Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria

Introduction: Human co-infection with Plasmodium falciparum and helminthes is ubiquitous throughout Africa. This study aimed to determine the co-infections of Plasmodium falciparum infection in HIV and intestinal parasitic infections, and their immunological distribution, in Benin City, Nigeria....

Full description

Saved in:
Bibliographic Details
Main Authors: Frederick Olusegun Akinbo, Christopher Ehis Okaka, Richard Omoregie
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2011-11-01
Series:Journal of Infection in Developing Countries
Subjects:
Online Access:https://jidc.org/index.php/journal/article/view/1889
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850034220430262272
author Frederick Olusegun Akinbo
Christopher Ehis Okaka
Richard Omoregie
author_facet Frederick Olusegun Akinbo
Christopher Ehis Okaka
Richard Omoregie
author_sort Frederick Olusegun Akinbo
collection DOAJ
description Introduction: Human co-infection with Plasmodium falciparum and helminthes is ubiquitous throughout Africa. This study aimed to determine the co-infections of Plasmodium falciparum infection in HIV and intestinal parasitic infections, and their immunological distribution, in Benin City, Nigeria. Methodology: A total of 2,000 stool specimens from HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites using standard procedures. In addition, patients' blood samples were analyzed for CD4 counts by flow cytometry and examined for Plasmodium falciparum by microscopy. Results: The prevalence of single parasitic infection among HIV patients was 18.1% in males and 16.9% among females with no significant difference (p = 0.536) while gender was a risk factor in multiple parasitic infections (male versus female: 4.2% and 1.8% OR = 2.384; 95% CI = 1.371, 4.147) (p = 0.0025). Increasing age was not associated with increased risk of both single and multiple parasitic infections (p = 0.083; p = 0.248). CD4 + T cell count less than 200 cells/µl was a risk factor for acquiring single and multiple parasitic infections among HIV patients (OR = 5.565; 95% CI = 4.136, 7.486; p = 0.0001; OR = 4.283; 95% CI = 2.424, 7.566; p = 0.0001). The most common co-infection observed was between Plasmodium falciparum and Ascaris lumbricoides 43% (10) among HIV patients. Conclusion: This study provides evidence of co-infections between Plasmodium falciparum and intestinal parasites. Diagnosis of parasitic infections among HIV patients is advocated as this will enhance better management of HIV-infected patients.
format Article
id doaj-art-d080fec68c40488e81438d80e379694b
institution DOAJ
issn 1972-2680
language English
publishDate 2011-11-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-d080fec68c40488e81438d80e379694b2025-08-20T02:57:53ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802011-11-0160510.3855/jidc.1889Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, NigeriaFrederick Olusegun Akinbo0Christopher Ehis Okaka1Richard Omoregie2University of Benin Teaching Hospital, Benin City, NigeriaUniversity of Benin, Benin City, NigeriaUniversity of Benin Teaching Hospital, Benin City, Nigeria Introduction: Human co-infection with Plasmodium falciparum and helminthes is ubiquitous throughout Africa. This study aimed to determine the co-infections of Plasmodium falciparum infection in HIV and intestinal parasitic infections, and their immunological distribution, in Benin City, Nigeria. Methodology: A total of 2,000 stool specimens from HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites using standard procedures. In addition, patients' blood samples were analyzed for CD4 counts by flow cytometry and examined for Plasmodium falciparum by microscopy. Results: The prevalence of single parasitic infection among HIV patients was 18.1% in males and 16.9% among females with no significant difference (p = 0.536) while gender was a risk factor in multiple parasitic infections (male versus female: 4.2% and 1.8% OR = 2.384; 95% CI = 1.371, 4.147) (p = 0.0025). Increasing age was not associated with increased risk of both single and multiple parasitic infections (p = 0.083; p = 0.248). CD4 + T cell count less than 200 cells/µl was a risk factor for acquiring single and multiple parasitic infections among HIV patients (OR = 5.565; 95% CI = 4.136, 7.486; p = 0.0001; OR = 4.283; 95% CI = 2.424, 7.566; p = 0.0001). The most common co-infection observed was between Plasmodium falciparum and Ascaris lumbricoides 43% (10) among HIV patients. Conclusion: This study provides evidence of co-infections between Plasmodium falciparum and intestinal parasites. Diagnosis of parasitic infections among HIV patients is advocated as this will enhance better management of HIV-infected patients. https://jidc.org/index.php/journal/article/view/1889Co-infectionPlasmodium falciparumIntestinal ParasitesHIV. Benin City.
spellingShingle Frederick Olusegun Akinbo
Christopher Ehis Okaka
Richard Omoregie
Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria
Journal of Infection in Developing Countries
Co-infection
Plasmodium falciparum
Intestinal Parasites
HIV. Benin City.
title Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria
title_full Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria
title_fullStr Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria
title_full_unstemmed Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria
title_short Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria
title_sort plasmodium falciparum and intestinal parasitic co infections in hiv infected patients in benin city edo state nigeria
topic Co-infection
Plasmodium falciparum
Intestinal Parasites
HIV. Benin City.
url https://jidc.org/index.php/journal/article/view/1889
work_keys_str_mv AT frederickolusegunakinbo plasmodiumfalciparumandintestinalparasiticcoinfectionsinhivinfectedpatientsinbenincityedostatenigeria
AT christopherehisokaka plasmodiumfalciparumandintestinalparasiticcoinfectionsinhivinfectedpatientsinbenincityedostatenigeria
AT richardomoregie plasmodiumfalciparumandintestinalparasiticcoinfectionsinhivinfectedpatientsinbenincityedostatenigeria