A STUDY OF STOOL SAMPLE FROM HIV POSITIVE AND HIV NEGATIVE AT ANDHRA PRADESH.

Objective: The objective of this study is to investigate the variations, if any, in the types of intestinal parasites in HIV-positive and HIV-negative individuals.Methods: For their HIV status in our laboratory by enzyme-linked immunoasorbant assay and TRIDOT, sample stool, macroscopic and microscopic examination, formal-ether concentration technique f, saline wet mount, iodine wet mount, modified acid-fast stain. Results: For the purpose of statistical analysis, the enteric parasites are divided into the coccidian group (Cryptosporidium+Isospora belli) and conventional enteric parasites (Entamoeba histolytica, Giardia intestinalis, and Ascaris lumbricoides), and enteric parasitic infection is more common in HIV-positive patients with diarrhea than HIV-positive patient without diarrhea or HIV-negative individuals.Conclusion: The study period of 1 year and 8 months revealed that it is difficult to locate/identify a HIV-positive person in a place like Kadapa on account of confidentiality/lack of awareness among the population. Detection of intestinal parasites is 17.3% in HIV-positive patients and 12% in HIV-negative individuals.

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Gastrointestinal Parasitic Infestation in HIV Positive and Negative Patients Attending Clinics in a Tertiary Health Care Centre in Benue State, Nigeria.

Journal of BioMedical Research and Clinical Practice ◽

10.46912/jbrcp.v2.i2.2019.115 ◽

2019 ◽

Vol 2 (2) ◽

pp. 126-131

Author(s):

L Utume ◽

TE Ikpom ◽

AE Obaje ◽

EA Omudu

Keyword(s):

Intestinal Parasites ◽

Demographic Data ◽

Parasitic Infection ◽

Gastrointestinal Parasites ◽

Personal Hygiene ◽

Hiv Positive ◽

Hiv Status ◽

Coverage Area ◽

Health Care Centre ◽

Awareness Campaigns

Gastrointestinal parasitic infection is usually asymptomatic thus goes unnoticed and untreated for long periods of time, often resulting in other serious health complications. In HIV positive patients, the effects usually are more devastating owing to the fact that such patients are already immunocompromised. For this study, HIV positive patients were raised from the BSUTH STD/ART clinic records while HIV negative patients were recruited from other clinics by confirming their HIV status using Determine test strips to check for HIV antibodies; socio-demographic data was generated from questionnaires administered. Patients already placed on anti-helminths or anti-protozoan medicines were exempted from the study. Stool samples (n=550; 304 males 246 females) were examined for intestinal parasites using the standard parasitological procedures for direct wet mount and Formol-Ether Concentration methods. Gastrointestinal parasites were identified from 199 (36.2%) samples implying positive results for these infections: Giardia lamblia (3.8%), Entamoeba histolytica (8.9%), Ascaris lumbricoides (7.1%), Entamoeba coli (4.2%), Trichuris trichuria (3.3%), Strongyloides stercoralis (2.2%), Taenia sp. (1.8%), Trichomonas hominis (0.5%) and hookworms (2.9%). Out of this 199 only 55 (27.6%) were HIV positive; statistically there was a significant relationship between HIV status and the rate of parasitic infection (P<0.05). Personal hygiene practices, environmental sanitary conditions, overcrowding, limited access to clean potable water and poor drainage systems influenced gastrointestinal parasitic infection in both HIV positive and negative patients, HIV status may have increased intensity of gastrointestinal parasitic infection. The need for preventive awareness campaigns and mass chemoprophylaxis exercises cannot be overemphasized; government and private sector collaborations will have a wider coverage area and make a lot of impact.

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Gastrointestinal Parasitic Infestation in HIV Positive and Negative Patients Attending Clinics in a Tertiary Health Care Centre in Benue State, Nigeria.

