Tauxe RV, et ai. Practice guidelines for the management of infectious diarrhea. Clin lnf Dis 2001; 32(1 ):331-50.
Dean AG, Dean JA, Coulombier D, Burton AH, Brendel KA, Smith DC, et ai. Epi lnfo [computer program]. Version 6: a word processing, data base, and statistics for epidemiology on microcomputers. Atlanda, Georgia: Centers of Disease Contrai and Prevention; 1994.
Kumar GS, Smith H. Pets, poop and parasites. Microbiology Today; 2000; 27(May):84-6.
Anantaphruti MT. Parasitic contaminants in food. South As J Trop Med Pub Health 2001; 32(Suppl 2):218-28.
Cimerman S, Cimerman B, Lewi DS. Prevalence of intestinal parasitic infections in patients with acquired immunodeficiency syndrome in Brazil. lnt J lnfec Dis 1999; 4(3):203-6.
Feitosa G, Bandeira AC, Sampaio DP. High prevalence of Giardiasis and Strongyloidiasis among HIV-infected patients in Bahia, Brazil. Braz J lnfec Dis 2001; 5(6):339-44.
Wyn-Jones P. Water, water, everywhere. But is it safe to drink7 Microbiology Today 2000; 27(May):78-81.
Strina A, Cairncross S, Barreto ML, Larrea C, Prado MS. Childhood diarrhea and observed hygiene behavior in Salvador, Brazil. Am J Epidemio! 2003; 157(11):1032-8.