Seasonal Variation of Intestinal Parasitic Infections among HIV-Positive Patients in Benin City, Nigeria

BACKGROUND: There are a number of conflicting studies on the prevalence of intestinal parasitic infections in HIV infection with regards to different seasons. This study was conducted to determine seasonal influence on the prevalence of intestinal parasitic infections in HIV-positive persons in Benin City, Nigeria.METHODS: Stool specimens from 2000 HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts or parasites using standard procedures. RESULTS: More intestinal parasitic infections were observed in the rainy season (17.6%) than the dry season (12.3%) (OR = 1.526, 95% CI = 1.184, 1.967, p = 0.0013). Male patients (18.3) had more episodes of intestinal parasitic infections than their female (13.7) counterparts (OR = 1.403, 95% CI = 1.092, 1.803, p = 0.0096).CONCLUSION: Cryptosporidium species and Strongyloides stercoralis were the only parasitic agents that were associated with rainy season.Keywords: Season, Intestinal Parasites, HIVEthiop J Health Sci. Vol. 21, No. 3 November 201

Prevalence of intestinal parasitic infections among HIV patients in Benin City, Nigeria

This study was carried out to determine the presence of intestinal parasites and their correlation with CD4+ T-cell counts and demographics among human immunodeficiency virus (HIV)-positive patients in Benin City, Nigeria. Stool specimens from 2,000 HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites, using standard procedures. In addition, patient’s blood samples were analyzed for CD4 counts by flow cytometry. An overall prevalence rate of 15.3% was observed among HIVpositive patients while 6.2% was noted among non-HIV subjects. HIV status was a significant (PB0.0001) risk factor for acquiring intestinal parasitic infections. Male gender, CD4 count B200 cell/ml, and diarrhea were significantly associated with an increased prevalence of intestinal parasitic infections among HIVpositive patients. The level of education, occupation, and source of water among HIV patients significantly (PB0.0001) affected the prevalence of intestinal parasitic infections. Ascaris lumbricoides was the most predominant parasite in both HIV-positive patients and controls. A CD4 count B200 cells/ml was significantly associated with only Isospora belli and Cryptosporidium infections. The presence of pathogenic intestinal parasites such as A. lumbricoides, hookworm, Giardia intestinalis, Entamoeba histolytica, Trichuris trichiura, and Taenia species among HIV-infected persons should not be neglected. Cryptosporidium species and I. belli were the opportunistic parasites observed in this study. Routine screening for intestinal parasites in HIV-positive patients is advocated.Keywords: intestinal parasites; HIV; CD4 count; Demographics; Benin Cit

Prevalence of polycyclic aromatic hydrocarbons (PAHs) degrading bacteria in contaminated tropical soil in Lagos, Nigeria: involvement of plasmid in degradation

Recalcitrant pollutants such as polycyclic aromatic hydrocarbons (PAHs) are difficult to degrade and have been the focus for biodegradation. They form a class of pollutant on a global scale. In an attempt to contribute to the search for suitable microbial culture with potential to biodegrade low and high molecular weight PAHs, bacterial strains were isolated from engine-oil polluted sites in Lagos, Nigeria. These isolates were evaluated for possession of plasmid DNA and the role it played in PAH degradation. Out of sixteen strains isolated, two were Gram negative while the others were Gram positive isolates. They belonged to genera Micrococcus, Staphylococcus, Kurthia sp., Acinetobacter, Pseudomonas and Corynebacterium. All the isolates grew on the PAHs (anthracene, fluoranthene and pyrene) at varying rates utilizing them as sole sourceof carbon and energy. All the isolates also possessed plasmid DNA ranging from 17.8 to 38.9 kbp. Subjection of plasmid cured isolates to PAHs biodegradation suggest that PAHs degradation may be plasmid and/orchromosomally mediated depending on the bacterial isolate and PAHs being degraded. This study has revealed that different compounds induce varied genetic changes in bacterial isolates in response to the stimuli

Prevalence of intestinal parasitic infections among HIV patients in Benin City, Nigeria

