Contributions of Escherichia coli to Diarrhoea among HIV/AIDS Patients at a Hospital in Tropical West Africa
Esther D. Tyodugh, Ubleni U. Emanghe, Godwin T. Jombo, Ella B. Abraham
Microbiology Research Journal International · pp. 175–186 · Published 8 Dec 2012
10.9734/BMRJ/2012/1098Abstract
Aims: To ascertain the contributions of Escherichia coli to diarrhea among patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in a HIV endemic community. Study Design: Hospital based cross-sectional study. Place and Duration of Study: Mkar Christian hospital, Mkar, Gboko local government area of Benue state, Nigeria between January and June, 2009. Methodology: Close ended questionnaires were administered and relevant information such as age, sex, marital status, educational background, occupation and regular intake of antiretroviral drugs were obtained from HIV/AIDS patients with diarrhea and non-HIV/AIDS patients which served as control. Stool samples were collected, stored, transported and processed using standard procedures of microscopy, culture and sensitivity. Results: Bacteria were found to contribute 59.9% (209) of the diarrhoea among HIV/AIDS patients at Mkar of which E. coli accounted for 111 (43.4%) of the cases and was significantly higher among HIV/AIDS patients on irregular or absent anti-retroviral treatment (ART) than those on regular ART, 64.0% (87) versus 36.9% (24) respectively (P< 0.05). Other bacteria recovered were Salmonella typhi (30.6%) and Shigella dysentheriae/flexneri (26.0%). Conclusion: E. coli should be accommodated in symptomatic management of diarrhoea among HIV/AIDS patients at Mkar while efforts should be made at provision of adequate antiretroviral drugs for the people while their strict intake and adherence enforced.
Cited by 1
J. Ateudjieu, Landry Beyala Bita’a, Etienne Guenou · The Pan African Medical Journal · 2018
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