Prevalence of Plasmodium falciparum Infection among HIV Patients Attending Selected Hospitals in Niger State, Nigeria
DOI:
https://doi.org/10.47430/ujmr.2271.002Keywords:
Plasmodium falciparum, anaemia, HIV, malaria, CD4, Niger StateAbstract
Malaria and Acquired Immune Deficiency Syndrome (AIDS) are among the world’s greatest health problems and are concentrated in the tropical and sub-tropical regions of the world. Together, they are the cause of death of millions of people each year, hence they become a burden and a threat for development in India, Southern Asia, South America and Africa including Nigeria. The prevalence of malaria among HIV patients attending selected hospitals in Niger State, Nigeria was determined. A total of 300 HIV patients within the age range of 2-69years were enrolled, of which 217 were females and 83 were males. Four (4) mL of venous blood was drawn from each participant. The blood samples were examined for the presence of Plasmodium falciparum using thin and thick films while the CD4count was determined using flow cytometer (Partec Cyflow). Plasmodium falciparum was detected in 43 out of 300 participants with a prevalence of 14.3%.The prevalence was observed to be higher in males (18.07%) than in females (12.90%) and in the age group 1-10years (28.57%). Statistically, there was no association between Plasmodium falciparum infection with sex (p = 0.223) or age (p =0.253). The CD4 counts of all the participants ranges between 28-2000 cells/μL with a mean of 1111.40 + 739.589. Patients with Plasmodium falciparum infection had lower CD4 counts than those that were negative. Conclusively, HIV individuals with severe immunosuppression (CD4 counts <200 cells/µL) are at higher risk of Plasmodium falciparum infection. Hence, HIV individuals should take all necessary measures to prevent the infection to avoid the negative impact.
Downloads
References
Abioye, J. O. K., Abdullahi, D. K. and Ako, A. A. (2014). Prevalence of Malaria among HIV patients in 44 Nigeria Army re reference hospital Kaduna (44NARHK). International Journal of Advanced Biological Research. 4(4): 412-415.
Abu-Raddad, L. J., Patnaik, P., Kublin, J. G. (2006) Dual infection with HIV and malaria fuels the spread of both diseases in sub-Saharan Africa. Science. 314(5805): 1603-1606.
https://doi.org/10.1126/science.1132338
Adeoti, O. M. I., Awobode, H. O. and Anumudu, C. I. (2015). Cellular Immune Responses to HIV and falciparum malaria Co-infection among Pregnant Mothers. American Journal of Biomedical Research. 3(2): 13-20.
Ahmed, P., Oniyangi, O., Oyesakin, A., Adeoye, A., Ulonnam, C. and Mohammed-Nafi'u, R. (2016). Prevalence of Malaria in Paediatric HIV Patients as seen at the National Hospital Abuja Paediatric Association of Nigeria Kaduna, Nigeria. African Journal of Infectious Disease. 14(1): 24-32.
Amadi, C. P., Ikon, G. M. and Inyang, C. (2018). Current prevalence of falciparum malarial infection among HIV patients on Highly Retroviral Therapy in university of Uyo teaching hospital, Uyo Nigeria. International Journal of Research in Medical Sciences. 6(9): 2916-2922.
https://doi.org/10.18203/2320-6012.ijrms20183627
Berg, A., Patel, S., Aukrust, P., David, C., Gonca, M., Berg, E. S., Dalen, I and Langeland, N. (2014). Increased severity and mortality in adults co-infected with Malaria and HIV in Maputo, Mozambique: a prospective cross-sectional study. PLoS One. 9(12): 1 - 16.
https://doi.org/10.1371/journal.pone.0088257
Bouyou-Akotet, M. K., Koumba-Lengongo, J. V., Ondounda M., Kendjoa, E., Delisb, A. M., Mebalea, M. E., Ngomoa, J. M. N., Bondoukwea, N. P. M, Mawili-Mboumbaa, D. P. and Nkoumoub, M. O. (2018). Burden of a symptomatic malaria, anemia and relationship with cotrimoxazole use and CD4 cell count among HIV1infected adults living in Gabon, Central Africa. Pathogens and Global Health, 112(2): 63-71.
https://doi.org/10.1080/20477724.2017.1401760
Center for Disease Control and Prevention (CDC) (2009). World Malaria Report 2009. Retrieved from http://www.cdc.gov/malaria/featurews/world_malaria_report_2009.html.
