Barrett, D.M.; Nembhard, A.; Sue-Ho, Robert; Williams, Nadia P.; Eldemire-Shearer, Denise A.; Lindo, John F.
Author Affiliation, Ana.
Department of Community Health and Psychiatry
Preliminary Results of a Study of Opportunistic Intestinal Parasitic Infections Among Persons Living with HIV/AIDS in Jamaica [Abstract]
West Indian Medical Journal
Date of Publication
Objective: To determine the prevalence of opportunistic intestinal parasites, in particular cryptosporidium spp, cyclospora caytenesis, Isospora belli and microsporidia, among persons living with HIV/AIDS (PLWHA) in Jamaica and to explore potential risk factors. Method: In a cross-sectional study conducted between October, 2003 and June 2004, 148 faecal specimens were collected from 74 HIV-infected patients and examined for intestinal parasites. Patients were recruited from four health care facilities in Kingston and St. Andrew. A structured questionnaire was administered by interview. Faecal specimens from each patient was examined using standard microbiological techniques and cryptosporidium antigen detection was conducted using Enzyme Immunoassay (EIA). Conclusion: This study highlighted diarrhoea as a significant maker for cryptosporidium infections. The prevalence of Cryptosporidium spp among PLWHA in Jamaica was high and comparable to the findings of studies done in other countries. The absence of Cyclospora and Isospora may be due to widespread use of cotrimoxazole to which these organisms are susceptible. Additional data collection is needed to further explore risk factors for opportunistic parasitic infections among PLWHA in Jamaica.....