Emergent and re-emergent parasites in HIV-infected children: immunological and socio-environmental conditions that are involved in the transmission of Giardia spp. and Cryptosporidium spp.

• 发表在: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Brisa Maria Fregonesi, Meire Nikaido Suzuki, Carolina Sampaio Machado, Karina Aparecida de Abreu Tonani, Ana Paula Morais Fernandes, Aline Aparecida Monroe, Maria Célia Cervi, Susana Segura-Muñoz
• 格式: 文件
• 语言: 英语
• 出版: Sociedade Brasileira de Medicina Tropical (SBMT) 2015-12-01
• 主题: Emerging/re-emerging parasites; Childhood; HIV/AIDS.
• 在线阅读: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000600753&lng=en&tlng=en
• ISSN: 1678-9849

ABSTRACT INTRODUCTION: Emergent and re-emergent waterborne protozoans have become a worldwide public health problem, especially among vulnerable groups. METHODS: This cross-sectional study evaluated 17 HIV-infected children and their families. RESULTS: A high (76.5%) percentage of parasite-infected children was observed, even among children with CD4+ T-cell counts of >200 cells/mm3. Giardia spp., Cryptosporidium spp. and Cyclospora spp. were observed in 41.2% of these children Low income, poor hygiene practices, and co-infection in domestic, peridomestic and scholastic environments were significant sources of these intestinal infections. CONCLUSIONS: Early diagnosis, timely treatment, and socio-educational interventions may improve the health conditions of this vulnerable population.