This study was carried out to determine the presence of intestinal parasites and their correlation with CD4+ T-cell counts and demographics among human immunodeficiency virus (HIV)-positive patients in Benin City, Nigeria. Stool specimens from 2,000 HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites, using standard procedures. In addition, patient's blood samples were analyzed for CD4 counts by flow cytometry. An overall prevalence rate of 15.3% was observed among HIV-positive patients while 6.2% was noted among non-HIV subjects. HIV status was a significant (P<0.0001) risk factor for acquiring intestinal parasitic infections. Male gender, CD4 count <200cell/µl, and diarrhea were significantly associated with an increased prevalence of intestinal parasitic infections among HIV-positive patients. The level of education, occupation, and source of water among HIV patients significantly (P<0.0001) affected the prevalence of intestinal parasitic infections. Ascaris lumbricoides was the most predominant parasite in both HIV-positive patients and controls. A CD4 count <200 cells/µl was significantly associated with only Isospora belli and Cryptosporidium infections. The presence of pathogenic intestinal parasites such as A. lumbricoides, hookworm, Giardia intestinalis, Entamoeba histolytica, Trichuris trichiura, and Taenia species among HIV-infected persons should not be neglected. Cryptosporidium species and I. belli were the opportunistic parasites observed in this study. Routine screening for intestinal parasites in HIV-positive patients is advocated

Anthroponotic transmission of Cryptosporidium parvum predominates in countries with poorer sanitation - a systematic review and meta-analysis

Background: Globally cryptosporidiosis is one of the commonest causes of mortality in children under 24 months old and may be associated with important longterm health effects. Whilst most strains of Cryptosporidium parvum are zoonotic, C. parvum IIc is almost certainly anthroponotic. The global distribution of this potentially important emerging infection is not clear. Methods: We conducted a systematic review of papers identifying the subtype distribution of C. parvum infections globally. We searched PubMed and Scopus using the following key terms Cryptospor* AND parvum AND (genotyp* OR subtyp* OR gp60). Studies were eligible for inclusion if they had found C. parvum within their human study population and had subtyped some or all of these samples using standard gp60 subtyping. Pooled analyses of the proportion of strains being of the IIc subtype were determined using StatsDirect. Meta-regression analyses were run to determine any association between the relative prevalence of IIc and Gross Domestic Product, proportion of the population with access to improved drinking water and improved sanitation. Results: From an initial 843 studies, 85 were included in further analysis. Cryptosporidium parvum IIc was found in 43 of these 85 studies. Across all studies the pooled estimate of relative prevalence of IIc was 19.0% (95% CI: 12.9–25.9%), but there was substantial heterogeneity. In a meta-regression analysis, the relative proportion of all C. parvum infections being IIc decreased as the percentage of the population with access to improved sanitation increased and was some 3.4 times higher in those studies focussing on HIV-positive indivduals. Conclusions: The anthroponotic C. parvum IIc predominates primarily in lower-income countries with poor sanitation and in HIV-positive individuals. Given the apparent enhanced post-infectious virulence of the other main anthroponotic species of Cryptosporidium (C. hominis), it is important to learn about the impact of this subtype on human health

Anthroponotic transmission of Cryptosporidium parvum predominates in countries with poorer sanitation - a systematic review and meta-analysis

Background: Globally cryptosporidiosis is one of the commonest causes of mortality in children under 24 months old and may be associated with important longterm health effects. Whilst most strains of Cryptosporidium parvum are zoonotic, C. parvum IIc is almost certainly anthroponotic. The global distribution of this potentially important emerging infection is not clear. Methods: We conducted a systematic review of papers identifying the subtype distribution of C. parvum infections globally. We searched PubMed and Scopus using the following key terms Cryptospor* AND parvum AND (genotyp* OR subtyp* OR gp60). Studies were eligible for inclusion if they had found C. parvum within their human study population and had subtyped some or all of these samples using standard gp60 subtyping. Pooled analyses of the proportion of strains being of the IIc subtype were determined using StatsDirect. Meta-regression analyses were run to determine any association between the relative prevalence of IIc and Gross Domestic Product, proportion of the population with access to improved drinking water and improved sanitation. Results: From an initial 843 studies, 85 were included in further analysis. Cryptosporidium parvum IIc was found in 43 of these 85 studies. Across all studies the pooled estimate of relative prevalence of IIc was 19.0% (95% CI: 12.9–25.9%), but there was substantial heterogeneity. In a meta-regression analysis, the relative proportion of all C. parvum infections being IIc decreased as the percentage of the population with access to improved sanitation increased and was some 3.4 times higher in those studies focussing on HIV-positive indivduals. Conclusions: The anthroponotic C. parvum IIc predominates primarily in lower-income countries with poor sanitation and in HIV-positive individuals. Given the apparent enhanced post-infectious virulence of the other main anthroponotic species of Cryptosporidium (C. hominis), it is important to learn about the impact of this subtype on human health