Journal of BioMedical Research and Clinical Practice ◽

10.46912/jbrcp.115 ◽

2019 ◽

Vol 2 (2) ◽

pp. 126-131

Author(s):

L Utume ◽

TE Ikpom ◽

AE Obaje ◽

EA Omudu

Keyword(s):

Intestinal Parasites ◽

Demographic Data ◽

Parasitic Infection ◽

Gastrointestinal Parasites ◽

Personal Hygiene ◽

Hiv Positive ◽

Hiv Status ◽

Coverage Area ◽

Health Care Centre ◽

Awareness Campaigns

Gastrointestinal parasitic infection is usually asymptomatic thus goes unnoticed and untreated for long periods of time, often resulting in other serious health complications. In HIV positive patients, the effects usually are more devastating owing to the fact that such patients are already immunocompromised. For this study, HIV positive patients were raised from the BSUTH STD/ART clinic records while HIV negative patients were recruited from other clinics by confirming their HIV status using Determine test strips to check for HIV antibodies; socio-demographic data was generated from questionnaires administered. Patients already placed on anti-helminths or anti-protozoan medicines were exempted from the study. Stool samples (n=550; 304 males 246 females) were examined for intestinal parasites using the standard parasitological procedures for direct wet mount and Formol-Ether Concentration methods. Gastrointestinal parasites were identified from 199 (36.2%) samples implying positive results for these infections: Giardia lamblia (3.8%), Entamoeba histolytica (8.9%), Ascaris lumbricoides (7.1%), Entamoeba coli (4.2%), Trichuris trichuria (3.3%), Strongyloides stercoralis (2.2%), Taenia sp. (1.8%), Trichomonas hominis (0.5%) and hookworms (2.9%). Out of this 199 only 55 (27.6%) were HIV positive; statistically there was a significant relationship between HIV status and the rate of parasitic infection (P<0.05). Personal hygiene practices, environmental sanitary conditions, overcrowding, limited access to clean potable water and poor drainage systems influenced gastrointestinal parasitic infection in both HIV positive and negative patients, HIV status may have increased intensity of gastrointestinal parasitic infection. The need for preventive awareness campaigns and mass chemoprophylaxis exercises cannot be overemphasized; government and private sector collaborations will have a wider coverage area and make a lot of impact.

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A STUDY OF URINE FROM HIV-POSITIVE AND HIV-NEGATIVE INDIVIDUALS AT ANDHRA PRADESH

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i6.19376 ◽

2017 ◽

Vol 10 (6) ◽

pp. 400

Author(s):

Gundala Obulesu ◽

Hanumanthappa Ar ◽

Prabakar Reddy E

Keyword(s):

Urine Sample ◽

Andhra Pradesh ◽

Bacterial Isolate ◽

Urine Culture ◽

Hiv Positive ◽

Positive Urine Culture ◽

Positive Person ◽

Significant Bacteriuria ◽

Identification Of Bacteria ◽

Hiv Negative

Objective: The aim of this study is to investigate the variations, if any, in urinary bacterial pathogens in HIV-positive and HIV-negative individuals.Methods: Urine sample, macroscopic and microscopic examination for identification of bacteria use by method of Standard loop method, using identification methods, Grams-staining, Biochemical tests.Results: Out of 75 HIV-positive males, 52 males were married, 23 males were unmarried; risk factors are sexually 28, occupationally majority were labor, 31, age group more in 19-25 age, only 9 HIV-positive patients presented with symptoms of urinary tract infection, Escherichia coli was the most frequently occurring bacterial isolate from positive urine culture followed by Klebsiella spp.Conclusion: The study period of 1 year and 8 months revealed that it is difficult to locate/identify an HIV-positive person in a place like Kadapa on account of confidentiality/lack of awareness among the population. Having identified the HIV-positive cases, collection of urine samples from the patients also needed counseling and intervention by the respective clinicians, especially when patients were not having any symptoms. Out of 50 HIV-negative individuals, only 1 (2%) urine sample is showing significant bacteriuria.

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Gastrointestinal Parasitic Infestation in HIV Positive and Negative Patients Attending Clinics in a Tertiary Health Care Centre in Benue State, Nigeria.

