Blastocystis sp. and other intestinal parasites in hemodialysis patients
Chronic renal insufficiency disease (CRI) leads to uremia in hemodialysis patients and induces a state of immunodepression that results in higher frequencies of infections and diarrhea. Hemodialysis patients resident in the city of Campo Mourão, Paraná, Brazil were analyzed from April 2006 through S...
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doaj-417061b4086f4a1f9dc0d60ed064a0e12020-11-25T03:43:48ZengElsevierBrazilian Journal of Infectious Diseases1678-439112433834110.1590/S1413-86702008000400017S1413-86702008000400017Blastocystis sp. and other intestinal parasites in hemodialysis patientsRose Anne Kulik0Dina Lúcia Morais Falavigna1Letícia Nishi2Silvana Marques Araujo3Universidade Estadual de MaringáUniversidade Estadual de MaringáUniversidade Estadual de MaringáUniversidade Estadual de MaringáChronic renal insufficiency disease (CRI) leads to uremia in hemodialysis patients and induces a state of immunodepression that results in higher frequencies of infections and diarrhea. Hemodialysis patients resident in the city of Campo Mourão, Paraná, Brazil were analyzed from April 2006 through September 2007 for Blastocystis sp. and other intestinal parasites and for associated diarrhea. Fecal samples from 86 hemodialysis patients and 146 healthy (reference) persons were examined by standard methods for detecting ova, larvae and cysts, which included preservation in 10% formalin and the Kinyoun method. Thirty-three hemodialysis patients (45.1%) and 36 reference individuals (25.7%) were found to be parasitized. The differences in the percentages of parasitism and polyparasitism between the reference group and the chronic renal patients was significant (p= 0.0318 and 0.0019, respectively). Blastocystis sp. (18%-20.1%), Endolimax nana (14%-16.3%), Cryptosporidium sp. (4%-4.7%) and Entamoeba coli (4%-4.7%) were the most frequent protozoa found in the hemodialysis patients. Parasitism was not significantly associated with diarrhea (p=0.9947) or with decreased white blood cell counts (p=0.7046) in these individuals. Because parasitic infections may be an important comorbidity factor in hemodialysis patients, we suggest that parasitological stool examinations, especially for Blastocystis sp. and Cryptosporidium sp., be included in routine medical follow-up examinations of these patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000400017&lng=en&tlng=enBlastocystis sp.hemodialysis patientsparasites |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rose Anne Kulik Dina Lúcia Morais Falavigna Letícia Nishi Silvana Marques Araujo |
spellingShingle |
Rose Anne Kulik Dina Lúcia Morais Falavigna Letícia Nishi Silvana Marques Araujo Blastocystis sp. and other intestinal parasites in hemodialysis patients Brazilian Journal of Infectious Diseases Blastocystis sp. hemodialysis patients parasites |
author_facet |
Rose Anne Kulik Dina Lúcia Morais Falavigna Letícia Nishi Silvana Marques Araujo |
author_sort |
Rose Anne Kulik |
title |
Blastocystis sp. and other intestinal parasites in hemodialysis patients |
title_short |
Blastocystis sp. and other intestinal parasites in hemodialysis patients |
title_full |
Blastocystis sp. and other intestinal parasites in hemodialysis patients |
title_fullStr |
Blastocystis sp. and other intestinal parasites in hemodialysis patients |
title_full_unstemmed |
Blastocystis sp. and other intestinal parasites in hemodialysis patients |
title_sort |
blastocystis sp. and other intestinal parasites in hemodialysis patients |
publisher |
Elsevier |
series |
Brazilian Journal of Infectious Diseases |
issn |
1678-4391 |
description |
Chronic renal insufficiency disease (CRI) leads to uremia in hemodialysis patients and induces a state of immunodepression that results in higher frequencies of infections and diarrhea. Hemodialysis patients resident in the city of Campo Mourão, Paraná, Brazil were analyzed from April 2006 through September 2007 for Blastocystis sp. and other intestinal parasites and for associated diarrhea. Fecal samples from 86 hemodialysis patients and 146 healthy (reference) persons were examined by standard methods for detecting ova, larvae and cysts, which included preservation in 10% formalin and the Kinyoun method. Thirty-three hemodialysis patients (45.1%) and 36 reference individuals (25.7%) were found to be parasitized. The differences in the percentages of parasitism and polyparasitism between the reference group and the chronic renal patients was significant (p= 0.0318 and 0.0019, respectively). Blastocystis sp. (18%-20.1%), Endolimax nana (14%-16.3%), Cryptosporidium sp. (4%-4.7%) and Entamoeba coli (4%-4.7%) were the most frequent protozoa found in the hemodialysis patients. Parasitism was not significantly associated with diarrhea (p=0.9947) or with decreased white blood cell counts (p=0.7046) in these individuals. Because parasitic infections may be an important comorbidity factor in hemodialysis patients, we suggest that parasitological stool examinations, especially for Blastocystis sp. and Cryptosporidium sp., be included in routine medical follow-up examinations of these patients. |
topic |
Blastocystis sp. hemodialysis patients parasites |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000400017&lng=en&tlng=en |
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