dc.contributor.author | Moturi, George M | |
dc.date.accessioned | 2013-05-25T06:13:25Z | |
dc.date.available | 2013-05-25T06:13:25Z | |
dc.date.issued | 2006 | |
dc.identifier.citation | Masters of Medicine | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25520 | |
dc.description.abstract | Infestations caused by intestinal parasites are common and occur in upto
50%of patients with HIV infection and chronic diarrhea. They are a major health
problem and contribute greatly to the morbidity and mortality of these patients. Data on
the pattern of intestinal parasite infestations is lacking locally. Such information can
optimize the care of patients with HIV infection and chronic diarrhea.
It was conducted at KNH (tertiary referral hospital in Kenya) between August
and December 2005.
This was a cross-sectional survey.
Three hundred and ninety nine adult patients with HIV infection and chronic
diarrhea were consecutively recruited after signing an informed consent.
A blood sample and a stool specimen were taken from each
patient for determination the CD4 counts and intestinal parasite infestations respectively.
The prevalence of intestinal parasite infestation was found to be 36.8%. C.
Parvum was the commonest opportunistic parasite isolated with a prevalence of II%.
Other parasites detected included E. coli (7.5%), hookworm (4.3%), S. mansoni (2.0%)
and T trichura (0.8%). A mean CD4 count of 194.58 cells/cc was found with a median of
152 cells/cc. The mean CD4 count in the patients who had at least one parasite was 152
as compared to 219 for those who did not have any parasite in their stool. This difference
was statistically significant (P= 0.001).
Intestinal parasitic infestations are common in HIV infected patients with
chronic diarrhea. Low CD4 cell counts are associated with occurrence of intestinal
opportunistic infections. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Intestinal parasitic infections in HIV-infected adult patients with, chronic diarrhoea at Kenyatta National Hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine | en |