Modified Ziehl-Neelsen Technique Research Articles

Presence of Intestinal Parasites in Patients with Chronic Non-Communicable Diseases in Masaya (Nicaragua).

A cross-sectional study was conducted in Masaya (Nicaragua) to estimate the prevalence of intestinal parasite (IP) infections in patients with non-communicable diseases (NCDs) and to determine the associations between the types of NCDs and patients' epidemiological characteristics of infection. A total of 157 preserved faecal samples were examined (direct wet mount, formalin/ethyl acetate concentration and modified Ziehl-Neelsen technique). Microscopically positive faecal sample identification was completed by conducting a molecular study. The total prevalence of IP was 52% in NCD patients. Diabetic patients presented an IP prevalence of 42%. Blastocystis presented the highest prevalence (42%). A molecular analysis of Giardia intestinalis (prevalence of 1.3%) revealed 100% of sub-assemblage BIII and the Entamoeba complex (5%) was identified as E. dispar. Blastocystis ST1 appeared in 44% of those suffering from diabetes and ST3 in 66% of those suffering from hypertension, while ST2 only appeared in those suffering with several NCDs simultaneously. In diabetic patients, the risk of infection is associated with having pets (p = 0.021) and land-floor houses. The risk of infection appears to be statistically related (p = 0.019) in those with several NCDs having received a previous helminthic deworming treatment. Coordinated public health activities for IP and NCD screening and diagnosis are crucial to their successful control programmes.

Prevalence of gastrointestinal parasites in domestic pigs from family farms in northeastern Argentina

Domestic pigs serve as significant hosts and reservoirs for multiple parasite species, some specific to pigs and many others of zoonotic importance. This study aimed to assess the prevalence of intestinal parasites in pigs within a rural area in northeastern Argentina. We also examined demographic information, breeding conditions, and exposure factors associated with parasite presence. Pig feces were subjected to coprological examination through flotation and sedimentation techniques. Modified Ziehl-Neelsen technique was employed to examine oocysts of Cryptosporidium spp. In total, 29 family farms with pig pens were analyzed, and 42 stool samples were collected from pigs on these farms. At the farm level, the presence of at least one parasite species was recorded in 27 rural houses (93.1%). We found that 90.4% of pigs were parasitized, with a specific parasitoses of 10 species, with a maximum of six species in a single host. The most prevalent protozoa were Entamoeba spp. (57.1%) and Blastocystis sp. (45.2%), followed by Iodamoeba butschlii (33.3%), Neobalantidium coli (21.4%), coccidia (14.2%), Cryptosporidium spp. (9.5%) and Giardia spp. (2.3%). The most prevalent helminths were Strongylidae eggs (52.3%), Ascaris spp. (14.2%) and Trichuris spp. (2.3%). We advocate for an urgent need to implement a comprehensive prophylaxis program prioritizing general hygiene practices such as regular cleaning, removal of fecal material and renewal of drinking water. Additionally, vaccination and deworming protocols should be implemented. Furthermore, this study highlights the necessity for molecular-level evaluations to detect potential zoonotic genotypes of the identified protozoa.

Zoonotic parasite contamination of some green, leafy and spicy vegetables sold in major markets of Makurdi metropolis, Benue state

Consumption of contaminated vegetables can result in parasite ingestion with subsequent health problems. The spread of zoonotic parasites through contaminated vegetables is a complicated problem that requires attention to ensure food safety and protect public health. This study investigated the zoonotic parasitic contamination of some green, leafy, and spicy vegetables sold in Makurdi metropolis, Benue State. A cross-sectional study was designed in which four hundred green, leafy, and spicy vegetables consisting of five different vegetables, were collected from five markets in Makurdi town, Benue state. Sediments obtained by washing the vegetables with normal saline were centrifuged at 1500 rpm for five minutes before being subjected to flotation, sedimentation, and modified Ziehl-Neelsen techniques, and viewed under the microscope at various magnifications. The overall prevalence of zoonotic parasites was 59.75%. Strongyloides spp. larvae (40.5%), Cryptosporidium spp. Oocyst (0.5%), Balantidium coli cyst and trophozoite (7%), Ascaris spp (5.75%), Taenia spp. (9%), Strongyle ova (4.5%), and Giardia lamblia cyst (1.5%) were identified. Results showed a significant relationship between vegetable type and parasite contamination of vegetables (p < 0.05), but no significant relationship between market location and parasite contamination (p > 0.05). The high prevalence of zoonotic parasites observed in this study highlights the potential health risks associated with consuming contaminated vegetables. The study recommends public enlightenment of vegetable sellers and consumers in Makurdi on the importance of hand hygiene and safe handling of vegetables to prevent exposure to pathogenic microorganisms.

