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巴西戈亚斯州一家专业医疗服务机构中,HIV/AIDS患者体内的机会性和非机会性肠道寄生虫与其临床和流行病学状况的关系

Opportunistic and non-opportunistic intestinal parasites in HIV/ AIDS patients in relation to their clinical and epidemiological status in a specialized medical service in Goiás, Brazil.

作者信息

Barcelos Natane Barbosa, Silva Lorena de Freitas E, Dias Regyane Ferreira Guimarães, Menezes Filho Hélio Ranes de, Rodrigues Rosângela Maria

机构信息

Universidade Federal de Goiás, Laboratório de Parasitologia, Jataí, Goiás, Brazil.

Universidade Federal de Goiás, Programa de Pós-Graduação em Ciências Aplicadas à Saúde, Jataí, Goiás, Brazil.

出版信息

Rev Inst Med Trop Sao Paulo. 2018 Mar 8;60:e13. doi: 10.1590/S1678-9946201860013.

Abstract

Patients infected with the Human Immunodeficiency Virus (HIV) often have opportunistic infections, among which strongyloidiasis and coccidiosis are the most common parasitic infections that aggravate their health status. This study examined the prevalence of intestinal parasites, particularly of Strongyloides stercoralis and intestinal coccidia in patients with the Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS) who were treated at the Specialized Assistance Service (SAE) of Jataí, State of Goiás, Brazil, and analyzed its correlation with clinical, laboratory, and socio-epidemiological parameters. A total of 270 stool samples were analyzed by the Lutz technique, Rugai's method, Agar Plate Culture, Ritchie's method and specific staining, Ziehl-Neelsen modified technique, Kinyoun's method and the rapid safranin method. The prevalence of intestinal parasites was 28.88% including 3.8% of S. stercoralis, Cryptosporidium sp. and Cystoisospora belli. There was a significant positive correlation between intestinal parasites and the clinical status and the use of antiretroviral therapy (ART), smoking, CD4+ lymphocyte counts and sexual orientation. In conclusion, the widespread use of antiretroviral therapy and health assistance contributed to the low prevalence of S. stercoralis and coccidiosis in patients with HIV/ AIDS who were followed up at the SAE.

摘要

感染人类免疫缺陷病毒(HIV)的患者常发生机会性感染,其中粪类圆线虫病和球虫病是最常见的加重其健康状况的寄生虫感染。本研究调查了在巴西戈亚斯州雅泰市专门援助服务中心(SAE)接受治疗的人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)患者肠道寄生虫的流行情况,尤其是粪类圆线虫和肠道球虫,并分析了其与临床、实验室及社会流行病学参数的相关性。采用卢茨技术、鲁盖方法、琼脂平板培养法、里奇方法和特异性染色、改良齐-尼氏技术、金扬方法及快速番红染色法对总共270份粪便样本进行了分析。肠道寄生虫的感染率为28.88%,其中粪类圆线虫感染率为3.8%,隐孢子虫属和贝氏等孢球虫感染率为3.8%。肠道寄生虫与临床状况、抗逆转录病毒疗法(ART)的使用、吸烟、CD4+淋巴细胞计数及性取向之间存在显著正相关。总之,抗逆转录病毒疗法的广泛应用和医疗援助使得在SAE接受随访的HIV/AIDS患者中粪类圆线虫病和球虫病的感染率较低。

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