Journal of BioMedical Research and Clinical Practice ◽

10.46912/2i2.2019115 ◽

2019 ◽

Vol 2 (2) ◽

pp. 126-131

Author(s):

L Utume ◽

TE Ikpom ◽

AE Obaje ◽

EA Omudu

Keyword(s):

Intestinal Parasites ◽

Demographic Data ◽

Parasitic Infection ◽

Gastrointestinal Parasites ◽

Personal Hygiene ◽

Hiv Positive ◽

Hiv Status ◽

Coverage Area ◽

Health Care Centre ◽

Awareness Campaigns

Gastrointestinal parasitic infection is usually asymptomatic thus goes unnoticed and untreated for long periods of time, often resulting in other serious health complications. In HIV positive patients, the effects usually are more devastating owing to the fact that such patients are already immunocompromised. For this study, HIV positive patients were raised from the BSUTH STD/ART clinic records while HIV negative patients were recruited from other clinics by confirming their HIV status using Determine test strips to check for HIV antibodies; socio-demographic data was generated from questionnaires administered. Patients already placed on anti-helminths or anti-protozoan medicines were exempted from the study. Stool samples (n=550; 304 males 246 females) were examined for intestinal parasites using the standard parasitological procedures for direct wet mount and Formol-Ether Concentration methods. Gastrointestinal parasites were identified from 199 (36.2%) samples implying positive results for these infections: Giardia lamblia (3.8%), Entamoeba histolytica (8.9%), Ascaris lumbricoides (7.1%), Entamoeba coli (4.2%), Trichuris trichuria (3.3%), Strongyloides stercoralis (2.2%), Taenia sp. (1.8%), Trichomonas hominis (0.5%) and hookworms (2.9%). Out of this 199 only 55 (27.6%) were HIV positive; statistically there was a significant relationship between HIV status and the rate of parasitic infection (P<0.05). Personal hygiene practices, environmental sanitary conditions, overcrowding, limited access to clean potable water and poor drainage systems influenced gastrointestinal parasitic infection in both HIV positive and negative patients, HIV status may have increased intensity of gastrointestinal parasitic infection. The need for preventive awareness campaigns and mass chemoprophylaxis exercises cannot be overemphasized; government and private sector collaborations will have a wider coverage area and make a lot of impact.

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Intestinal parasitic infections among HIV infected patients on antiretroviral therapy attending Debretabor General Hospital, Northern Ethiopia: a cross-sectional study

10.21203/rs.3.rs-81502/v1 ◽

2020 ◽

Author(s):

Ermias Alemayehu ◽

Alemu Gedefie ◽

Aderaw Adamu ◽

Jemal Mohammed ◽

Brhanu Kassanew ◽

...

Keyword(s):

General Hospital ◽

Intestinal Parasites ◽

Parasitic Infection ◽

Cross Sectional Study ◽

Parasitic Infections ◽

Northern Ethiopia ◽

Intestinal Parasitic Infection ◽

Sectional Study ◽

Cross Sectional ◽

Concentration Technique

Abstract Background: Parasitic infections are known causes of morbidity among HIV infected patients with low CD4+ counts who are on antiretroviral therapy; mainly as a result of immune suppression. Thus, this study aimed to assess the extent of intestinal parasitic infection and its related risk factors among HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia.Patients and methods: A health facility based cross sectional study was conducted on a total of 383 HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia from December 2018 to March 2019. An interview based structured questionnaire were used to gather socio-demographic and risk factor data. About 5 grams of fresh stool specimen and 4 ml of venous blood sample were collected, then transported and tested in accordance with the laboratory standard operating procedures. The obtained data was entered into SPSS version 22.0; and analyzed. P-value <0.05 with 95% confidence interval was considered statistically significant.Result: The overall prevalence of intestinal parasites was 25.3%; with 18% and 23.8% by direct wet mount and formol-ether concentration technique respectively. 8 (2.1%) patients were infected by multiple parasites in concentration technique. Ascaris lumbricoides, 23(25.3%) was the most frequently identified parasite. Parasitic infection was significantly higher among illiterates (P=0.011); patients with a CD4 count of <200 cells/mm3 (P<0.001) and among patients who did not have latrine (P=0.049) than their counter parts.Conclusion: Relatively higher prevalence of intestinal parasitic infection was found among HIV/AIDS patients. The distribution of intestinal parasites is greatly affected by illiteracy, reduced CD4+ counts and absence of toilet. Thus, HIV/AIDS patients with low CD4+ counts should be diagnosed consistently for intestinal parasites and routine stool examination and awareness creation should be advocated to be included as an essential component of the ART monitoring strategy for improved patient care.

