[Comparison of intestinal parasite infestation indexes among HIV positive and negative populations]

O C Méndez1, G Szmulewicz, C Menghi

  • 1Hospital de Clínicas José de San Martín, Facultad de Medicina, Universidad de Buenos Aires, Argentina.

Medicina
|January 1, 1994
PubMed

Insights

Human immunodeficiency virus (HIV) positive patients show a higher prevalence of intestinal parasites compared to the general population. Specific parasites like Entamoeba histolytica and Cryptosporidium were significantly more common in HIV-positive individuals.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Clinical Diagnostics

Background:

  • Human immunodeficiency virus (HIV) infection can alter immune status, potentially increasing susceptibility to opportunistic infections.
  • Intestinal parasitic infections are a significant global health concern, particularly in immunocompromised individuals.

Purpose of the Study:

  • To investigate the prevalence of intestinal parasites in HIV-seropositive patients compared to a control population.
  • To identify specific parasites that are more common in individuals with HIV.

Main Methods:

  • Stool samples were collected from 82 HIV-positive patients and 300 HIV-negative controls.
  • Parasite detection involved concentration methods, direct smear, and trichrome staining.
  • Statistical analysis was performed to compare infection rates between groups.

Main Results:

  • HIV-positive patients exhibited a significantly higher overall prevalence of intestinal parasites.
  • Entamoeba histolytica, Iodamoeba bütschlii, Dientamoeba fragilis, Blastocystis hominis, Cryptosporidium sp., and Isospora belli were found more frequently in HIV-positive individuals.
  • No significant differences were observed for Giardia lamblia, Entamoeba coli, Chilomastix mesnili, or helminths between the groups.

Conclusions:

  • HIV infection is associated with an increased risk of certain intestinal parasitic infections.
  • Specific protozoan species are more prevalent in HIV-seropositive individuals, highlighting the importance of diagnostic screening.
  • Within the HIV-positive cohort, risk factors such as sexual orientation may influence parasite prevalence.