HIV and Parasitic Infection and the Effect of Treatment among Adult Outpatients in Malawi
|
|
- Martin Sherman
- 6 years ago
- Views:
Transcription
1 BRIEF REPORT HIV and Parasitic Infection and the Effect of Treatment among Adult Outpatients in Malawi Mina C. Hosseinipour, 1,2 Sonia Napravnik, 2 George Joaki, 1 Syze Gama, 1 Nyanyiwe Mbeye, 1 Blessings Banda, 1 Francis Martinson, 1 Irving Hoffman, 2 and Myron S. Cohen 2 1 University of North Carolina Project, Lilongwe, Malawi; 2 University of North Carolina at Chapel Hill, Chapel Hill We measured enteric parasitic infection prevalence and the effect of treatment on human immunodeficiency virus (HIV) RNA levels to assess their importance to HIV primary care in resource-limited settings. Adults in Lilongwe, Malawi, were evaluated, treated, and followed-up for parasitic and HIV infections. Of 389 patients, 266 (68%) were HIV infected. Helminth infections were more common in HIV-uninfected than in HIV-infected patients (39% vs. 17%). Among HIV-infected patients, helminth infections were associated with higher CD4 cell counts but not with higher HIV RNA levels. Successful treatment of parasitic infections had no effect on HIV RNA levels. Although common, parasitic infections did not impact HIV RNA levels. Understanding the role played by endemic infections on HIV transmission and disease progression in developing countries is essential to effective provision of care for HIV infection. Although antiretroviral therapy (ART) is being introduced in resource-limited settings, basic medical services remain limited, and preventable, endemic illnesses account for substantial morbidity among HIV-infected patients [1]. Studies of the interaction between HIV infection and intestinal parasitic infections have suggested that HIV-infected patients who are coinfected with helminths experience a shift from Received 4 August 2006; accepted 24 November 2006; electronically published 20 March Potential conflicts of interest: none reported. Financial support: National Institutes of Health (NIH; grant P30 AI to fund the Center for AIDS Research program at the University of North Carolina at Chapel Hill); NIH Fogarty Center Career Development Award (National Institute of Allergy and Infectious Diseases grant 1 K01 TW to M.C.H.). Reprints or correspondence: Dr. Mina Hosseinipour, Div. of Infectious Diseases, Bioinformatics Bldg., 130 Mason Farm Rd., Campus Box 7030, Chapel Hill, NC (Mina_Hosseinipour@med.unc.edu). The Journal of Infectious Diseases 2007; 195: by the Infectious Diseases Society of America. All rights reserved /2007/ $15.00 DOI: / a Th1 response (or a type 1 immune system) to a predominantly Th2 response (or a type 2 immune system), as well as an increase in immune system activation [2 4]. Chronic immune activation and the presence of a dominant Th2 cytokine environment may increase the risk of acquiring HIV infection, and concomitant infection with HIV and intestinal parasites may potentiate the virulence of both within the infected patient [3, 4]. Although helminth infections are ubiquitous in developing countries, their effect on the epidemiology of HIV infection, including the risk of HIV transmission and disease progression and management, remains uncertain [3, 4]. Treatment of helminth infections may reduce plasma HIV RNA levels [5], but not all studies confirm this [6 8], and mortality in HIV-infected patients may be similar by helminth infection status [7]. In the present study, we determined the adult prevalence of enteric and urinary parasitic infections in Lilongwe, Malawi, and estimated prevalence differences by HIV infection status. We also studied the effect of parasitic treatment on HIV RNA levels among HIV-infected ART-naive individuals. Participants, materials, and methods. Individuals attending HIV counseling and testing services or outpatient clinics at Kamuzu Central Hospital were eligible. At enrollment, patients received HIV counseling, blood samples were collected for HIV testing and HIV RNA quantification, stool and urine samples were collected for parasitologic testing, and a demographic and clinical history questionnaire was completed. All patients returned 1 week after enrollment to receive treatment for identified infections. HIV-infected and pathogenic parasite coinfected patients were also asked to return 4 weeks after therapy. At that visit, blood was drawn for determination of follow-up HIV RNA levels, stool and urine samples were collected for parasitologic testing, and a questionnaire was completed. Samples were tested for helminths and pathologic and nonpathologic protozoal infections. Schistosomiasis was defined as infection with Schistosoma mansoni or Schistosoma haematobium. Helminth was used to refer to both geohelminths and schistosomiasis. Treatment was based on the guidelines of the Malawi Ministry of Health, including (1) albendazole (single 400-mg dose) for infection with Enterobius vermicularis, Ascaris lumbricoides, Trichuris trichiura, Trichostrongylus species, and hookworm; (2) praziquantel (single 40-mg/kg dose) for infection with Schistosoma mansoni and Schistosoma haematobium; (3) albendazole (400 mg once daily for 3 days) for infection with Strongyloi JID 2007:195 (1 May) BRIEF REPORT
2 Table 1. Spectrum of parasitic infections observed in Lilongwe, Malawi. No. (%) Infection type HIV infected HIV uninfected All Any parasitic infection (protozoan or helminth) 99 (37.2) 68 (55.3)!.001 Helminth infections a,b Any helminth infection 46 (17.3) 48 (39.0)!.001 Any geohelminth infection c 37 (13.9) 39 (31.7)!.001 Schistosomiasis 11 (4.1) 13 (10.6).014 Hookworm 27 (10.2) 35 (28.5)!.001 Schistosoma mansoni 11 (4.1) 13 (10.6).014 Ascaris lumbricoides 8 (3.0) 3 (2.4) NC Hymenolepis nana 2 (0.8) 1 (0.8) NC Strongyloides stercoralis 2 (0.8) 0 (0.0) NC Schistosoma haematobium 1 (0.4) 1 (0.8) NC Protozoan infections a,d Any protozoan infection 71 (26.7) 41 (33.3).179 Pathogenic protozoan infections 34 (12.8) 17 (13.8).778 Entamoeba histolytica/dispar 31 (11.7) 13 (10.6).753 Giardia lamblia 3 (1.1) 3 (2.4) NC Blastocystis hominis 1 (0.4) 1 (0.8) NC Nonpathogenic protozoan infections 44 (16.5) 25 (20.3).364 Escherichia coli 41 (15.4) 20 (16.3).831 Iodamoeba buetschlii 2 (0.8) 5 (4.1) NC Chilomastix mesnili 0 (0.0) 1 (0.8) NC Endolimax nana 0 (0.0) 1 (0.8) NC Entamoeba hartmani 1 (0.4) 0 (0.0) NC Any mixed infection 27 (10.2) 23 (18.7).019 