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HIV-Related Attitudes and Intentions for High-Risk, Substance-Using Men Who Have Sex With Men: Associations and Clinical Implications for HIV-Positive and HIV-Negative MSM

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.24.4.281 ◽

2010 ◽

Vol 24 (4) ◽

pp. 281-293 ◽

Cited By ~ 6

Author(s):

Gordon Mansergh ◽

David J. McKirnan ◽

Stephen A. Flores ◽

Sharon M. Hudson ◽

Beryl A. Koblin ◽

...

Keyword(s):

Substance Use ◽

Risk Behavior ◽

Self Efficacy ◽

Safer Sex ◽

Hiv Positive ◽

Hiv Status ◽

Anal Sex ◽

Sex With Men ◽

Hiv Negative ◽

Hiv Positive Men

This study compared HIV-related attitudes and intentions by respondent HIV-status in a large sample of substance-using men who have sex with men (MSM) in the United States. Attitudes and intentions included self-efficacy for safer sex; difficulty communicating with sex partners about safer sex; intent to use condoms consistently and to not use substances before sex in the next 3 months; and less concern for HIV given effective antiviral treatments. Differences were found for behavior during the most recent anal sex encounter by HIV-status, including (a) insertive and (b) receptive anal sex risk behavior, and (c) substance use before or during the encounter. Self-efficacy for safer sex was associated with less risk behavior among HIV-negative men but not among HIV-positive men, suggesting that self-efficacy for safer sex continues to be a relevant issue to address in counseling uninfected MSM. HIV-positive men who reported less concern for HIV given treatments were more likely to report receptive risk behavior, as were HIV-negative men who reported difficulty communicating about safer sex. Implications are discussed for potentially heightened client desire and therapeutic opportunity to reduce future substance use during sex for clients who report recent substance use during sex.

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423. Self-Reported Screening for Rectal Sexually Transmitted Infections Among Men Who Have Sex with Men

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.496 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S212-S213

Author(s):

Timothy William. Menza ◽

Lauren Lipira ◽

Amisha Bhattarai ◽

Joseph Ramirez ◽

Roberto Orellana

Keyword(s):

Sexually Transmitted Infections ◽

Multivariable Analysis ◽

Prevalence Ratio ◽

Hiv Positive ◽

Sexually Active ◽

Hiv Status ◽

Sexually Transmitted ◽

Sex With Men ◽

Hiv Negative ◽

Hiv Positive Men

Abstract Background Rectal gonorrhea and Chlamydia are common and predict HIV acquisition among men who have sex with men (MSM); however, screening for rectal sexually transmitted infections (STIs) is not routine. Methods In 2017, we recruited sexually-active MSM in the Portland, Oregon metropolitan area through venue-based sampling. Our outcome of interest was self-reported rectal STI screening in the prior 12 months. Stratified by HIV status, we assessed the prevalence and demographic, healthcare, clinical, and behavioral predictors of screening. Results Of 448 participants, 168 (37.5%) reported rectal STI screening. One hundred twenty-seven (35.8%) of 355 HIV-negative men, 41 (58.6%) of 70 HIV-positive men, and none of 23 men who did not know their HIV status reported screening. Among HIV-negative men, having a healthcare provider who offered HIV testing (adjusted prevalence ratio [aPR]=2.09; 95% confidence interval [CI]: 1.43, 3.04), a syphilis diagnosis (aPR=1.32; 95% CI: 1.03, 1.69), use of pre-exposure prophylaxis (aPR=1.57; 95% CI 1.21, 2.04), and condomless anal sex with casual partners in the prior 12 months (aPR=1.74; 95% CI: 1.36, 2.22) independently predicted screening for rectal STI in multivariable analysis. HIV-positive men who reported having a provider who always or often initiates conversations about sex were significantly more likely to report screening compared with men who did not have such a provider (aPR=1.48; 95% CI: 1.06, 2.06). Conclusion Rectal STI screening is not universal in a venue-based sample of sexually-active MSM. Implementing innovative, acceptable, and accessible screening practices and improving provider comfort with talking about sex are paramount to increasing rectal STI screening. Disclosures All authors: No reported disclosures.

