Prevalence of gastrointestinal parasites in HIV positive patients attending, Alive Medical Services, Kampala Capital City Authority

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Kampala International University, School of Health Sciences
Intestinal parasites are amongst the common infections worldwide, it is estimated that 3.5billion are affected and 450 million are ill as a result of these infections. At Alive medical services the prevalence estimates are not known. A cross sectional descriptive study was carried out at Alive Medical center between 3rd August 2014 and 10th October 2014 to determine the prevalence of gastro intestinal parasites in HIV positive patients, the age group and sex most affected and identify the type of the parasites. A total of 280 HIV positive patients participated in the study from which demographic data using properly filled laboratory request forms and stool samples were collected. The stool samples were examined for presence of parasites using both wet preparation technique and modified ZN staining technique. Data obtained was analyzed and illustrated using Microsoft excel and SPSS. Of the 280 patients that participated in the study, 76(27.14%) were positive for intestinal parasites. The most common pathogen found was Giardia lamblia with 32.3%, Entamoeba histolytica (22.5%), Entamoeba coli (23.7%), strongyloides stercolaris (3.7%), Cryptosporidium oocysts (11.2%), Cyclospora oocysts (3.75%) and Isospora oocysts (2.54%). Mixed infection of Giardia lamblia and Entamoeba coli (4 participants), Giardia lamblia and Entamoeba histolytica (1 participant) Giardia lamblia and Cryptosporidium oocysts (2 participants) were noted and one case of multiple parasitic infecteion was also obtained (4 parasites of Giardia lamblia, Entamoeba coli,Strongyloides stercolaris and Cryptosporidium Oocysts). The most affected age group was 31-40 and least was 11-20. Majority of the participants were females and recorded a high positivity (61.8%) compared to males (38.2%). Routine screening for intestinal parasites in all HIV positive patients, treatment of the sick, health education and routine deworming would help in controlling these intestinal parasites among this group of patients
A research report submitted to the Faculty of Clinical Medicine and Dentistry of in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University
Gastrointestinal parasites, HIV positive patients, HIV, Alive Medical Services, Kampala Capital City Authority