NOTE. NC, not calculated (because of small sample size). a Categories are not mutually exclusive. b Enterobius vermicularis, Hymenolepsis diminuta, Taenia saginata, Taenia solium, Trichostrongylus species, and Trichuris trichiura helminth infections were not detected. c Geohelminth category excludes schistosomiasis. d Balantidium coli, Dientamoeba fragilis, and Entamoeba polecki protozoal infections were not detected. des stercoralis; and (4) metronidazole (800 mg 3 times daily) for pathogenic protozoal infections, including with Entamoeba histolytica/dispar, Giardia lamblia, and Blastocystis hominis. Treatment was not given for infections with nonpathogenic protozoa. HIV infection was assessed using 2 rapid HIV tests (Determine [Abbott] and UniGold [Trinity Biotech]). A patient was considered to be HIV infected if both rapid tests were positive. HIV ELISA was performed in the event of discordant rapidtest results. HIV RNA levels were measured using the Roche HIV RNA Amplicor Monitor test (version 1.5; Roche Molecular Diagnostics). CD4 cell counts were determined by flow cytometry (FACSCount system; Becton Dickinson). Stool analysis included a direct smear of formalin-fixed stool and concentrated smear using ethyl acetate sedimentation (Para- Pak Con-Trate System; Meridian Bioscience). Lugol s iodine was added to direct and concentrated specimens. The ZnPVA-fixed specimen was processed using trichrome staining. Two independent technicians reviewed all specimens. Urine was centrifuged, and the sediment was examined for red cells, white cells, helminth eggs, and other pathogens. Confirmed infections for schistosomiasis included identification of Schistosoma haematobium eggs. All specimens were processed in Lilongwe, Malawi, in laboratories certified by the College of American Pathologists and the UK National External Quality Assessment Service. Baseline characteristics between patients with and without HIV infection were compared using the Pearson x 2 test, the Wilcoxon-Mann-Whitney U test, and the t test, as appropriate. A Wilcoxon signed rank sum test was used to contrast the difference in log 10 -transformed HIV RNA levels from baseline to follow-up. SAS (version 9.1, SAS Institute) was used for analyses. Ethics approval was obtained from the University of North Carolina at Chapel Hill Committee on the Protection of the Rights of Human Subjects and from the Malawi National P BRIEF REPORT JID 2007:195 (1 May) 1279
3 Health Sciences Research Committee, and all participants provided written, informed consent Results. Of 389 participants, 266 (68%) were HIV infected. HIV-infected patients were more likely to be women (76% vs. 49%; P!.001) and older (median age, 32 [interquartile range {IQR}, 26 to 37] vs. 26 [IQR, 21 to 34] years; P!.001). Most patients used tap water ( n p 292; 75%) and a pit latrine ( n p 349; 90%), and these factors were comparable by HIV infection status. Sixty patients (15%) had been previously treated for a parasite, a median of 7 (IQR, 3 to 13) years ago; this was comparable by HIV infection status ( P p.37). At baseline, 167 patients (43%) had evidence of at least 1 parasitic infection (table 1). Of patients with a parasitic infection, 117 (70%) were infected by only 1 parasite, 41 (25%) by 2, 8 (5%) by 3, and 1 (1%) by 4. The most common helminth infection was hookworm. Overall, the HIV-uninfected patients were more likely to have at least 1 parasitic infection, including a helminth, geohelminth, schistosomiasis, hookworm, or mixed infection. However, both pathogenic and nonpathogenic protozoan infections were comparable by HIV infection status. Baseline HIV RNA levels and CD4 cell counts were available for 264 patients. The median HIV RNA level at baseline was 4.92 (IQR, 4.37 to 5.38) log 10 copies/ml, and patients with a parasitic coinfection had levels that were similar to those in patients without a parasitic coinfection (median, 4.89 [IQR, 4.40 to 5.38] and 4.92 [IQR, 4.35 to 5.39] log 10 copies/ml, respectively; P p.95). HIV RNA levels were also comparable and were not significantly different by type of parasitic infection. The median baseline CD4 cell count was 248 (IQR, 127 to 405) cells/mm 3. Patients without a parasitic infection had lower CD4 cell counts than did patients with a parasitic infection (median, 224 [IQR, 110 to 351] and 296 [IQR, 173 to 469] cells/mm 3, respectively; P!.001 ). Lower CD4 cell counts were also observed among patients without a helminth or protozoan infection (for no helminth vs. helminth infection, 235 [IQR, 110 to 392] vs. 320 [IQR, 251 to 558] cells/mm 3 [ P!.001]; for no protozoan vs. protozoan infection, 235 [IQR, 122 to 358] vs. 310 [IQR, 173 to 493] cells/mm 3 [ P p.002]). Of the 73 HIV-infected patients who had at least 1 pathogenic parasitic infection at baseline, 71 received treatment and 63 returned for follow-up evaluation. Of the patients who received treatment, baseline and 4-week posttreatment HIV RNA levels were available for 57 (80%). The median follow-up HIV RNA level among these 57 patients was 4.98 (IQR, 4.49 to 5.48) log 10 copies/ml, compared with their baseline median value of 4.86 (IQR, 4.47 to 5.35) log 10 copies/ml ( P p.89). The median change was 0.04 (IQR, 0.27 to 0.31) log 10 copies/ml, with 76% of patients experiencing a change of!0.50 log 10 copies/ ml in HIV RNA level from baseline. Among those with a baseline HIV RNA level 16.0 log 10 copies/ml ( n p 6), the level decreased by a median of 0.74 (IQR, 0.92 to 0014) log 10 copies/ml. There was no significant change in HIV RNA level by type of parasitic infection (figure 1) or by sex, age, or baseline CD4 cell count. Of the 57 patients with treated parasitic infections and available longitudinal HIV RNA values, 19 (33%) had evidence of at least 1 parasitic infection 4 weeks after receiving treatment. When we restricted the analysis to patients without evidence of parasitic infections at follow-up ( n p 38), we did not observe any differences in HIV RNA levels from baseline to follow-up (median, 4.91 [IQR, 4.48 to 5.41] and 4.97 [IQR, 4.29 to 5.48] log 10 copies/ml, respectively; P p.95). Figure 1. Distributions of HIV RNA level, represented by box plots at baseline (BL) and at follow-up (FU) and stratified by type of parasitic infection, among HIV-infected patients treated for pathogenic parasitic infections in Lilongwe, Malawi JID 2007:195 (1 May) BRIEF REPORT
