Should We Look for Strongyloides Stercoralis in Foreign-Born HIV-Infected Persons?. [artículo]
Por: Fiorante, Silvana [Medicina Interna]
| Llenas García, Jara [Medicina Interna] | Maseda Fernández, Diego [Medicina Interna] | Matarranz del Amo, Mariano [Medicina Interna] | Pulido Ortega, Federico [Unidad VIH] | Rodríguez, Violeta [Medicina Interna] | Rubio García, Rafael [Unidad de VIH] | Salto, Efren [Medicina Interna].
Colaborador(es): Servicio de Medicina Interna | Instituto de Investigación imas12.
Editor: Journal of Immigrant and Minority Health, 2012Descripción: 15(4):796-802.Recursos en línea: Solicitar documento Resumen: The objective was to evaluate the implementation of a systematic Strongyloides stercoralis screening programme in HIV infected immigrants attending an HIV Unit in Spain. An enzyme-linked immunosorbent assay (ELISA) was performed to assess the presence of Strongyloides IgG. Patients with a positive serology were treated with ivermectin; serologic follow-up testing was performed. 237 patients were screened (65.4 % men). Origin: 64.1 % came from Latin America, 16.5 % from Sub-Saharan Africa, 9.7 % from the Caribbean, 9.7 % from other areas. Strongyloides stercolaris IgG was positive in 13 cases (5.5 %). In the multivariate analysis, factors associated with a positive Strongyloides serology were illiteracy (OR: 23.31; p = 0.009) and eosinophilia (OR: 15.44; p < 0.0001). Nine of the 13 patients positive for S. stercoralis IgG and treated with ivermectin had a follow up serologic test: 77.8 % achieved a serologic response (55.5 % seroreversion). Screening of HIV-positive immigrants may be desirable, at least in those with higher risk of hyperinfection syndrome. Serologic testing seems a useful tool in both diagnosis and follow-up of these patients.
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Artículo
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PC6745 (Navegar estantería) | Disponible |
Formato Vancouver:
Llenas-García J, Fiorante S, Salto E, Maseda D, Rodríguez V, Matarranz M,
Hernando A, Rubio R, Pulido F. Should we look for Strongyloides stercoralis in foreign-born HIV-infected persons? J Immigr Minor Health. 2013 Aug;15(4):796-802.
PMID: 23233123
Contiene 39 referencias
The objective was to evaluate the implementation of a systematic Strongyloides stercoralis screening programme in HIV infected immigrants attending an HIV Unit in Spain. An enzyme-linked immunosorbent assay (ELISA) was performed to assess the presence of Strongyloides IgG. Patients with a positive serology were treated with ivermectin; serologic follow-up testing was performed. 237 patients were screened (65.4 % men). Origin: 64.1 % came from Latin America, 16.5 % from Sub-Saharan Africa, 9.7 % from the Caribbean, 9.7 % from other areas. Strongyloides stercolaris IgG was positive in 13 cases (5.5 %). In the multivariate analysis, factors associated with a positive Strongyloides serology were illiteracy (OR: 23.31; p = 0.009) and eosinophilia (OR: 15.44; p < 0.0001). Nine of the 13 patients positive for S. stercoralis IgG and treated with ivermectin had a follow up serologic test: 77.8 % achieved a serologic response (55.5 % seroreversion). Screening of HIV-positive immigrants may be desirable, at least in those with higher risk of hyperinfection syndrome. Serologic testing seems a useful tool in both diagnosis and follow-up of these patients.
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