scholarly journals Sero-Molecular Detection of Toxoplasma Gondii Infection among HIV-Positive Patients in Khartoum : A Cross Sectional Study

2021 ◽  
pp. 125-131
Author(s):  
Elghazali Mohammed ◽  
Mustafa Yassin ◽  
Khalid Anan ◽  
Awadalkareem Omer ◽  
Mutaz A. Elsir ◽  
...  
Keyword(s):  
Toxoplasma Gondii ◽  
Blood Donors ◽  
Demographic Data ◽  
Clinical Stage ◽  
Hiv Positive ◽  
Aids Patients ◽  
Cross Sectional ◽  
Igm Antibodies ◽  
Toxoplasma Gondii Infection ◽  
Hiv Aids

Background and Aim : Toxoplasmosis is one of the most common comorbidities in HIV-positive patients with CD4+ T lymphocytes below 200 cells/μl. Toxoplasmosis with encephalitis may affect HIV infection, in particular in patients with developing AIDS. Early diagnosis and treatment of toxoplasmosis reduces the mortality rate in HIV-positive people. The aim of this study was to estimate the seroprevalence of Toxoplasma gondii infection in HIV-positive patients in Khartoum, Sudan using serological and molecular methods. Methods : This was a descriptive cross sectional, hospital based study, blood sample were collected from 100 participants; out of them were 50 HIV/AIDS patients and 50 were healthy Blood donors attending HIV Center -Omdurman Hospital, and Sudan Heart Center blood bank respectively. Socio- demographic data were collected by structured questionnaire. Of the 50 HIV/AIDS patients, 25 (50%) were from each gender, their age ranged between 22 and 62 with mean of 39.5+10.69. They were classified into two age groups; from 22 to 42 years, and from 43 to 62 years, and their distribution was 29 (58%), and 21 (42%) respectively. According to the clinical stage they were classified into the four clinical-stage groups and their distribution was as following: 06 (12.0%) in stage 1, 02 (04%) in stage 2, 40 (80.0%) in stage 3, and 02 (04.0%) in stage 4. Twelve of them (22%) were under ART treatments. The 50 blood donors on their hand were all males, their age was ranged between 18 and 42 years old. Regarding their educatio, 15 (30%) were educated, while the remaining 35 (70%) were none educated. Mentioning their marital status 10 (20%) were married, while 40 (80%) were single. Regarding the contact with cats 25 (50%) has contact with cats. All samples collected were tested for anti-Toxoplasma IgG and IgM antibodies by ELISA, and by PCR for detection of Toxoplasma DNA.. Results: Out of the 50 HIV/AIDS patients; Anti-Toxoplasma IgM was detected in two patients (04%), while IgG was detected in 08 (16%) patients, the Toxoplasma DNA was detected in three (06%) patients.Regarding the blood donors group; all studied blood donors showed negative results for anti-toxoplasma IgM, while 16 (32%) showed positive anti-Toxoplasma IgG.No blood donors sample was detected positive for Toxoplasma DNA with PCR. There were no significant differences in comparison between the blood donors and the HIV/AIDS patients regarding serological and molecular toxoplasma test results. Conclusion : The current study showed a relatively high seroprevalance of anti-T.gondii IgG and low IgM antibodies in HIV-positive patients in comparison with previous studies in Sudan. Considering the relatively high seroprevalance rate of toxoplasma infection in blood donors reported in this study, toxoplasmosis should be considered as a significant transfusion risk.