4 Discussion. As expected, we found that helminth and protozoan infections were common among individuals living in Lilongwe, Malawi. Although we did not observe a statistically significant difference in the prevalence of protozoan infections by HIV infection status, helminth infections were detected less frequently among HIV-infected than HIV-uninfected patients. Furthermore, among HIV-infected patients, the risk of detecting a helminth or protozoan infection decreased with declining CD4 cell counts. In the present study, the HIV-infected patients with a helminth infection had plasma HIV RNA levels similar to those in the patients without a helminth infection, and treatment for helminth and other parasitic infections did not affect HIV RNA levels. These findings are consistent with those of most [6 10], but not all [5, 11], prior studies. One study observed a shortterm increase in HIV RNA levels after helminth eradication, an increase that disappeared with longer follow-up [9]. In the 2 studies that have suggested a possible benefit for HIV RNA level [5, 11], the absolute changes were modest and unlikely to influence HIV disease progression or infectiousness. Subgroup analysis of our data in those with the highest baseline HIV RNA levels, although limited by a small sample size and subject to type II error, demonstrated decreasing HIV RNA levels after treatment, suggesting a potential benefit in those with the highest HIV RNA levels. Also, when interpreting the treatment studies that have been conducted to date, that variable lengths of follow-up have been used should be considered [5 11]. A short duration of follow-up, as in our study, potentially risks inadequate time for the evolution of favorable immune responses, whereas a longer follow-up can be influenced by disease progression. Although treatment for intestinal parasitic infection may decrease HIV replication by decreasing activated lymphocytes, it is possible that any reduction in immune activation is not sufficient to impact HIV replication in the presence of HIV infection, which itself causes persistent immune system activation [12]. Furthermore, although we failed to quantify worm burden, light infestations may not induce immune activation or a Th1/Th2 shift enough to influence HIV replication. Moreover, the relationship between HIV replication and the chronic immune activation present in persons with HIV and helminth infections is more involved than previously believed, in light of recent findings with respect to the effect of immune activation on T regulatory/suppressor cells [12]. It is also possible that an effect on plasma HIV RNA levels was masked by other infectious diseases that are common in resource-limited settings, including malaria and tuberculosis. Despite increasing evidence that enteric parasitic eradication in HIV-infected patients does not directly result in reduced HIV replication, there are other beneficial consequences to treating enteric infections in HIV-infected patients. For example, patients with HIV infection and schistosomiasis may be at increased risk of experiencing liver damage [13]. It is also possible that treatment of enteric or urinary parasitic infections results in reduced genital HIV RNA levels, which reduces the risk of transmitting HIV infection, as observed with sexually transmitted infections [14]. Among HIVuninfected individuals, the immune dysregulation observed with intestinal helminth infection may increase an individual s susceptibility to acquiring HIV infection [3], as may genital schistosomiasis [15]. The lower prevalence of helminth infections we found among HIV-infected patients and among patients with lower CD4 cell counts may represent a real difference in prevalence. However, it is also possible that we underestimated prevalence by relying on fecal smears rather than measuring circulating anodic antigen or circulating cathodic antigen (CCA) levels [13]. Prior studies have observed reduced egg excretion with decreasing CD4 cell counts among HIV-infected patients despite similar worm burdens, as measured on the basis of adult worm CCA levels [13]. As a consequence of a possible impact on general morbidity, the idea of presumptively deworming large populations has received some support [3]. Given the high prevalence of intestinal pathogens in areas of the world hardest hit by HIV infection, it would be ideal if treatment of such coinfections also resulted in a decrease in HIV burden such that HIV disease progression and transmission could be modified. Because treatment of intestinal pathogens is safe and efficacious, the treatment of identified infections is warranted on an individual basis; however, to date the literature does not support that treatment will modify HIV disease progression in antiretroviral-naive individuals. Further work in those at high risk for acquiring HIV infection is warranted to better define the impact of intestinal pathogens on HIV acquisition. References 1. Joint United Nations Program on HIV/AIDS (UNAIDS) report on the global AIDS epidemic. Geneva: UNAIDS, Kalinkovich A, Weisman Z, Greenberg Z, et al. Decreased CD4 and increased CD8 counts with T cell activation is associated with chronic helminth infection. Clin Exp Immunol 1998; 114: Bentwich Z, Kalinkovich A, Weisman Z, Borkow G, Beyers N, Beyers AD. Can eradication of helminthic infections change the face of AIDS and tuberculosis? Immunol Today 1999; 20: Clerici M, Declich S, Rizzardini G. African enigma: key player in human immunodeficiency virus pathogenesis in developing countries? Clin Diagn Lab Immunol 2001; 8: Wolday D, Mayaan S, Mariam ZG, et al. Treatment of intestinal worms is associated with decreased HIV plasma viral load. J Acquir Immune Defic Syndr 2002; 31: Lawn SD, Karanja DM, Mwinzia P, et al. The effect of treatment of schistosomiasis on blood plasma HIV-1 RNA concentration in coinfected individuals. AIDS 2000; 14: Brown M, Kizza M, Watera C, et al. Helminth infection is not associated BRIEF REPORT JID 2007:195 (1 May) 1281