Detection of <I>Giardia</I> cyst and <I>Taenia</I> eggs in river water samples collected from Aleto River in Eleme Local Government Area, Rivers State, Nigeria

This study aimed at detecting Giardia cyst and Taenia eggs in river water samples collected from Aleto River in Eleme Local Government Area, River State, Nigeria, to check for potability and purity of water.Water samples of river water were collected from two points (downstream and midstream) of Aleto river. Labelled clean sample bottles with tightly-fitted lids were used to collect water samples from the river and stored in coolers with ice packs to maintain their temperature and transportation to the laboratory. Collected water samples were transferred into sterile vial tubes and centrifuged at 2000 rpm for five minutes, after which the supernatant fluids were discarded, while the sediments smeared using spatula on labelled slides stained with specific dyes, using the wet mounts, trichome stain technique, and modified Ziehl–Neelsen techniques, and viewed under the light microscope to identify the presence of parasites.This study showed the presence of ten trophozoites of Giardia lamblia and ten eggs of Taenia species isolated from the river water samples collected. These findings highlight the potential health risks associated with waterborne parasites and emphasizes the importance of effective water quality management to safeguard public health. Furthermore, the observation of parasites underscores the need for comprehensive water quality assessment and monitoring. This study highlights the contamination of the river with parasitic organisms and urgently needs effective water management strategies to mitigate the risks to public health. Vital interventions encompass enhancing sanitation practices, curbing fecal contamination, and augmenting water quality surveillance mechanisms.

Intestinal parasitic infections and predisposing factors among prison inmates in Southern Ghana: A cross-sectional study.

The environment within prisons, such as overcrowding, lack of access to portable water, poor sanitation, and hygiene predisposes inmates to infections, including intestinal parasitic infections (IPIs). This study therefore determined the prevalence and associated factors of IPIs among prison inmates in Southern Ghana. A cross-sectional study using the stratified sampling technique was employed. The study recruited 461 prison inmates across three notable prisons, with 50 inmates from Ho Central, 357 inmates from Nsawam Medium Security, and 54 inmates from Sekondi Central Prisons all in Southern Ghana. A structured closed-ended questionnaire was administered to collect data on sociodemographics, lifestyle/behavioral characteristics, and signs and symptoms of IPIs. In addition, stool samples were collected and analyzed for the presence of various stages of intestinal parasites (trophozoites, cysts, ova, and larva) using formol-ether concentration, and the modified Ziehl-Neelsen techniques. The prevalence of IPIs among inmates of the three selected prisons was 38.2% (95% confidence interval [CI]: 33.72%-42.79%). The prevalence of IPIs among inmates of the three prisons, the Ho Central, Nsawam Medium Security, and Sekondi Central were 46% (95% CI: 31.82%-60.68%), 37.5% (95% CI: 32.49%-42.79%), and 35.2% (95% CI: 22.68%-49.38%), respectively. After adjusting for confounders, the following factors; handwashing after defecation (adjusted odds ratio [AOR]: 0.05 [0.00-0.67]; p = 0.024), trimmed fingernails (AOR: 0.32 [0.13-0.76]; p = 0.011), itchy skin (AOR [95% CI]: 5.99 [3.43-10.43]; p < 0.001), anal itching (AOR [95% CI]: 0.35 [0.19-0.62]; p < 0.001), nausea (AOR [95% CI]: 5.57 [3.22-9.65]; p < 0.001), and worm expulsion (AOR [95% CI]: 3.80 [1.42-10.18]; p = 0.008) were found to be associated with intestinal parasitic infections. The study revealed that the prevalence of intestinal parasitic infections among prisons in Southern Ghana is high and is therefore an important public health concern. The Public Health Department of Ghana Health Service should therefore embark on health promotion and deworming exercise in all prisons in Ghana.