Sero-molecular evaluation of Toxoplasma gondii infection among HIV-positive patients

2019 ◽  
Vol 113 (12) ◽  
pp. 771-775 ◽  
Author(s):  
Ehsan Ahmadpour ◽  
Reza Pishkarie-Asl ◽  
Adel Spotin ◽  
Hossein Samadi Kafil ◽  
Hasan Didarlu ◽  
...  
Keyword(s):  
Toxoplasma Gondii ◽  
Mortality Rate ◽  
Hiv Positive ◽  
Igg Antibodies ◽  
Rt Pcr ◽  
Igg Antibody ◽  
Cross Sectional ◽  
Igm Antibodies ◽  
Northwest Iran ◽  
Toxoplasma Gondii Infection

Abstract Background Toxoplasmosis is one of the most common comorbidities in HIV-positive patients with CD4+ T lymphocytes below 200 cells/μl. Early diagnosis and treatment of toxoplasmosis reduces the mortality rate in HIV-positive people. The aim of this study was to estimate the seroprevalence of Toxoplasma gondii infection in HIV-positive patients in northwest Iran using serological and molecular methods. Methods This prospective cross-sectional study included 124 HIV-positive outpatients and was conducted from January to May 2016. Anti-T. gondii IgM and IgG antibodies were detected from sera samples by chemiluminescence, while buffy coat samples were analyzed by RT-PCR for DNA detection. Patients’ socioepidemiological data were collected. Results Using chemiluminescence, 47/124 samples (37.9%) were positive for anti-Toxoplasma IgG antibodies, 2/124 samples (1.62%) were positive for IgM antibodies while 2/124 samples (1.62%) contained both IgM and IgG. There were no IgM-positive or IgG-negative patients. RT-PCR revealed four (3.22%) positive samples. On the basis of the results, a statistically significant relationship was found between anti-Toxoplasma IgG antibody seropositivity and residence (p=0.012). Conclusions The study showed a relatively low seroprevalence of anti-T. gondii IgG and IgM antibodies in HIV-positive patients in northwest Iran, while the prevalence was much higher in other regions of Iran. However, regular screening for T. gondii antibodies and early initiation of therapy are very important to decrease the mortality rate in HIV-positive patients.

scholarly journals Sero–Prevalence, and Associated Risk Factors of Toxoplasma gondii Infection in Pregnant Women and HIV/AIDS Patients in Selected Cities of Ethiopia

2014 ◽  
Vol V (10) ◽  
pp. 17-29 ◽  
Author(s):  
Anteneh HAILU HAILU ◽  
Kassahun NEGASHE NEGASHE ◽  
Aweke TASE TASEW ◽  
Medhint GETACH GETACHEW ◽  
Tesfaye SISAY SISAY ◽  
...  
Keyword(s):  
Risk Factors ◽  
Toxoplasma Gondii ◽  
Pregnant Women ◽  
Aids Patients ◽  
Women And Hiv ◽  
Toxoplasma Gondii Infection ◽  
Associated Risk Factors ◽  
Hiv Aids

scholarly journals Prevalence and Associated Factors of Suicidal Ideation and Attempt among People Living with HIV/AIDS at Zewditu Memorial Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Etsay Hailu Gebremariam ◽  
Mebratu Mitiku Reta ◽  
Zebiba Nasir ◽  
Fisseha Zewdu Amdie
Keyword(s):  
Family History ◽  
Suicidal Ideation ◽  
Clinical Stage ◽  
Cross Sectional Study ◽  
Suicidal Attempt ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Hiv Aids

Background. Human Immune Deficiency Virus (HIV/AIDS) continues to be an underrecognized risk for suicidal ideation, suicidal attempt, and completion of suicide. Suicidal ideation and attempt in HIV/AIDS is not only a predictor of future attempted suicide and completed suicide.Methods. An institution based cross-sectional study was conducted among HIV-positive patients attending HIV care at Zewditu Memorial Hospital. Systematic random sampling technique was used to recruit 423 participants from April to May 2014. Composite International Diagnostic Interview was used to collect data. Multivariable logistic regression was computed to assess factors associated with suicidal ideation and attempt.Result. Suicidal ideation and suicidal attempt were found to be 22.5% and 13.9%, respectively. WHO clinical stage of HIV, not being on HAART, depression, family history of suicidal attempt, and perceived stigma were associated with suicidal ideation. WHO clinical stage, being female, not being on HAART, use of substance, and depression were associated with suicidal attempt.Conclusion. Early diagnosis and treatment of opportunistic infections, depression, and early initiation of ART need to be encouraged in HIV-positive adults. Furthermore, counseling on substance use and its consequences and early identification of HIV-positive people with family history of suicidal ideation have to be considered.

