Cryptosporidiosis and Microsporidiosis in Ugandan Children with Persistent Diarrhea with and Without Concurrent

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dc.contributor.authorBakeera-kitaka, Sabrina
dc.contributor.authorTumwiine, James K.
dc.contributor.authorKetiniinwa, Addy
dc.contributor.authorNdeezi, Grace
dc.contributor.authorDownning, Robert
dc.contributor.authorXiaochun, Feng
dc.contributor.authorAkioshi, Donna K.
dc.contributor.authorTzipori, Saul
dc.date.accessioned2021-12-15T19:08:21Z
dc.date.available2021-12-15T19:08:21Z
dc.date.issued2005
dc.description.abstractCryptosporidium spp. and Enterocytozoon bieneusi are enteric pathogens that have emerged as significant causes of persistent diarrhea (PD) in immunologically compromised individuals particularly in association with HIV/ AIDS. We conducted a cross-sectional study on the clinical epidemiology of E. bieneusi and Cryptosporidium in children with PD, with and without HIV/AIDS, attending Uganda’s Mulago National Referral Hospital. Two hundred forty-three children aged < 60 months, admitted between November 2002 and May 2003 with PD (> 14 days), were analyzed for HIV status and CD4 lymphocyte counts, and stools were screened for the presence ofE. bieneusi and Cryptosporidium by microscopy and positive samples genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis. Eighty (32.9%) of the children were excreting E. bieneusi, and 76 (31.3%) were excreting Cryptosporidium. Ninety-one of the 243 children had HIV, of who 70 (76.9%) had E. bieneusi, versus 10 (6.6%) of the 152 without (odds ratio 47.33; 95% CI 19.88 to 115.97), while 67 (73.6%) had Cryptosporidium, versus 9 (5.9%) without (odds ratio 44.36; 95% CI 18.39 to 110.40). Children with counts < 25% CD4 cells were more likely to have either E. bieneusi (odds ratio 7.42; 95% CI 3.77 to 14.69) or Cryptosporidium (odds ratio 6.45; 95% CI 3.28 to 12.76) than those with higher CD4 percentages. However, only HIV status was independently associated with either Cryptosporidium or E. bieneusi. Among the 243 children with PD, 67 (27.8%) were infected with both enteric pathogens, with HIV being the only independent predictor of coinfection. Finally, some 81% of HIV-infected children with PD excreted one or both organisms, compared with only 10% of children with PD testing negative for HIV. Seventy-four percent of isolates were C. hominis, the anthroponotic species, 17% were C. parvum, the zoonotic species, and 8% were a mixture of the two or others.en_US
dc.identifier.citationBakeera-kitaka,, S., Tumwiine, J. K., Ketiniinwa, A., Ndeezi, G., Downning, R., Xiaochun, F., Akioshi, D. K., & Tzipori, S. (2005). Cryptosporidiosis and Microsporidiosis in Ugandan Children with Persistent Diarrhea with and Without Concurrent. The American Society of Tropical Medicine and Hygiene: American Journal of Tropcal Medical Hygien, 73(5), 921–925en_US
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/658
dc.language.isoenen_US
dc.publisherThe American Society of Tropical Medicine and Hygieneen_US
dc.subjectCrysptosporidiosisen_US
dc.subjectMicrosporidiosisen_US
dc.subjectPersistent diarrheaen_US
dc.subjectHuman Immuno Deficiency Virus (HIV)en_US
dc.titleCryptosporidiosis and Microsporidiosis in Ugandan Children with Persistent Diarrhea with and Without Concurrenten_US
dc.typeArticleen_US
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