Prevalence and Molecular Identification of Cryptosporidium Species among Human Population in Zakho District, Duhok Province, Kurdistan Region, Iraq

This cross-sectional study was carried out to determine the prevalence and molecular identifications of Cryptosporidium species among the human population in Zakho district, Duhok Province, Kurdistan Region, Iraq. The study was performed during the period from August 2021 to March 2022 and involved 700 fecal specimens of both genders and different ages collected from Zakho General Hospital and pri¬mary schools located in the suburban area of Zakho City. The data were analyzed using statistical soft¬ware version SPSS (25). Cryptosporidium species oocyst was found in 87.57% (613/700) of the examined specimens using the Modified Ziehl Neelsen technique. Males showed a slightly higher infection rate than females (88.4% vs 85.5%) with a non-significant difference (P&gt; 0.05). The highest infection rate (91.7%) was present in individuals between the ages of &gt;30 to 40 years, with a statistically significant difference (P&lt;0.05). Molecular identification of Cryptosporidium species was estimated using 18S-rRNA gene for Cryptosporidium genus using Nested PCR technique and genus-specific primers (Cry18 AS1 and Cry18 S2) that yielded 347 bps product indicating Cryptosporidium genus, then species-specific (Cry18 AS1 and Cry18 S1) were used for the detection of Cryptosporidium parvum and Cryptosporidium hominis. 45/50 samples were positive and revealed 240 bps. The acquired sequences were deposited into the GeneBank database under the accession numbers OP107010 for C. hominis, OP104444, OP153870, OP163188, OP163414, and OP164631 for C. parvum.

Cryptosporidium infection in diarrheal bovine dairy calves: occurrence and risk factors in Santa Catarina, Brazil

Cryptosporidium protozoa genus are parasites that cause acute enteric disease in young and immunocompromised animals, resulting in anorexia, loss and decrease in weight gain, and, in severe cases, death. Therefore, this study aimed: i) to determine the occurrence of Cryptosporidium spp. in calves with clinical diarrhea in different regions of Santa Catarina, Brazil; ii) to evaluate the risk factors involved with the frequency of infection. iii) to determine the species most involved with the disease in the region. For this, 425 samples were collected in 141 dairy farms, from animals with ages ranging from 0 to 150 days. For this purpose, the samples were submitted to the modified Ziehl-Neelsen technique, with molecular analysis of the positive samples being performed. It was observed 62.1% occurrence of Cryptosporidium spp. in this sampling, especially between 8 to 15 days. Regarding the risk factors evaluated, such as age, management, facilities, water source and Koppen climate (CFA and CFB), none showed statistical significance. Samples positive by the Ziehl-Neelsen technique (32 samples) were randomly selected for molecular diagnosis. Of these, 10 were sequenced, allowing the identification of Crypstosporidium parvum in 6 samples. However, this study proves the existence and high occurrence of the protozoan in different regions of the state of Santa Catarina, Brazil.

Molecular and phylogenetic characterization of Cryptosporidium species in the saffron finch Sicalis flaveola

BackgroundCryptosporidium is the most common protozoan that can infect a wide variety of animals, including mammals and birds. Fecal samples of six saffron finches, Sicalis flaveola, from a commercial establishment were screened for the presence of Cryptosporidium by the modified Ziehl–Neelsen technique and nested PCR of the 18S rRNA gene followed by sequencing of the amplified fragments.ResultsThe species Cryptosporidium galli was identified in all six saffron fiches, in addition to Cryptosporidium andersoni in one of the birds, indicating a mixed infection. Only two birds had feathers that were ruffled and dirty with feces. Concomitant infection with Isospora spp. was observed in all birds.ConclusionsSaffron finches are a possible host of C. andersoni and this is the first report of this species in a captive bird and the third report of parasitism by C. galli in Sicalis flaveola.