scholarly journals Prevalence of Wasting, Thinness, Stunting and Under-weight among Paediatric AIDS Patients in a Tertiary Centre

2016 ◽  
Vol 36 (2) ◽  
pp. 156-159
Author(s):  
Onyinye Uchenna Anyanwu ◽  
Benson Nnamdi Onyire ◽  
Faith W. Daniyan
Keyword(s):  
Clinical Stage ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Age Group ◽  
Sectional Study ◽  
Aids Patients ◽  
Cross Sectional ◽  
Tertiary Centre ◽  
Lower Socioeconomic ◽  
High Prevalence

Introduction: Malnutrition is a common occurrence in HIV positive children. Its presence reflects the level of care the child receives as well as affects the outcome of their infection. The objective of this study was to determine the prevalence of various forms of malnutrition among HIV positive children. This was a Hospital based Cross-sectional study in HIV-positive children receiving care in FETHA.Material and Methods: using the WHO reference standards, we determined the prevalence of wasting, thinness, stunting and underweight in HIV-positive children receiving care in FETHA. Height and weight measurements of 89 HIV-positive children aged 0-18year old were taken. Socioeconomic stratification was done by Olusanya’s criteria.Results: The prevalence of wasting, thinness, stunting and underweight in HIV- positive children were 31(34.8%), 22(24.7%), 30(33.7%), and 33(37.1%) respectively. Age group and socioeconomic status were significantly associated with the various forms of malnutrition while gender and clinical stage of disease were not.Conclusion: There is still a high prevalence of acute and chronic malnutrition amongst paediatric-AIDS patients which is significantly more amongst adolescents and the lower socioeconomic class.J Nepal Paediatr Soc 2016;36(2):156-159.

scholarly journals Seroprevalence of Toxoplasma gondii infection among indian people living in Iauareté, São Gabriel da Cachoeira, Amazonas, Brazil

2008 ◽  
Vol 50 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Márcio Neves Bóia ◽  
Filipe Anibal Carvalho-Costa ◽  
Fernando Campos Sodré ◽  
Gloria Maria Trindade Pinto ◽  
Maria Regina Reis Amendoeira
Keyword(s):  
Toxoplasma Gondii ◽  
Demographic Data ◽  
Age Groups ◽  
Enzyme Linked Immunosorbent Assay ◽  
Serum Samples ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Indian People ◽  
High Prevalence ◽  
Toxoplasma Gondii Infection

The goal of this survey was to estimate the seroprevalence of Toxoplasma gondii infection in Iauareté, a multiethnic Indian community in the upper Rio Negro basin. We carried out a cross-sectional survey (n = 260), in order to obtain serum samples and demographic data. The sample was randomly selected, by family conglomerate analysis. Serodiagnosis was performed by an enzyme-linked immunosorbent assay and indirect immunofluorescence. Prevalence of reactivity was 73.5% (191/260), being higher in the older-age groups, reaching 95.7% (44/46) in the group aged 50 years or more. The majority of seropositive subjects had titers equal to or less than 1:64. Seroprevalence was greater in Indians belonging to the Hupda ethnic group (p = 0.03). According to the present survey, Indian people living in Iauareté have a high prevalence of antibodies to T. gondii. Demographic concentration and urbanization within low sanitation and poor hygiene backgrounds, as well as unfiltered water consumption, may be related to the high frequency of T. gondii seroprevalence observed in the studied area.

scholarly journals Manifestations of Bone Marrow Abnormalities of HIV/AIDS Patients

2021 ◽  
Vol 7 (3) ◽  
pp. 119-127
Author(s):  
Dr. Soumya Kanti Pramanik ◽  
◽  
Dr. Mamata Guha Mallick Sinha ◽  
Keyword(s):  
Bone Marrow ◽  
Opportunistic Infections ◽  
Complete Blood Count ◽  
Bone Marrow Aspiration ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Aids Patients ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Hiv Aids