5 with faster progression of HIV disease in coinfected adults in Uganda. J Infect Dis 2004; 190: Modjarrad K, Zulu I, Redden DT, et al. Treatment of intestinal helminths does not reduce plasma concentrations of HIV-1 RNA in coinfected Zambian adults. J Infect Dis 2005; 192: Brown M, Mawa PA, Joseph S, et al. Treatment of Schistosoma mansoni infection increases helminth-specific type 2 cytokine responses and HIV-1 loads in coinfected Ugandan adults. J Infect Dis 2005; 191: Elliott AM, Mawa PA, Joseph S, et al. Associations between helminth infection and CD4+ T cell count, viral load and cytokine responses in HIV-1-infected Ugandan adults. Trans R Soc Trop Med Hyg 2003; 97: Kallestrup P, Zinyama R, Gomo E, et al. Schistosomiasis and HIV-1 infection in rural Zimbabwe: effect of treatment of schistosomiasis on CD4 cell count and plasma HIV-1 RNA load. J Infect Dis 2005; 192: Deeks SG, Walker BD. The immune response to AIDS virus infection: good, bad, or both? J Clin Invest 2004; 113: Karanja DM, Colley DG, Nahlen BL, Ouma JH, Secor WE. Studies on schistosomiasis in western Kenya. I. Evidence for immune-facilitated excretion of schistosome eggs from patients with Schistosoma mansoni and human immunodeficiency virus coinfections. Am J Trop Med Hyg 1997; 56: Cohen MS, Hoffman IF, Royce RA, et al. Reduction of concentration of HIV-1 in semen after treatment of urethritis: implications for prevention of sexual transmission of HIV-1. Lancet 1997; 349: Kjetland EF, Ndhlovu PD, Gomo E, et al. Association between genital schistosomiasis and HIV in rural Zimbabwean women. AIDS 2006; 20: JID 2007:195 (1 May) BRIEF REPORT
COMPREHENSIVE STOOL ANALYSIS
COMPREHENSIVE STOOL ANALYSIS Intestinal parasites: Normal value = 0 (not marked) Reference range: 0 (negative) - 4 (heavy presence) Specimens fixed and transported in SAF and concentrated using CONSED
More informationStudy of Intestinal Protozoan Parasites in Rural Inhabitants of Mazandaran Province, Northern Iran
Original Article Study of Intestinal Protozoan Parasites in Rural Inhabitants of Mazandaran Province, Northern Iran EB Kia 1, M Hosseini 2, MR Nilforoushan 1, AR Meamar 3, *M Rezaeian 1 1 Dept. of Medical
More informationCoccidians. Cryptosporidium Cystoisospora belli Cyclospora cayetanensis. by author
Coccidians Cryptosporidium Cystoisospora belli Cyclospora cayetanensis Diagnostic techniques Cryptosporidium Cyclospora cayetanensis Cystoisospora belli sporulation In host weeks days seize 2-5 μm
More informationDownloaded from:
O Hara, GA; Elliott, AM (2016) HIV and Helminths - Not All Worms Created Equal? Trends in parasitology. ISSN 1471-4922 DOI: https://doi.org/10.1016/j.pt.2016 Downloaded from: http://researchonline.lshtm.ac.uk/3327115/
More informationCatalog # OKDA00123 SUMMARY AND EXPLANATION
Aviva Systems Biology 5754 Pacific Center Blvd., Suite 201, San Diego, CA 92121, USA Tel: 858-552-6979 Fax: 858-552-6975 www.avivasysbio.com Email: info@avivasysbio.com Giardia lamblia ELISA Kit Catalog
More information1. Parasitology Protozoa 4
Contents 1. Parasitology 1 Host Parasite Relationship 2 Mode of Transmission 2 2. Protozoa 4 Classification 4 Reproduction 5 Immunity 5 Pathogenesis 6 Laboratory Diagnosis 6 Treatment 8 Entamoeba 8 Classification
More informationRecent Diagnostic Methods for Intestinal Parasitic Infections
Recent Diagnostic Methods for Intestinal Parasitic Infections By Dr. Doaa Abdel Badie Salem Lecturer of Medical Parasitology, Mansoura Faculty of Medicine Agenda Intestinal parasites. Traditional Diagnostic
More informationCrypto / Giardia Ag Combo (Fecal) ELISA
DIAGNOSTIC AUTOMATION, INC. 23961 Craftsman Road, Suite D/E/F, Calabasas, CA 91302 Tel: (818) 591-3030 Fax: (818) 591-8383 onestep@rapidtest.com technicalsupport@rapidtest.com www.rapidtest.com See external
More informationDiagnostic Evaluation of Newly Arrived Asymptomatic Refugees with Eosinophilia
MAJOR ARTICLE Diagnostic Evaluation of Newly Arrived Asymptomatic Refugees with Eosinophilia Lorna M. Seybolt, 1,2,a Demian Christiansen, 3 and Elizabeth D. Barnett 1,2 1 Boston Medical Center, 2 Boston
More informationTHE HELMINTHIC AND PROTOZOAL INFESTATIONS IN A RURAL POPULATION OF NORTHERN NIGERIA
THE HELMINTHIC AND PROTOZOAL INFESTATIONS IN A RURAL POPULATION OF NORTHERN NIGERIA Abstract Pages with reference to book, From 350 To 354 Naghma - e - Rehan ( Public Health Research Unit, P,M.B. 2018
More informationPrevalence of intestinal parasites among primary school children in Makurdi, Benue State- Nigeria
ISPUB.COM The Internet Journal of Infectious Diseases Volume 8 Number 1 Prevalence of intestinal parasites among primary school children in Makurdi, Benue State- Nigeria R Houmsou, E Amuta, T Olusi Citation
More informationNEW YORK STATE Parasitology Proficiency Testing Program. Parasitology (General) 02 February Sample Preparation and Quality Control
NEW YORK STATE Parasitology Proficiency Testing Program Parasitology (General) 02 February 2010 The purpose of the New York State Proficiency Testing Program in the category of Parasitology (General) is
More informationOverview IMPORTANCE CLASSIFICATION SPECIMEN COLLECTION PROTOZOA WORMS BLOOD PARASITES ARTHROPODS DELUSIONAL PARASITOSIS QUIZZES GROSS
IMPORTANCE Overview CLASSIFICATION SPECIMEN COLLECTION PROTOZOA WORMS BLOOD PARASITES ARTHROPODS DELUSIONAL PARASITOSIS QUIZZES GROSS - Of 6.6 billion people on Earth, 2.7 billion live on
More informationPARA-TECT Cryptosporidium/Giardia Direct Fluorescent Assay Directions For Use For In Vitro Diagnostic Use
Medical Chemical Corp., 19430 Van Ness Avenue, Torrance, California 90501 (310)787-6800, Fax (310)787-4464 Catalog # MCC-C/G - DFA, 75 Test PARA-TECT Cryptosporidium/Giardia Direct Fluorescent Assay Directions
More informationCitation 熱帯医学 Tropical medicine 37(2). p73-7
NAOSITE: Nagasaki University's Ac Title Author(s) Intestinal Parasitic Infections in Transmission Erko, Berhanu; Medhin, Girmay; Birr Citation 熱帯医学 Tropical medicine 37(2). p73-7 Issue Date 1995-08-31
More informationHompes Method. Practitioner Training Level II. Lesson Five (b) Bad Bugs - Parasites
Hompes Method Practitioner Training Level II Lesson Five (b) Bad Bugs - Parasites Health for the People Ltd not for reuse without expressed permission Hompes Method is a trading name of Health For The
More informationPREVALENCE OF INTESTINAL PARASITES IN HIV-POSITIVE/AIDS PATIENTS. O.O Oguntibeju
Malaysian Journal of Medical Sciences, Vol. 13, No. 1, January 2006 (68-73) ORIGINAL ARTICLE PREVALENCE OF INTESTINAL PARASITES IN HIV-POSITIVE/AIDS PATIENTS O.O Oguntibeju School of Health Technology,
More informationPARASITE CONCENTRATOR FOR THE LABORATORY DIAGNOSIS OF INTESTINAL PARASITISM
EVALUATION OF MINI PARASEP SF FAECAL PARASITE CONCENTRATOR FOR THE LABORATORY DIAGNOSIS OF INTESTINAL PARASITISM 1 IKEH, E.I. AND 2 ELUJOLA, M. 1 Department of Medical Microbiology/Medical Laboratory Science