Performance of diagnostic assays used to detect Cryptosporidium oocysts in faecal samples of cattle in Kuwait and genotyping of Cryptosporidium species

BackgroudCryptosporidium species are zoonotic protozoan parasites responsible for gastroenteritis in various animals and humans. The diagnosis of Cryptosporidium presents many challenges. This research attempted to match the diagnostic efficiency of the modified Ziehl–Neelsen technique (mZN), immunochromatographic assays (IC), and enzyme-linked immunosorbent assay (ELISA) for the detection of Cryptosporidium in faecal samples of cattle in Kuwait. In addition, polymerase chain reaction (PCR) was utilised to determine the predominant species infecting cattle in Kuwait and correlating the detected species with the results of different diagnostic tests used, the presence or absence of clinical signs, and the age group of the infected cattle.ResultsOf 400 analysed faecal samples, Cryptosporidium positive samples were 23%, 15.25%, and 14% using IC, ELISA, and mZN. IC had the highest sensitivity (74.07%), and mZN had the highest specificity (98.29%) using a composite reference standard (CRS) as a gold standard. The rapid IC test results in high false-positive results of cryptosporidiosis, whereas using mZN alone is insufficient to declare a negative faecal sample. Only 74.5% (35/47) of Cryptosporidium-positive samples by the three assays could be amplified by PCR. This study was the first to genotype Cryptosporidium in Kuwait. Cryptosporidium parvum (n = 26) was the dominant species detected from cattle samples, followed by C. andersoni (n = 6), C. bovis (n = 2), and C. raynae (n = 1). The findings showed a statistically relevant relationship between diarrhoea and the detection of Cryptosporidium spp. in faecal samples of cattle (p-value = 0.0003). Pre-weaned calves were the most vulnerable age group to Cryptosporidium spp. infection (p-value = 0.0007).ConclusionFor screening of Cryptosporidium infection in faecal samples, antigen detection or PCR methods combined with one of the microscopy techniques should be used. Cryptosporidium parvum was the prepoderant Cryptosporidium spp. recovered from cattle samples in Kuwait followed by C. andersoni. Cryptosporidium parvum is a significant risk factor for diarrhoea in pre-weaned calves. However, further study is needed as many other causes of diarrhoea in calves must be ruled out before a diagnosis of Cryptosporidium diarrhoea can be made.

Prevalence of Cryptosporidium infection in cattle from selected commercial farms and nomadic settlements in Yola, Adamawa State

Cryptosporidium species are apicomplexan parasites commonly associated with diarrhoea in both men and animals. They are of public health importance. The study aimed to determine the occurrence of Cryptosporidium species in cattle in the Yola metropolitan area, Adamawa State, Nigeria. Four hundred and sixteen (416) faecal samples were collected from cattle in commercial farms and nomadic settlements and were analyzed using Modified Ziehl Neelsen (MZN) technique. Twenty-seven (27) positive samples were subjected to nested Polymerase Chain Reaction (PCR) for the amplification of a specific fragment of 18S rRNA gene that was used to detect Cryptosporidium spp. Seventy-three (17.5%) out of 416 samples were positive for Cryptosporidium oocysts by MZN, and 26 (96.0%) out of 27 isolated oocysts of Cryptosporidium detected by MZN were positive by PCR. Commercial farms had a higher prevalence (19.2%) of Cryptosporidium oocysts than the nomadic settlements (15.9%). Based on risk factors, there was a significant association (P&lt;0.05) between the occurrence of Cryptosporidium oocysts and factors such as sex and faecal consistency. At the same time, age, breed, management system, animal source and drinking water source varied insignificantly (P&gt;0.05). This study has shown the occurrence of Cryptosporidium infection in cattle in the Yola metropolis. There should be an awareness campaign among public health workers on the dangers posed by the organism to humans so that the Government would enforce control and preventive measures.

Risk factors for Cryptosporidium infection in small ruminants in northern Greece

The knowledge of risk factors for Cryptosporidium spp. infection in small ruminants is based on limited data. Therefore, the current research aimed to describe the prevalence and risk factors associated with the occurrence of Cryptosporidium infection in sheep and goat herds in northern Greece. Hence, 530 fresh fecal samples from 59 sheep and goat farms were collected and examined for Cryptosporidium oocysts using microscopy of fecal smears stained by the modified Ziehl-Neelsen technique. The overall prevalence of Cryptosporidium infection for both host species was 34% (180/530; 95% confidence interval (CI): 29.9–38). Specifically, the prevalence for sheep and goats was 33.5% (112/334; 95% CI: 28.4–35.6) and 34.7% (68/196; 95% CI: 28–41.4), respectively. Additionally, standardized questionnaires were filled-in to collect data regarding animals’ health status, feeding, and other management practices in each farm. In total 22 risk factors hypothesized to be associated with Cryptosporidium infection were investigated. Multiple logistic regression analysis showed that farms with stagnant water were 11.78 (95% CI: 66–61.5) times more likely to be infected with Cryptosporidium than farms without stagnant water (p < 0.05). Furthermore, farms with more than 25% of their animals suffering from diarrhea were 17.39 (95% CI: 3.43–88.3) times more likely to be infected with Cryptosporidium than farms with ≤ 25% of the animals having diarrhea (p < 0.05). These results suggest that the animal health status and the prevailing environmental conditions play an important role in transmitting Cryptosporidium spp. infection.

