National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Intestinal parasites are the most common cause of diarrhoea in HIV patients. The line of treatment being different for diverse parasites necessitates a definitive diagnosis of etiological agents. Thus the study was undertaken to detect enteric parasites in HIV infected patient with and without diarrhoea that were at different levels of immunity. The present study was conducted in between January 2013 - June 2014, at the Department of Microbiology, Santhiram General Hospital, Nandyal. A total of 100 HIV seropositive patients attending the Integrated Counselling and Testing Centre (ICTC), Santhiram General Hospital, Nandyal, Kurnool Dist, A.P was included in the study. These comprised of 50 HIV patients who presented with diarrhoea (study group) and 50 HIV patients without diarrhoea (control group). For each patient, demographic data including structured questionnaire was filled in the proforma. The CD4 cell counts were estimated by using the FACS count system. Out of 100 HIV infected patients, intestinal parasites were detected in 29% patients. Among all, Cryptosporidium appears to have the high prevalence (26%) followed by Isospora (10%), Giardia (6%), Strongyloides and Entamoeba histolytica (4%) each and Cyclospora (2%). In HIV infected patients with CD4 count < 200cells/ml. Cryptosporidium was the most common observed pathogen (26%). The maximum parasite isolation was in the patients whose CD4 cell counts were below 200 cells/ml. Parasitic infections were detected in 29% of HIV seropositive patients and various enteric parasites detected include Cryptosporidium (15), Isospora (05), Giardia intestinalis (04), Entamoeba histolytic (02) Cyclospora (01), Strongyloides (02).Routine screening of all HIV infected patients with low CD4 count for parasitic infections by using simple stool microscopic technique can help in easy diagnosis of approximate treatment and control of spread.
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