More informationParasitology Questions. Choose the best correct answer in the following statements
Parasitology Questions Choose the best correct answer in the following statements ١. A.. is the larval stage of a fluke that is covered with cilia and swims about seeking out a snail to serve as an intermediate
More informationINTRODUCTION TO PARASITOLOGY OBJECTIVES/RATIONALE
INTRODUCTION TO PARASITOLOGY OBJECTIVES/RATIONALE Parasitology is the study of organisms that derive their nourishment from other living things and cause damage. The student will identify the morphology
More informationInterpretation At-a-Glance Bacteriology. Parasitology
Patient: EMILY TET DOB: December 31, 1980 ex: F MN: 0001558266 Order Number: M9301014 Completed: January 31, 2019 eceived: January 30, 2019 Collected: January 30, 2019 Test Office Test POD Test MD, DO,
More informationImmunologic and Virologic Disease Progression and Response to ART Across Geographic Regions: Outcomes from HPTN 052
Immunologic and Virologic Disease Progression and Response to ART Across Geographic Regions: Outcomes from HPTN 052 Mina C. Hosseinipour, MD, MPH Site Investigator UNC Project, Lilongwe, Malawi UNC School
More informationIntestinal parasitoses among under-fives in two communities in Ethiopia
Intestinal parasitoses among under-fives in two communities in Ethiopia Hailu Birrie *, Fekade Balcha, Fekadu Abebe Abstract: The prevalence of intestinal parasites was studied among under-fives from two
More informationPrevalence of Intestinal Parasites among Schoolchildren in a Coastal Rural Area of Maragondon, Cavite, Southern Luzon, Philippines
Acta Manilana 56 (2008) pp.43-49 Printed in the Philippines ISSN 0065-1370 43 Prevalence of Intestinal Parasites among Schoolchildren in a Coastal Rural Area of Maragondon, Cavite, Southern Luzon, Philippines
More informationPhysician Use of Parasite Tests in the United States from 1997 to 2006 and in a Utah Cryptosporidium Outbreak in 2007
JOURNAL OF CLINICAL MICROBIOLOGY, Feb. 2011, p. 591 596 Vol. 49, No. 2 0095-1137/11/$12.00 doi:10.1128/jcm.01806-10 Copyright 2011, American Society for Microbiology. All Rights Reserved. Physician Use
More informationPrevalence of Intestinal Parasites in Medical Diagnostic Laboratories, Zahedan University of Medical Sciences-Iran
ISSN: 2319-7706 Volume 4 Number 9 (2015) pp. 909-915 http://www.ijcmas.com Original Research Article Prevalence of Intestinal Parasites in Medical Diagnostic Laboratories, Zahedan University of Medical
More informationHUMAN PARASITOLOGY. lumbricoides, Trichuris trichiura, hookworm. Human Parasitology (Code: ) Guideline
HUMAN PARASITOLOGY Human Parasitology (Code:1001021) Guideline I. Course Introduction 128 classes comprise 72 for lecturing, 54 for lab practice, and 2 for self-study. 6.0 credits; 5 th semester II. Lecturing
More informationINTESTINAL POLYPARASITISM IN A RURAL KENYAN COMMUNITY
272 EAST AFRICAN MEDICAL JOURNAL June 2009 East African Medical Journal Vol. 86 No. 6 June 2009 INTESTINAL POLYPARASITISM IN A RURAL KENYAN COMMUNITY P.N. Nguhiu, BVM, MSc., Lecturer, Animal Health and
More informationPractice Guidelines for Ordering Stool Ova and Parasite Testing in a Pediatric Population
CLINICAL MICROBIOLOGY AND INFECTIOUS DISEASE Original Article Practice Guidelines for Ordering Stool Ova and Parasite Testing in a Pediatric Population AMIN KABANI, MD, FRCPC, GISELE CADRAIN, RT, CYNTHIA
More informationNews and Notes. Parasitology Comprehensive 2 October Sample Preparation and Quality Control. 12 K (All Parasites)
NEW YORK STATE Parasitology Proficiency Testing Program News and Notes Recent reports in the literature have indicated a high rate of Cryptosporidium sp. false positive associated with Rapid Cartridge
More informationA CROSS-SECTIONAL STUDY OF INTESTINAL PARASITIC INFECTIONS AMONG SCHOOLCHILDREN IN NAN PROVINCE, NORTHERN THAILAND
SOUTHEAST ASIAN J TROP MED PUBLIC HEALTH A CROSS-SECTIONAL STUDY OF INTESTINAL PARASITIC INFECTIONS AMONG SCHOOLCHILDREN IN NAN PROVINCE, NORTHERN THAILAND J Waikagul 1, S Krudsood 2, P Radomyos 3, B Radomyos
More informationEVALUATION OF PROTOZOAN PARASITES CAUSING DIARRHOEA IN HIV POSITIVE PATIENTS
EVALUATION OF PROTOZOAN PARASITES CAUSING DIARRHOEA IN HIV POSITIVE PATIENTS Uday Shankar 1, Saral J. Ghosh 2 1Post Graduate Student, Department of Microbiology, D. Y. Patil Medical College, Kolhapur,
More informationThe Prevalence of Intestinal Parasitic Infections in a Tertiary Care Hospital in Southern India - A Retrospective Study
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 5 Number 10 (2016) pp. 718-723 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2016.510.078
More informationSingle Dose Metrifonate in the Treatment of Urinary Schistosomiasis in an Area of Low Prevalence and Intensity of Infection
THE CENTRAL AFRICAN JOURNAL OF MEDICINE Vol. 32, No. 6, June 1986 ORIGINAL A R TIC LES Single Dose Metrifonate in the Treatment of Urinary Schistosomiasis in an Area of Low Prevalence and Intensity of
More informationFaculty and Department: Faculty of Science and Technology, Biomedical Sciences. Status: Option, BSc Biomedical Sciences, Westminster elective module
MODULE PROFORMA Full module title: Human Parasitology Module code: 5BIOM009W Credit level: 5 Length: One semester UK credit value: 20 ECTS value: 10 Faculty and Department: Faculty of Science and Technology,
More informationStudy No.: Title: Rationale: Phase: Study Period: Study Design: Centres: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable:
The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product.
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Diarrhea, CD4 Cell Counts and Intestinal Parasitic Infection in HIV Seropositive Patients in
More informationPrevalence of Intestinal Parasitic Infections in HIV-Positive Patients
ISSN: 2319-7706 Volume 4 Number 5 (2015) pp. 269-273 http://www.ijcmas.com Original Research Article Prevalence of Intestinal Parasitic Infections in HIV-Positive Patients Vasundhara*, Haris M.Khan, Harekrishna
More informationIndian Journal of Basic and Applied Medical Research; September 2014: Vol.-3, Issue- 4, P
Original article: Comparison of stool concentration methods for detection of prevalence of enteroparasitic infection in rural tertiary care teaching hospital of Maharashtra 1 Dr. Jaishree Puri, 2 Dr. S.
