Molecular epidemiology of Cryptosporidium in HIV/AIDS patients in Malaysia

I Asma1, B L H Sim2, R D Brent3

  • 1Department of Parasitology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.

Tropical Biomedicine
|December 23, 2015
PubMed

Insights

Cryptosporidiosis is common in HIV/AIDS patients in Malaysia, with Cryptosporidium parvum being the most prevalent species. Risk factors include low CD4 counts, identifying potential zoonotic transmission routes for better control.

Area of Science:

  • Medical Parasitology
  • Infectious Diseases
  • Molecular Epidemiology

Background:

  • Cryptosporidiosis poses a significant health risk to immunocompromised individuals, particularly those with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS).
  • Understanding the prevalence and species of Cryptosporidium in this vulnerable population is crucial for effective management and prevention strategies.

Purpose of the Study:

  • To investigate the epidemiological and molecular characteristics of Cryptosporidium infections among HIV/AIDS patients in Malaysia.
  • To identify risk factors associated with cryptosporidiosis in this cohort and to inform control measures.

Main Methods:

  • Stool samples from 346 HIV/AIDS patients were analyzed using modified Ziehl-Neelsen acid fast staining.
  • Conventional coproscopical methods were employed to detect other protozoan and helminth infections.
  • Nested-PCR amplification of the SSU rRNA gene followed by DNA sequencing was used for Cryptosporidium species identification.

Main Results:

  • A prevalence of 12.4% for Cryptosporidium infection was observed in the studied HIV/AIDS patients.
  • Coinfections with other parasites were common, with 23.3% having other protozoa and 34.9% having both protozoa and helminths.
  • Cryptosporidium parvum was the predominant species (84.3%), followed by C. hominis, C. meleagridis, and C. felis. Higher infection rates were noted in adult males of Malay background, intravenous drug users, and individuals with CD4 counts below 200 cells/mm³.

Conclusions:

  • The study highlights a substantial prevalence of Cryptosporidium infection in hospitalized HIV/AIDS patients in Malaysia.
  • The predominance of C. parvum suggests a significant role for zoonotic transmission in this population.
  • Molecular and epidemiological data are vital for understanding infection origins and improving treatment and control strategies for cryptosporidiosis in HIV/AIDS patients.