Hyperendemicity of onchocerciasis in Ovia Northeast local government area, Edo State, Nigeria.

Objective: The present study investigates the prevalence of onchocerciasis in 40 communities of the LGA and provides data, which could contribute towards the control programme of the disease in the local government Area,Edo state,Nigeria.Methods: A physician performed the skin examination and thereafter a skin biopsy taken and immersed in normal saline solution in the wells of micro titration plates and allowed to stand for 24hours to allow microfilaria to emerge and then examined microscopically.Results:The prevalence of onchocerciasis was investigated amongst 40 communities in Ovia North-East LGA of Edo state, Nigeria. Of the 2020 subjects examined between March 2007 to April, 2008, 1674 (83%) of them harboured microfilaria in their skin tissues.Females had significantly (

Parasitic contamination of fruits and vegetables in Benin city, Edo state, Nigeria

Aim: The consumption of fresh fruits and vegetables helps in protecting the human body from diseases and also has a positive impact on body-weight regulation and related conditions, including diabetes and hypertension. This study was conducted to determine the parasitic contamination of fruits and vegetables in Benin City, Edo State, Nigeria. Materials and Methods: A total of 358 fruit samples and 552 vegetable samples were randomly collected from markets and shops in Benin City. Parasitological investigation was conducted using standard procedures. Results: An overall prevalence of 2.79% and 2.90% of parasitic contamination was observed among fruits and vegetables examined. Seasonal variation significantly affected the prevalence of parasitic contamination in fruits examined. Educational status significantly affected the prevalence of parasitic contamination of fruits and vegetables. Ascaris lumbricoides, Trichuris trichiura, hookworm, Strongyloides stercoralis and Enterobius vermiscularis were the parasites recovered from fruits and vegetables. Ascaris lumbricoides in fruits and Ascaris lumbricoides and hookworm in vegetables were the most prevalent parasites observed. Banana and lettuce had the highest prevalence of parasitic contamination in fruits and vegetables. Conclusion: Proper sanitary habits by all handlers of fruits and vegetables from harvest to consumption are advocated.Keywords: Parasites, fruits, vegetables, Benin Cit

Intestinal Parasitic Infections in Primary School Children in Rural Communities in Edo State, Nigeria

Background: Intestinal parasitic infections are a major public health problem in developing countries where majority of the affected persons are children. This study is aimed at determining the prevalence of intestinal parasitic infections and the effect of socio-demography in some rural primary schools in Ovia Northeast Local Government Area (LGA), Edo State, Nigeria. Materials and Methods: A total of 675 school children from rural settings were recruited. The faecal samples were processed using standard technique. Results: A total of 96 (14.2%) out of the 675 children had asymptomatic intestinal parasitic infection. Male gender and walking barefooted were significantly associated with asymptomatic intestinal parasitic infection (P&lt;0.0001). Children within the ages of 14 – 16 years (P=0.0008), defaecate in nearby bushes (P=0.042), that use well/rain water (P&lt;0.0001), don’t wash their hands (P&lt;0.0001) and children whose fathers were bricklayers (P&lt;0.0001) have higher prevalence of asymptomatic intestinal parasitic infections. The parasites recovered were E. histolytica, A. lumbricoides, T. trichiura, hookworm and Taenia species. A. lumbricoides had the highest prevalence (69.2%). A. lumbricoides was the most prevalent parasitic agent recovered in all age groups and the only parasitic agent that was significantly associated with gender, particularly the male gender. Conclusion: Effective treatment of infected school children as well as improved sanitary habits for prevention of soil pollution and contamination is advocated. Keywords: Intestinal parasites, primary school children Running title: Intestinal parasites in Primary School childre