More informationIntestinal Parasites of Man in Agusan Del Norte, Philippines with Emphasis on Schistosomiasis and Capillariasis
Intestinal Parasites of Man in Agusan Del Norte, Philippines with Emphasis on Schistosomiasis and Capillariasis W.P. Carney, 1 R. Nocun,* A.G. Vergel,** I. Pagaran,*** A. Mercado*** and J.H. Cross 2 (
More informationMalaria and Helminth. Ayola Akim ADEGNIKA CERMEL; Lambaréné, Gabon
Malaria and Helminth Ayola Akim ADEGNIKA CERMEL; Lambaréné, Gabon aadegnika@cermel.org OVERVIEW Objectives Background Hypothesis Litterature review Malaria and Helminthiasis in Gabon Epidemiology vaccinology
More informationDistrict NTD Training module 9 Learners Guide
District NTD Training module 9 Learners Guide Session 3: Diagnostic and laboratory tools for filarial worms, Soil- Transmitted Helminths and Schistosomiasis Key message addressed to communities: Community
More informationAmerican Association of Bioanalysts 5615 Kirby Drive, Suite 870 Houston, TX
Q3 2018 Parasitology American Association of Bioanalysts 5615 Kirby Drive, Suite 870 Houston, TX 77005 800-234-5315 281-436-5357 Specimen 1 Referees Extent 1 Extent 2 Total Few to 534 Giardia lamblia Many
More informationDepartment of Microbiology, International American University, Vieux Fort, Saint Lucia. Abstract
J Vector Borne Dis 47, December 2010, pp. 228 234 Epidemiology and control of Schistosomiasis and other intestinal parasitic infections among school children in three rural villages of south Saint Lucia
More informationZach Johnson---Masters Champion
Intestinal Helminths A New Approach to Therapy of Inflammatory Bowel Disease Douglas R. LaBrecque, MD Professor, Internal Medicine Director, Liver Service Univ. of Iowa Carver College of Medicine Zach
More informationA New Multiplex Real-time PCR Assay For Detection Of Intestinal Parasites
A New Multiplex Real-time PCR Assay For Detection Of Intestinal Parasites Dr. Andreas Simons Worldwide provider of diagnostic assay solutions Offers a variety of test kit methodologies R-Biopharm Headquarters
More informationAbstract. Introduction
ORIGINAL ARTICLE 10.1111/j.1469-0691.2009.02782.x Microscopic diagnosis of sodium acetate-acetic acid-formalin-fixed stool samples for helminths and intestinal protozoa: a comparison among European reference
More informationBrief Survey of Common Intestinal Parasites in the Tokyo Metropolitan Area. Tsukasa NOZAKI1), Kouichi NAGAKURA2)*, Hisae FUSEGAWA3)
Brief Survey of Common Intestinal Parasites in the Tokyo Metropolitan Area Tsukasa NOZAKI1), Kouichi NAGAKURA2)*, Hisae FUSEGAWA3) and Yasuhiko AND01),3) 1) Central Clinical Laboratoly, Tokai University
More informationPrevalence of Intestinal Parasites in HIV Seropositive Patients with and without Diarrhoea and its Correlation with CD4 Counts
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 5 Number 10 (2016) pp. 527-532 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2016.510.058
More informationJMSCR Vol 06 Issue 04 Page April 2018
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i4.114 Stool analysis results to know
More informationINTESTINAL PARASITES IN SCHOOL-AGED CHILDREN IN VILLAGES BORDERING TONLE SAP LAKE, CAMBODIA
INTESTINAL PARASITES IN COMMUNITIES BORDERING TONLE SAP LAKE INTESTINAL PARASITES IN SCHOOL-AGED CHILDREN IN VILLAGES BORDERING TONLE SAP LAKE, CAMBODIA Tep Chhakda 1, Sinuon Muth 1, Duong Socheat 1 and
More informationInfection of Blastocystis hominis in primary schoolchildren from Nakhon Pathom province, Thailand
Tropical Biomedicine 23(1): 117 122 (2006) Infection of Blastocystis hominis in primary schoolchildren from Nakhon Pathom province, Thailand Rapeeporn Yaicharoen, Warunee Ngrenngarmlert, Nuttapong Wongjindanon,
More informationChapter 8. Slower CD4 T cell decline in Ethiopian versus Dutch HIV 1 infected individuals is due to lower T cell proliferation rates
Slower CD4 T cell decline in Ethiopian versus Dutch HIV 1 infected individuals is due to lower T cell proliferation rates Nienke Vrisekoop *1, Belete Tegbaru *1,2, Margreet Westerlaken 1, Dawit Wolday
More informationComparison of Three Collection-Preservation Methods for
JOURNAL OF CLINICAL MICROBIOLOGY, Dec. 1981, p. 656-660 0095-1 137/81/120656-05$02.00/0 Vol. 14, No. 6 Comparison of Three Collection-Preservation Methods for Detection of Intestinal Parasites DONALD L.