Background: Human immunodeficiency virus can involve almost any organ system. Anemia is themost common hematological manifestation in HIV/AIDS patients. Bone marrow changes includevarying degrees of dysplasia in one or more cell lines, plasmacytosis, opportunistic infections andhematological malignancies. There are only a few studies where hematological manifestations ofHIV/AIDS patients had been described. Materials and Methods: 100 HIV positive patients, agedbetween 12-65 years were enrolled in this hospital-based cross-sectional study. The study wasconducted from March 2016 to March 2018. A complete blood count, CD4 counts were done, besidesa thorough history and clinical examination. HIV positive patients were classified as those havingAIDS and Non-AIDS, according to NACO criteria. Written informed consent was taken from patientsand bone marrow aspiration was done. Results: Total number of patients included in the study was100. We were able to do a CD4 count of 91 patients. As per criteria, out of 91 patients, 37 cases hadAIDS. The most common hematological abnormality was anemia, seen in 95.45%of patients. Bonemarrow was normocellular in 86.48% of AIDS and 85.18% of non-AIDS, hypocellular in 8.10% ofAIDS and 9.25%o f non- AIDS, hypercellular in 5.40% of AIDS and 5.55% of non-AIDS patients.Dysplasia was statistically and significantly associated with anemia. The commonest dysplasticfeatures are seen in the granulocytic and erythroid series. L.D. bodies were seen in 2 cases andHistoplasma was found in one case. Conclusion: Normocytic normochromic anemia was the mostcommon peripheral smear finding. Hypocellular bone marrow was more common than hypercellularmarrow in an advanced stage of the disease. Dysplastic changes were more common in AIDS thanNon-AIDS. Granulocytic dysplasia was the most common type of dysplasia. There was evidence ofopportunistic infections and gelatinous transformation were detected in our study.

scholarly journals Pulmonary tuberculosis and immunological profile of HIV/AIDS patients in Far West Nepal

2014 ◽  
Vol 3 (1) ◽  
pp. 8-13
Author(s):  
Madan Singh Bohara
Keyword(s):  
Pulmonary Tuberculosis ◽  
Clinical Manifestations ◽  
Public Health Problem ◽  
Hiv Positive ◽  
Major Public Health Problem ◽  
Aids Patients ◽  
Cross Sectional ◽  
Cd4 Cell Count ◽  
Study Participants ◽  
Hiv Aids

Background: Tuberculosis is itself a major public health problem in Nepal and the emergence HIV further complicated the issue. Tuberculosis is the most common cause of death among HIV/AIDS patients worldwide. Tuberculosis and HIV co-infection is associated with special diagnostic and ther apeutic challenges and constitutes an immense burden on healthcare system of heavily infected countries like Nepal. Objective: The objective of the study was to determine the prevalence of pulmonary tuberculosis and their immunologic profi les among HIV positive patients. Methods: A hospital based cross-sectional study was conducted from Januray 2012 to July 2012 among adult HIV-positive patients attending ART centers at Seti Zonal Hospital and Mahakali Zonal Hospital. Clinical and laboratory investigations including Acid Fast staining and culture were used to identify tuberculosis cases. Blood samples were collected to determine CD4+ lymphocyte count. A structured questionnaire was used to collect socio-demographic characteristics of study participants. The data was entered and analysed using SPSS version 16 software. Results: A total of 103 HIV positive participants were enrolled. Five (4.9%) of the study participants (three females and two males) were found to have pulmonary tuberculosis. Majority [4(80%)] of TB-HIV co-infection was found in 21-40 years age group. Similarly four (80%) of them were illiterate. Among five TB cases only two cases were detected by direct microscopy. In general it was observed that various clinical manifestations such as cough, chest pain, weight loss, loss of appetite etc. are more common in TB co-infected HIV patients in comparison to non-co-infected counterparts. Similarly, higher percentage of TB cases were seen in patients with low CD4+ count (<500/mm3). Conclusions: We found high prevalence of tuberculosis-HIV co-infection. More such cases were seen among those with low CD4+ cell count. Early detection of co-infection is very necessary to facilitate early ART initiation, thereby strengthening their immune status.DOI: http://dx.doi.org/10.3126/jkmc.v3i1.10917Journal of Kathmandu Medical CollegeVol. 3, No. 1, Issue 7, Jan.-Mar., 2014, page: 8-13

scholarly journals Seroprevalence and molecular diagnosis of Toxoplasma gondii infection among blood donors in southern Iran

