Prevalence of Intestinal Parasites and its Association Factors, Knowledge, Attitude and Practice about Intestinal Parasite among HIV-Positive Individual in Saint Peter TB Specialized Hospital Addis Ababa, Ethiopia
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Date
2021-03
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Addis Abeba University
Abstract
Background: Intestinal parasitic infections (IPI) and HIV/AIDS have been the leading and
persisting public health problems in the world. There vital causes of morbidity and mortality are
remarkably high in sub-Saharan Africa, this study aimed to determine the Prevalence of
Intestinal parasites and Knowledge, Attitude, and Practice (KAP) among HIV-positive
individuals in Saint Peter Hospital, Addis Ababa, Ethiopia
Methods: A cross-sectional study was conducted among patients attending saint peter hospital
from December 2019 to May 2020. A total of 328 participants were select by using convenient
sampling method. Socio-demographic data and knowledge, attitude and practice were collected
using a structured questioner. Stool specimen was collected using clean container and processed
and analyzed for parasitological examination using direct wet mount, formal-ether
sedimentation, and modified Ziehl-Neelsen staining techniques. Venous blood was collected and
the CD4+ T-lymphocyte and hemoglobin analyzed by Presto instrument. The data were analyzed
by using SPSS version 23 and P values less than 0.05 were considered statistically significant.
Result: A total of 328 HIV-positive individuals (59.8% female) of age ranging from 13-72 years
(mean= 41.8, SD 10.8) participated in this study. The overall prevalence of intestinal parasites
among the study participants was 26.2% (86/328), from this 88.4% (76/86) was infected by
single parasite, [Entamoeba histolytica/dispar 48.7 % (37/76),Giardia intestinalis 30.3% (23/76),
Taenia species 10.5% (8/76), Ascaris lumbricoides 3.9% (3/76), Strongyloides stercoralis5.3%
(4/76), and Hymenolepis nana 1.3% (1/76)]. Co-infection was accounted 11.6% (10/86)[
Entamoeba histolytica/dispar and Giardia intestinalis 70 % (7/10), Entamoeba histolytica/dispar
and Strongyloides stercoralis 30 % (3/10)] and IP was significantly associated with CD4 count <
200 AOR [4.736 CI (2.338-9.594); P-value <0.001], and also Anemia AOR [3.271 CI (1.06910.010);
P-value 0.038 of all study participants interviewed for their knowledge, attitude, and
practices (KAPs), 89.9% had good knowledge, 88.4% had a positive attitude and 77.7% had
good practice about intestinal parasitosis.
Conclusion;-Intestinal parasitic infections are still common health problems among HIV/ADIS
patients in the study area, so the health professionals need to give attention to parasitological
examinations in the routine treatment of HIV/AIDS patients and also give education on these
three parts knowledge, attitude and practice, but more focus and follow up on the practice of
HIV/AIDS patients on transmission, prevention, and control mechanisms of intestinal
parasitosis.
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Keywords
Intestinal parasites,HIV