More informationNews and Notes. Parasitology Comprehensive 5 February Sample Preparation and Quality Control. 13 A Helminthes Only
NEW YORK STATE Parasitology Proficiency Testing Program News and Notes Recent reports in the literature have indicated a high rate of Cryptosporidium sp. false positive associated with Rapid Cartridge
More informationIntestinal Parasites. James Gaensbauer MD, MScPH Fellow, Pediatric Infectious Diseases University of Colorado School of Medicine November 12, 2012
Intestinal Parasites James Gaensbauer MD, MScPH Fellow, Pediatric Infectious Diseases University of Colorado School of Medicine November 12, 2012 Outline Parasites 101 Global Burden of Disease An Evolutionary
More informationELISA TEST FOR DETECTION OF BLASTOCYSTIS SPP. IN HUMAN FAECES: COMPARISON OF THREE METHODS
ELISA TEST FOR DETECTION OF BLASTOCYSTIS SPP. IN HUMAN FAECES: COMPARISON OF THREE METHODS István Kucsera, Mónika Molnár, Eszter Gályász, József Danka, Erika Orosz National Center for Epidemiology, Department
More informationHPTN 052. Myron S. Cohen, MD Principal Investigator. Presented at the 6 th Int. Workshop on HIV Transmission, July 2011, Rome, Italy
HPTN 052 Myron S. Cohen, MD Principal Investigator Presented at the 6 th Int. Workshop on HIV Transmission, 14 15 July 2011, Rome, Italy Antiviral Treatment as Prevention Extensive biological plausibility
More informationGut parasites in general practice
Gut parasites in general practice A biased account Dr. Samson Wong Department of Microbiology The University of Hong Kong Classification of parasites Protozoa Helminths Arthropods Nematodes (roundworms)
More informationIntestinal Parasitism In Rural And Urban Areas Of North Central Nigeria: An Update
ISPUB.COM The Internet Journal of Microbiology Volume 2 Number 1 Intestinal Parasitism In Rural And Urban Areas Of North Central Nigeria: An Update E Ikeh, M Obadofin, B Brindeiro, C Baugher, F Frost,
More informationComparison of Formol-Ether, Direct Smear and Nigrosine Methylene Blue for the Diagnosis of Human Intestinal Parasites
Journal of Microbiology Research and Reviews Vol. (): -, August, www.resjournals.org/jmr Comparison of Formol-Ether, Direct Smear and Nigrosine Methylene Blue for the Diagnosis of Human Intestinal Parasites
More informationIntestinal parasitism among students in three localities in South Wello, Ethiopia
Original article Intestinal parasitism among students in three localities in South Wello, Ethiopia Tsehai Assefa, Tilahun Woldemichael, Amare Dejene Abstract: A cross-sectional study to estimate the prevalence
More informationINCIDENCE OF NEMATODE INFECTIONS AMONG THE CHILDREN BROUGHT TO ICDDR, B HOSPITAL, DHAKA, BANGLADESH
J. bio-sci. 5: 59-64, 27 ISSN 23-8654 http://www.banglajol.info/index.php/jbs/index -Short Communication INCIDENCE OF NEMATODE INFECTIONS AMONG THE CHILDREN BROUGHT TO ICDDR, B HOSPITAL, DHAKA, BANGLADESH
More informationPrevalence of Intestinal Parasitic Infections in a Tertiary Care Hospital in Northern India: Five year retrospective study
ISSN: 2319-7706 Volume 2 Number 10 (2013) pp. 112-117 http://www.ijcmas.com Original Research Article Prevalence of Intestinal Parasitic Infections in a Tertiary Care Hospital in Northern India: Five year
More informationDetection Rate of Urinary Schistosomiasis in El khiar Villages White Nile State, Sudan
Pyrex Journal of Biomedical Research Vol 3 (5) pp. 34-38 June, 2017 Author(s) retain the copyright of this article http://www.pyrexjournals.org/pjbr ISSN: 2579-1222 Copyright 2017 Pyrex Journals Full Length
More informationThe epidemiology of polyparasitism and implications for morbidity in two rural communities of Côte d Ivoire
Hürlimann et al. Parasites & Vectors 2014, 7:81 RESEARCH Open Access The epidemiology of polyparasitism and implications for morbidity in two rural communities of Côte d Ivoire Eveline Hürlimann 1,2,3,
More informationPrevalence of Intestinal Parasites in Primary School Children of Mthatha, Eastern Cape Province, South Africa
Original Article Prevalence of Intestinal Parasites in Primary School Children of Mthatha, Eastern Cape Province, South Africa Nxasana N, Baba K 1, Bhat VG 2, Vasaikar SD Departments of Medical Microbiology,
More informationParasitology. Helminthology (Helminths)
Parasitology Protozoology (Protozoa) Helminthology (Helminths) Entomology (Arthropodes) Platyhelminthes (flat worms) Nematheminthes (round worms) Trematodes Nematodes Cestodes Collection of the specimens
More informationIntestinal parasites: clinical significance and diagnosis
Intestinal parasites: clinical significance and diagnosis Tom van Gool, MD, PhD Department of Clinical Parasitology Academic Medical Center, Amsterdam, Netherlands Persistentgastrointestinal illness after
More informationINTESTINAL PARASITISM AMONG JIREN ELEMENTARY AND JUNIOR SECONDARY SCHOOL STUDENTS IN SOUTH-WESTERN ETmOPIA
INTESTINAL PARASITISM AMONG JIREN ELEMENTARY AND JUNIOR SECONDARY SCHOOL STUDENTS IN SOUTH-WESTERN ETmOPIA Girmay BaDe MD 1., Challi Jira BSc 1. MPH., Taddese Mala BSc, M. Camm. H 1. ABSTRACT: A cross-sectional
More informationOriginal Article. Noparat Oniem, M.D., Somnuek Sungkanuparph, M.D.
Original Article Vol. 29 No. 1 Primary prophylaxis for cryptococcosis with fluconazole:- Oniem N & Sungkanuparph S. 5 Primary prophylaxis for cryptococcosis with fluconazole among HIV-infected patients
More informationSure-Vue Signature Cryptosporidium/Giardia Test
SAMPLE PROCEDURE This procedure is provided to Fisher Healthcare customers to assist with the development of laboratory procedures. This document was derived from, and was current with, the instructions
More informationINTESTINAL PARASITOSES IN THE KANDY AREA, SRI LANKA
INTESTINAL PARASITOSES IN THE KANDY AREA, SRI LANKA NR de Silva 1, HJ de Silva 2 and VP Priyanka JayapanP 1 Departments of Parasitology and 2 Medicine, Faculty of Medicine, University ofperadeniya, Sri
More informationUndiagnosed and Potentially Lethal Parasite Infections Among Immigrants and Refugees in Australia
Undiagnosed and Potentially Lethal Parasite Infections Among Immigrants and Refugees in Australia 233 Sonia R. Caruana, MPH, * Heath A. Kelly, FAFPHM, Joanne Y. Y. Ngeow, MB BS, * Norbert J. Ryan, PhD,
More informationNews and Notes. Parasitology Comprehensive 5 November 2013
NEW YORK STATE Parasitology Proficiency Testing Program News and Notes Beginning with the May 2013 event a separate set of 3 samples were supplied for laboratories performing antigen detection. For the
More informationThe Schistosomiasis Control Initiative (SCI) Professor Alan Fenwick
The Schistosomiasis Control Initiative (SCI) Professor Alan Fenwick Department of Infectious Disease Epidemiology School of Public Health Imperial College (St Mary s campus) Established in 2002 SCI assists