Evaluating a Modified Ziehl-Neelsen Technique with Triton X-100 for Detecting Acid-fast Bacilli in Sputum

Evaluating a Modified Ziehl-Neelsen Technique with Triton X-100 for Detecting Acid-fast Bacilli in Sputum

Prevalence of Cryptosporı̇dı̇um spp. in Dogs in The Aegean Region

Cryptosporidium spp. is a protozoal parasite that can cause significant gastrointestinal diseases in humans and animals. Those parasites cause infection, especially in young and immunosuppressed animals in many mammals, poultry, reptiles, and humans, Cryptosporidium spp. Localised in the digestive system, epithelial cells threaten human and animal health with their zoonotic properties. The study's animal material consisted of 200 dogs of different breeds, ages and genders, including healthy (n=50) and diarrhoea (n=150). Stool samples of the dogs used in the study were stained with modified Ziehl-Neelsen technique and examined under a microscope. It was concluded that the prevalence of Cryptosporidium spp. was 15.5% in faecal samples taken from dogs and that the prevalence of Cryptosporidium spp. was 14% and 16%, respectively, in healthy and diarrheal dogs, and it was concluded that it could be used as a reference to future studies in dogs.

Intestinal Parasites in Children up to 14 Years Old Hospitalized with Diarrhea in Mozambique, 2014-2019.

Diarrhea remains a public health problem in Mozambique, even with control strategies being implemented. This analysis aimed to determine the proportion and factors associated with intestinal parasitic infection (IPI) in children up to 14 years old with diarrheal disease, in the southern, central and northern regions of Mozambique. A single diarrheal sample of 1424 children was collected in hospitals and examined using the formol-ether concentration and modified Ziehl–Neelsen techniques to identify intestinal parasites using optical microscopy. Sociodemographic characteristics were obtained by questionnaires. Descriptive statistics and cross-tabulation were performed, and p-values <0.05 were considered statistically significant. A single IPI was detected in 19.2% (273/1424) of the children. Cryptosporidium spp. was the most common parasite (8.1%; 115/1424). Polyparasitism was seen in 26.0% (71/273), with the co-infection of Ascaris lumbricoides and Trichuris trichiura (26.8%; 19/71) being the most common. Age and province were related to IPI (p-value < 0.05). The highest occurrence of IPI was observed in the wet period (October to March), with 21.9% (140/640), compared to the dry period (April to September), with 16.9% (131/776) (p-value = 0.017). Cryptosporidium spp. and the combination of A. lumbricoides/T. trichiura were the main intestinal parasites observed in children hospitalized with diarrhea in Mozambique.

Identification of Cryptosporidium parvum in Stool Specimen Using Different Diagnostic Methods in Wasit Province/Iraq

The present study aimed to investigate the presence and prevalence of Cryptosporidium amongimmunocompromised patients in Wasit Hospitals and health centers to determine the best method for itsdiagnosis. The study started from the 1st of August to the end of November 2020. One hundred forty stoolsamples were collected from immunocompromised patients from both genders who attended the hospitaland health centers at Wasit province. Stool samples were inspected by modified acid-fast stain as a standardmethod, enzyme linked immunosorbent assay (ELISA) and Molecular Nested PCR method. Modified Ziehl-Neelsen technique revealed 46 (33%) positive cases for Cryptosporidium oocysts, of 85 males and 55 females,highly significant relationship was found between the genders and between different age groups of infectionwith a highly significant difference between rural and urban area. The prevalence of Cryptosporidium was57.14% using nested PCR and 38.46% for ELISA in comparison with MZN method. It is concluded thatcryptosporidiosis found to be endemic in Wasit Province for the first time and the nested PCR was the mostreliable technique for its diagnosis.

