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印度东部某医院HIV/AIDS感染患者肠道寄生虫感染率及其与CD4+ T细胞计数的相关性

Prevalence of intestinal parasites in HIV/AIDS-infected patients with correlation to CD4+ T-cell count at hospital in Eastern India.

作者信息

Seema Kumari, Kumar Abhay, Boipai Manju, Kumar Manoj, Sharma Ashok Kumar

机构信息

Department of Microbiology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

出版信息

J Family Med Prim Care. 2023 Nov;12(11):2884-2887. doi: 10.4103/jfmpc.jfmpc_806_23. Epub 2023 Nov 21.

Abstract

INTRODUCTION

In developing nations, one of the most common reasons for death and illness is due to infections that are brought on by intestinal parasites. People who have HIV are more likely to contract parasites that are either well-established intestinal pathogens, like and or an opportunistic pathogen like Cryptosporidium, Isospora, Cyclospora and Microsporidia. Higher prevalence of intestinal parasitic infections occurs in patients with low CD4+ cell counts. Hence, this study had been performed to know the correlation of intestinal parasitic infection in HIV/AIDS patients with reference to CD4+ cell count.

MATERIALS AND METHODS

The study comprised 1477 HIV-positive patients who were treated at ART Centre of Rajendra Institute of Medical Sciences (RIMS), Ranchi. All participants provided verbal informed consent before specimens were collected. Blood and stool sample were used for the identification of parasite and CD4+ T-Cell count.

RESULTS

In patients living with HIV, the prevalence of intestinal parasite infection was 12.59 per cent. In a manner parallel, the prevalence of parasitic infections was found to be 10.29% among male HIV-positive patients and 2.31% among female HIV-positive patients.

CONCLUSIONS

This study has shed light that low CD4+ T-cell count appears to be a factor for intestinal parasitic infections and development of diarrhoea. Regular screening and treatment of intestinal parasitic infections is very important in overall improvement in quality of life of HIV/AIDS patients. Nevertheless, sanitary hygiene practices and deworming are needed to enhance the control of infection in the affected areas.

摘要

引言

在发展中国家,死亡和疾病的最常见原因之一是肠道寄生虫引起的感染。感染人类免疫缺陷病毒(HIV)的人更容易感染寄生虫,这些寄生虫要么是常见的肠道病原体,如 和 ,要么是机会性病原体,如隐孢子虫、等孢球虫、环孢子虫和微孢子虫。CD4 + 细胞计数低的患者肠道寄生虫感染的患病率更高。因此,本研究旨在了解HIV/AIDS患者肠道寄生虫感染与CD4 + 细胞计数之间的相关性。

材料与方法

本研究纳入了1477名在兰契市拉金德拉医学科学研究所(RIMS)抗逆转录病毒治疗中心接受治疗的HIV阳性患者。所有参与者在采集标本前均提供了口头知情同意书。血液和粪便样本用于寄生虫鉴定和CD4 + T细胞计数。

结果

在HIV感染者中,肠道寄生虫感染的患病率为12.59%。同样,男性HIV阳性患者的寄生虫感染患病率为10.29%,女性HIV阳性患者为2.31%。

结论

本研究表明,低CD4 + T细胞计数似乎是肠道寄生虫感染和腹泻发生的一个因素。定期筛查和治疗肠道寄生虫感染对于全面改善HIV/AIDS患者的生活质量非常重要。然而,需要采取卫生措施和驱虫措施来加强对受影响地区感染的控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f9/10771173/7fccd01a3979/JFMPC-12-2884-g001.jpg

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