More informationDecrease in Seminal HIV-1 RNA Load After Praziquantel Treatment of Urogenital Schistosomiasis Coinfection in HIV-Positive Men An Observational Study
Open Forum Infectious Diseases MAJOR ARTICLE Decrease in Seminal HIV-1 RNA Load After Praziquantel Treatment of Urogenital Schistosomiasis Coinfection in HIV-Positive Men An Observational Study Nicholas
More informationSchistosomiasis mansoni and soil-transmitted helminthiasis in Bushulo village, southern Ethiopia
Original article Schistosomiasis mansoni and soil-transmitted helminthiasis in Bushulo village, southern Ethiopia Ashenafi Terefe 1, Techalew Shimelis 2, Mulugeta Mengistu 2, Asrat Hailu 3, Berhanu Erko
More informationResearch Article Cross-Sectional Study on the Prevalence of Intestinal Parasites and Associated Risk Factors in Teda Health Centre, Northwest Ethiopia
ISRN Parasitology Volume 2013, Article ID 757451, 5 pages http://dx.doi.org/10.5402/2013/757451 Research Article Cross-Sectional Study on the Prevalence of Intestinal Parasites and Associated Risk Factors
More informationThe population impacts of ART scale-up in rural KwaZulu-Natal, South Africa: Results from the Africa Centre s population cohort
The population impacts of ART scale-up in rural KwaZulu-Natal, South Africa: Results from the Africa Centre s population cohort Frank Tanser Presentation at 8 th International Workshop on HIV Treatment,
More informationGI Micro Lab. B- After that the stool sample should be cultured on different types of media
GI Micro Lab A- Stool sample is taken and added to Selenite broth to: - 1- Inhibit growth of normal flora bacteria 2- Enhance growth of pathogenic bacteria B- After that the stool sample should be cultured
More informationoriginal research Tumaini Alfred Ringo a, Alex Ernest b, Benjamin Kamala c, and Bonaventura C.T. Mpondo d
Intestinal parasitic infections and the level of immunosuppression in HIV seropositive individuals with diarrhoea in Kilimanjaro, Tanzania: A crosssectional study Tumaini Alfred Ringo a, Alex Ernest b,
More informationPARASITIC INFECTIONS AMONG ORANG ASLI (ABORIGINE) IN THE CAMERON HIGHLANDS, MALAYSIA
PARASITIC INFECTIONS AMONG ORANG ASLI (ABORIGINE) IN THE CAMERON HIGHLANDS, MALAYSIA S Lokman Hakim 1, CC Gan 1, K Malkit 1, My Noor Azian 1, CK Chong 2, N Shaari 2, W Zainuddin 3, CN Chin 2, Y Sara 2
More informationPatient: Ima Sample. Accession: Shiloh Rd, Ste 101. Collected: 2/10/2018. Received: 2/12/2018 Alpharetta GA
GI-MAP TM DNA Stool Analysis Patient: Ima Sample Accession: 20180212-0001 5895 Shiloh Rd, Ste 101 Collected: 2/10/2018 Received: 2/12/2018 Alpharetta GA 30005 877-485-5336 DOB: 7/11/1981 Completed: Ordered
More informationParasite Life Cycles. Dickson D. Despommier John W Karapelou. Springer-Verlag New York Berlin Heidelberg London Paris Tokyo
Parasite Life Cycles Dickson D. Despommier John W Karapelou Parasite Life Cycles With 49 Life Cycle Drawings Springer-Verlag New York Berlin Heidelberg London Paris Tokyo Dickson D. Despommier, Ph.D. Professor
More informationIntestinal Parasitic Infestation among the Outdoor Patients of Dhaka University Medical Centre, Bangladesh
Univ. j. zool. Rajshahi. Univ. Vol. 28, 2010 pp. 45-49 http://journals.sfu.ca/bd/index.php/ujzru ISSN 1023-6104 Rajshahi University Zoological Society Intestinal Parasitic Infestation among the Outdoor
More informationJames Gaensbauer, MD MScPH October 18, 2016
James Gaensbauer, MD MScPH October 18, 2016 Pediatric Infectious Diseases, University of Colorado School of Medicine Center for Global Health, Colorado School of Public Health Denver Health Hospital Authority
More informationSome epidemiological aspects of intestinal parasites in women workers before going abroad
Tropical Biomedicine 23(1): 103 108 (2006) Some epidemiological aspects of intestinal parasites in women workers Suriptiastuti Department of Parasitology, Faculty of Medicine, Trisakti University, Jakarta,
More informationBiostatistics and Computational Sciences. Introduction to mathematical epidemiology. 1. Biomedical context Thomas Smith September 2011
Biostatistics and Computational Sciences Introduction to mathematical epidemiology 1. Biomedical context Thomas Smith September 2011 Epidemiology The study of the distribution and determinants of healthrelated
More informationIntestinal Parasitic Infection and Associated Factors among Food Handlers in South Ethiopia: A Case of Wolaita Sodo Town
Intestinal Parasitic Infection and Associated Factors among Food Handlers in South Ethiopia: A Case of Wolaita Sodo Town Fiseha Wadilo 1* Fithamlak Solomon 1 Amsalu Arota 2 Yishak Abraham 2 1.*Fiseha Wadilo,
More informationDetection and Prevalence Intestinal Parasites in Patients in Abeokuta, South-western, Nigeria
World Applied Sciences Journal 7 (9): 1183-1187, 2009 ISSN 1818-4952 IDOSI Publications, 2009 Detection and Prevalence Intestinal Parasites in Patients in Abeokuta, South-western, Nigeria 1 2 3 4 5 6 I.O.
More informationAppropriate utilization of the microbiology laboratory. 11 April 2013
Appropriate utilization of the microbiology laboratory 11 April 2013 Lecture Plan Revision of infectious disease Triad of infectious disease Interaction between host and infectious agent Pathogenesis Phases
More informationPatient: Ima Sample. Accession: Shiloh Rd, Ste 101. Collected: 9/4/2018. Received: 9/6/2018 Alpharetta GA
GI-MAP TM DNA Stool Analysis Patient: Ima Sample Accession: 20180906-0001 5895 Shiloh Rd, Ste 101 Collected: 9/4/2018 Received: 9/6/2018 Alpharetta GA 30005 877-485-5336 DOB: 9/1/2009 Completed: 9/6/2018
More informationIntroduction to Parasitic Helminths
Introduction to Parasitic Helminths Lecture 4 Medical Parasitology Course (MLAB 362) Dr. Mohamed A. El-Sakhawy 1 Parasitic Helminths Eukaryotic, multicellular animals that usually have digestive, circulatory,
More informationComparative Evaluation of Three Stool Concentration Techniques in the Diagnosis of Intestinal Parasitic Infections
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 5 Number 11 (2016) pp. 299-304 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2016.511.032
More informationPrevalence of intestinal parasites at tertiary teaching Hospital, BRIMS, Bidar
Original article: Prevalence of intestinal parasites at tertiary teaching Hospital, BRIMS, Bidar 1 Dr Parmeshwaraappa K D*, 2 Dr Chandrakant Chillargi 1Assistant Professor, 2 Professor and HOD Dept of
More informationAnaemia and Intestinal Parasitic Infections Among School Age Children in Behera Governorate, Egypt
Anaemia and Intestinal Parasitic Infections Among School Age Children in Behera Governorate, Egypt by F. Curtate,* M. Nabil,** A. El Wakeel,** M. Y. Shamy,*** and the Behera Survey Team *Directorate General
More information