Predictors of intestinal parasite infection among HIV patients on antiretroviral therapy in Jos, Plateau State, Nigeria, 2016: a cross-sectional survey.

Introductionintestinal parasitic infection has been reported as a cause of morbidity and mortality among HIV patients on antiretroviral therapy (ART) due to interruption in treatment of the defaulting HIV patients. This study aimed to determine the prevalence and possible causes of intestinal parasites among HIV patients on ART.Methodsa survey involving 375 adult HIV/AIDS patients selected using a systematic random sampling technique was conducted in a Jos University Teaching hospital, Plateau State, Nigeria. Socio-demographic and clinical data was collected using semi-structured interviewer administered questionnaire and electronic dataset review. Fresh stool samples were collected from all participants for laboratory identification of intestinal parasites using formol-ether sedimentation and modified Ziehl-Neelsen techniques. Descriptive statistics, odds ratio and logistic regression model were computed at P ≤ 0.05.Resultsthe mean age of the study participants was 41.6±9.3years. Majority 294 (78.4%) were females, 141 (37.6%) lived in the rural area, 50 (13.3%) respondents did not have toilets in their homes. Most 275 (73.3%) had ART adherence level of 95% and above. Prevalence of intestinal parasites was 28.5%. Females (aOR = 2.14, 95% CI=1.12 – 3.89) and participants with no toilet facilities (aOR = 2.0, 95% CI=1.03 – 3.94) were significantly more likely to have intestinal parasites.Conclusionthe prevalence of intestinal parasites was high among HIV patients. Gender and unavailability of toilet in homes were found to be predictors of having parasites. We recommend that HIV patients should be periodically screened for IPs during the follow-up clinic visits.

Rearing system with nurse cows and risk factors for Cryptosporidium infection in organic dairy calves

Rearing dairy calves with nurse cows has been increasingly adopted by French farmers especially in organic farming and is characterized by a fostering of two to four calves during the first month of life by an unmilked lactating cow. This type of rearing remains poorly documented regarding its impact on calf health, such as cryptosporidiosis. The objectives of our study were to describe practices related to rearing dairy calves with nurse cows and to evaluate the prevalence, intensity and risk factors for Cryptosporidium infection in calf neonates. Between January and September 2019, the rearing practices of calves were described in 20 organic French farms and faeces were sampled once from 611 animals aged between 5 and 21 days. Cryptosporidium oocyst shedding was identified by modified Ziehl-Neelsen technique and scored semi-quantitatively (score 0–4). The risk of excretion (score 0 versus 1–4) was analysed using multivariate logistic regression models.This cow-calf rearing system usually consisted of a first phase with the dam, followed by an optional phase of artificial milk feeding (calves being fed with whole milk of the farm) and a final phase of fostering by a nurse cow. Each nurse was suckled from one to five calves of close age with a fostering age of 8 days on average. The oocyst shedding prevalence was 40.2 % and similar to classically reared calves, but the intensity of shedding and the prevalence of diarrhoea appeared to be lower. The identified six risk factors for oocyst shedding were: born in the last two thirds of the birth order, born between January and July versus August and September, calf with its dam in the barn versus on pasture, having an artificial milk feeding phase versus being with the dam only, and contact between peer calves and notably the presence of an oocyst excretory calf fostered by the same nurse. These results emphasize the role of the environment for the direct and indirect contamination, particularly that related to the accumulation of oocysts from previous or peer calves facilitating the faecal-oral route of transmission. This highlights the crucial role of the premises used intensively during the winter and spring months with higher densities of calves in the barn compared to outdoor situations promoted by this rearing.

Prevalence of &amp;lt;i&amp;gt;Cryptosporidium&amp;lt;/i&amp;gt; Species and Other Intestinal Parasites Among HIV Infected Patients at LAUTECH Teaching Hospital, Osogbo, Nigeria