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Rate of BCG Immunization in HIV-Exposed Infants in a Selected Primary Health Centre in Southern Nigeria: Implications of No Vaccine Policy for HIV-Positive Infants

Journal of Tropical Pediatrics ◽

10.1093/tropej/fmaa030 ◽

2020 ◽

Author(s):

A M Ekanem ◽

I P Oloyede ◽

U E Ekrikpo ◽

A U Idung ◽

E Edward

Keyword(s):

Health Centre ◽

Primary Health Centre ◽

Hiv Positive ◽

Hiv Status ◽

Hiv Dna ◽

Primary Health ◽

Hiv Exposed ◽

Dna Pcr ◽

Pcr Test ◽

Hiv Negative

Abstract Background Maternal and infant HIV status influences the decision of BCG immunization of infants at birth. The objective of this study was to determine the HIV status of HIV-exposed infants (HEIs) by the first HIV DNA PCR test and the rate of BCG uptake among the HEIs who were confirmed HIV negative. Methods This was a retrospective descriptive cross-sectional study involving the review of results of 99 dried blood samples (DBS) for the first HIV DNA PCR test of HEIs whose mothers were diagnosed HIV positive on presentation of the infants at first immunization visit at a Primary Health Centre from January 2018 to January 2019. Results Of the 99 DBS examined, 86; 86.9% (95% CI 80.1–93.6) were HIV negative, 9; 9.1% (95% CI 3.3–14.8) were positive while the results of 4 (4.0%) infants were not in the register. Only 7; 7.1% (95% CI 1.9–12.2) of the 99 HEIs returned for BCG immunization at the centre. BCG immunization status of the HEIs after first PCR results was not significantly associated with sex of the infants or availability of phone number of the guardians (p = 0.70 and 0.12, respectively). Conclusion The majority of HEIs were HIV negative at first HIV DNA PCR test. Few of these HIV negative infants returned for BCG immunization. Hence, all HEIs should be given BCG immunization according to WHO GAVCS committee recommendation on BCG immunization for settings with poor HIV diagnostic and treatment facilities for mothers and infants.

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Performance of verbal autopsy methods in estimating HIV-associated mortality among adults in South Africa

BMJ Global Health ◽

10.1136/bmjgh-2018-000833 ◽

2018 ◽

Vol 3 (4) ◽

pp. e000833 ◽

Cited By ~ 1

Author(s):

Aaron S Karat ◽

Noriah Maraba ◽

Mpho Tlali ◽

Salome Charalambous ◽

Violet N Chihota ◽

...

Keyword(s):

South Africa ◽

Verbal Autopsy ◽

Vital Statistics ◽

Classification Systems ◽

Hiv Positive ◽

Hiv Status ◽

Civil Registration ◽

Art Initiation ◽

Better Than ◽

Hiv Negative

IntroductionVerbal autopsy (VA) can be integrated into civil registration and vital statistics systems, but its accuracy in determining HIV-associated causes of death (CoD) is uncertain. We assessed the sensitivity and specificity of VA questions in determining HIV status and antiretroviral therapy (ART) initiation and compared HIV-associated mortality fractions assigned by different VA interpretation methods.MethodsUsing the WHO 2012 instrument with added ART questions, VA was conducted for deaths among adults with known HIV status (356 HIV positive and 103 HIV negative) in South Africa. CoD were assigned using physician-certified VA (PCVA) and computer-coded VA (CCVA) methods and compared with documented HIV status.ResultsThe sensitivity of VA questions in detecting HIV status and ART initiation was 84.3% (95% CI 80 to 88) and 91.0% (95% CI 86 to 95); 283/356 (79.5%) HIV-positive individuals were assigned HIV-associated CoD by PCVA, 166 (46.6%) by InterVA-4.03, 201 (56.5%) by InterVA-5, and 80 (22.5%) and 289 (81.2%) by SmartVA-Analyze V.1.1.1 and V.1.2.1. Agreement between PCVA and older CCVA methods was poor (chance-corrected concordance [CCC] <0; cause-specific mortality fraction [CSMF] accuracy ≤56%) but better between PCVA and updated methods (CCC 0.21–0.75; CSMF accuracy 65%–98%). All methods were specific (specificity 87% to 96%) in assigning HIV-associated CoD.ConclusionAll CCVA interpretation methods underestimated the HIV-associated mortality fraction compared with PCVA; InterVA-5 and SmartVA-Analyze V.1.2.1 performed better than earlier versions. Changes to VA methods and classification systems are needed to track progress towards targets for reducing HIV-associated mortality,

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