2014 ◽  
Vol 8 (04) ◽  
pp. 543-547 ◽  
Author(s):  
Bahador Sarkari ◽  
Reza Shafiei ◽  
Mani Zare ◽  
Sattar Sohrabpour ◽  
Leila Kasraian
Keyword(s):  
Toxoplasma Gondii ◽  
Blood Donors ◽  
Significant Risk ◽  
Protozoan Parasite ◽  
Cross Sectional Study ◽  
Fars Province ◽  
Toxoplasma Infection ◽  
Cross Sectional ◽  
Polymerase Chain ◽  
Toxoplasma Gondii Infection

Introduction: Toxoplasma gondii is a protozoan parasite which can be transmitted to human through a variety of routes including blood transfusion. This cross sectional study aimed to evaluate the seroprevalence of Toxoplasma infection and related epidemiological features among healthy blood donors. Methodology: A total of 1,480 healthy blood donors from five blood service centers in Fars province were analyzed for anti-Toxoplasma antibodies. Blood samples were tested for anti-T. gondii IgG and IgM antibodies by enzyme immunoassay. IgM-positive samples were also tested for the presence of Toxoplasma DNA by Polymerase Chain Reaction (PCR). Demographic characteristics of participants were also recorded during samples collection. Results: Anti T. gondii antibodies were detected in sera of 286 out of 1,480 blood donors corresponding to an overall seroprevalence of 19.3% in this population.  From these, 182 (12.3%) were seropositive only for IgG, 81 (5.47%) were seropositive only for IgM and 23 (1.6%) were positive for both IgG and IgM. PCR detected active parasitemia in two (1.9%) of the IgM-positive subjects. Age, place of residence and level of education were statistically significant (p < 0.05) with seropositivity to Toxoplasma. Conclusions: Our results highlighted that asymptomatic blood donors, especially those with active parasitemia, may constitute a significant risk of transmitting toxoplasmosis to susceptible recipients.

scholarly journals Food consumption and nutritional status of people living with HIV/AIDS (PLWHA): a case of Thika and Bungoma Districts, Kenya

2009 ◽  
Vol 13 (4) ◽  
pp. 475-479 ◽  
Author(s):  
Elizabeth Nafula Kuria
Keyword(s):  
Nutritional Status ◽  
Food Consumption ◽  
Dietary Habits ◽  
Well Being ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Significant Difference ◽  
Living With Hiv ◽  
Hiv Aids

AbstractObjectiveTo establish the food consumption, dietary habits and nutritional status of people living with HIV/AIDS (PLWHA) and adults whose HIV status is not established.DesignCross-sectional descriptive survey.SettingThika and Bungoma Districts, Kenya.SubjectsA random sample of 439 adults; 174 adults living with HIV/AIDS and 265 adults whose HIV/AIDS status was not established in Thika and Bungoma Districts.ResultsMajority of PLWHA consume foods that are low in nutrients to build up the immune system and help maintain adequate weight, and there is little variety in the foods they consume. More adults who are HIV-positive are undernourished than those whose status is not established. Of the HIV-positive adults, those with a BMI of ≤18·5 kg/m2 were 23·6 % (Thika 20·0 % and Bungoma 25·7 %) while of the adults whose status is not established those with BMI ≤ 18·5 kg/m2 were 13·9 % (Thika 9·3 % and Bungoma 16·7 %).ConclusionsAdults who are HIV-positive are more likely to be undernourished than those whose status is not established, as there is a significant difference (P = 0·000) between the nutritional status (BMI) of PLWHA and those whose HIV/AIDS status is not established. PLWHA consume foods that are low in nutrients to promote their nutritional well-being and health.

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