<i>Background</i>: Cryptosporidiosis though an opportunistic infection in HIV infected patients, increases the mortality and morbidity to the diseases by its effect suppression of the immune system, our quest is to highlights the clinical correlation of diarrhea in immunocompromised individuals and the economic losses associated with managing infected individuals. <i>Methods</i>: Stool samples were collected from 96 subjects. Their personal information regarding their names, sex, age was also obtained. The stool samples were processed for non-opportunistic parasite using the direct and formol-ether concentration method. For Cryptosporidium, Modified Ziehl-Neelsen Technique was used. A total of ninety-six confirmed HIV individuals were enrolled for this study. <i>Results</i>: The mean age of the patients was 24.7 years with the youngest been 3 years old and the eldest 58 years old. 77 (74%) were females while 22 (23%) were males. Table 1 shows the general characteristics of the HIV subjects recruited into the study. The distribution of intestinal parasites detected in patient’s stool is shown in Table 2. Of the 96 stool samples examined, intestinal parasites were seen in 87 samples, while 9 samples showed absence of parasites. The diagnosed parasitic infections were: <i>Cryptosporidium</i> spp (54.2%), <i>A. lumbricoides</i> (9.4%), Hookworm (5.2%), <i>E. histolytica</i> (3.1%), <i>S. stercoralis</i> (1%) and Teania spp (1%). Double parasitic infections with Cryptosporidium were observed in 13 (13.5%) HIV/AIDS patients stool samples. Regarding age and sex distribution of the participants, there were 74 (77%) females and 22 (23%) males. Males (68.2%) were more infected than females (55.4%) but the difference was not statistically significant. Table 3 shows relationship between intestinal parasitic infection and diarrhea in the HIV/AIDS patients. 45 (86.5%) of patients with Cryptosporidium infection presented with diarrhea. <i>Conclusion</i>: The association between diarrhea and Cryptosporidium infection was statistically significant. It may be concluded that in HIV infected patients, both opportunistic intestinal parasitic infections are prevalent.

Distribution of Cryptosporidium and Cyclospora at Different Depths in Underground Water in the Centre Region, Cameroun: Role of Hydrodynamical Variable

This study, developed in Centre Region of Cameroon, made it possible to indicate the consequences responsible of soil vulnerability. Chemical and biological analysis of soil samples collected near wells and springs during the short rainy season were carried out. The results show that the pH and electrical conductivity values decrease with the depth respectively 6.11 CU and 127.47 µS/cm at the surface (0cm) follow by 5.52 CU and 69.32 µS/cm at 50 cm depth. The hydraulic conductivity shows that the soil is moderately permeable (10-5m/s). Protozoa oocysts were observed using an Olympus CK2 inverted microscopy at 40X objective using Zinc sulphate flotation and modified Ziehl-Neelsen technique. The oocysts were counted using a proposal formula. The distribution of oocysts decreases with depth. At the surface of the soil (0cm) the densities of Cryptosporidium and Cyclospora are respectively 123 oocysts/100g and 50 oocysts/100g. At 25cm depth, the densities of Cryptosporidium and Cyclospora are respectively 36 oocysts /100g and 6 oocysts /100g. At 50cm depth the densities of Cryptosporidium and Cyclospora are respectively 16 oocysts/100g and 3 oocysts/100g. The contamination of these different depth layers would be a risk of contamination of groundwater.

Assessments of the level of adherence to antiretroviral therapy and the health status of people living with HIV in Calabar, Nigeria

Background: Medication adherence describes a patient's behavior of accurately following drug regimens; nonadherence describes a patient's inability to accurately follow drug regimens. Several factors such as psychosocial, educational, health-related, and environmental-related factors could contribute in determining the level of adherence to antiretroviral drug. This was a study to assess the level of adherence antiretroviral combination therapy and the health status of people living with HIV in Calabar, Nigeria. Materials and Methods: Questionnaires were administered to 350 HIV persons who attended antiretroviral treatment (ART) clinic to obtain their sociodemographic data, knowledge of ART, service received, and drug history. Stool samples were collected and examined using direct microscopy, formol–ether concentration technique, and modified Ziehl–Neelsen technique for enteric parasites, whereas blood samples were collected for HIV status examination using serial HIV testing algorithm, hemoglobin levels using cyanmethemoglobin method, and counting of CD4 using Partec CyFlow counter. Results: The results showed that 79.43% (278/350) of the participants adhered to antiretroviral drugs, with most of them (47.84%, 133/278) having CD4 counts between 201 and 400 cell/μl. Stigma was the major reason for nonadherence to treatment. Those who adhered to therapy had a lower infection rate and an elevated mean hemoglobin level than those who did not adhere. Conclusion: There was also an elevated hemoglobin level, lower enteric parasite infections, and an improved CD4 count among the adherents than those who did not adhere.