Cheesbrough, M. (2009). District Laboratory Practice in Tropical countries (Part 1). Cambridge Second Edition. New York: Cambridge University Press, London, 253-328.
Cyflow Partec (2010) Manual UISOP. CyFlow space. Instrument Equipment Manual. 2010.
Dada, E. O. (2015). Prevalence of Malaria and Co-infection with Human Immuno-Deficiency Virus (HIV) in selected Areas of Ondo State, Nigeria. International Journal of Tropical Disease and Health. 8(1): 34-39.
https://doi.org/10.9734/IJTDH/2015/16987
Gennaro, F. D., Marotta, C., Pizzol, D., Chhaganlal, K., Monno, L., Putoto, G., Saracino, A., Casccio, A. and Mazzucco, W. (2018). Prevalence and predictors of malaria in human immunodeficiency virus infected patients in Beira, Mozambique, International Journal of Environment Research and Public Health, 15(9): 2032.
https://doi.org/10.3390/ijerph15092032
Hwida, B., Ahmed, B. A., Ahmed, G., Tagwa, S., Tayseer, E., Ali, N. (2019). Prevalence of malaria and quantification of cytokine levels during infection in East Nile locality, Khartoun State: a cross sectional study.
Iroezindu, M. O., Agaba, E. I., Okeke, E. N., Daniyam, C. A., Obaseki, D. O., Isa, S. E. and Idoko, J. A. (2012). Prevalence of malaria parasitaemia in adult HIV-infected patients in Jos, North-Central Nigeria. Nigeria Journal of Medicine. 21(2): 209-213.
Jegede, F. E., Oyeyi, T. I., Abdulrahman, S. A. Mbah, H. A., Badru, T., Agbakwuru, C., & Adedokun, O. (2017). Effect of HIV and malaria parasites co-infection on immune-hematological profiles among patients attending anti-retroviral treatment (ART) clinic in Infectious Disease Hospital Kano, Nigeria, PLoSOne, 12(3): 1- 17.
https://doi.org/10.1371/journal.pone.0174233
Kamya, M. R., Gasasira, A. F., Achan, J., Mebrahtu, T., Ruel, T., Kekitiinwa, A., etal. (2007). Effects of trimethoprim-sulfamethoxazole and insecticide-treated bed nets on malaria among HIV-infected Ugandan children. AIDS 21(15): 2059 - 2066.
https://doi.org/10.1097/QAD.0b013e3282ef6da1
Kwenti, T. E (2018). Malaria and HIV Coinfection in Sub-Saharan Africa: Prevalence, Impact and Treatment Strategies. Research and Reports in Tropical Medicine. 9: 123-136.
https://doi.org/10.2147/RRTM.S154501
Nmadu, P. M., Peter, E., Alexandra, P., Koggie, A. Z. and Maikenti, J. I. (2015). The prevalence of malaria in children between the ages of 5 - 15 years visiting Gwarinpa General Hospital, Life-Camp Abuja, Nigeria. Journal of Health Sciences, 5(3): 47 - 51.
Njunda, A. L., Njumkeng, C., Nsagha, S. D., Assob, J. C. N. and Kwenti, T. E. (2016). The prevalence of malaria in people living with HIV in Yaoundé, Cameroon. Infectious Disease Epidemiology. 16(1): 964.
https://doi.org/10.1186/s12889-016-3647-z
Okonko, I. O., Adejuwon, A. O., Okerentungba, P. O. and Frank- Peterside, N. (2012). Plasmodiumfalciparum and HIV-1/2 coinfection among children presenting at the outpatient clinic of Oni Memorial Children Hospital in Ibadan, Southwestern Nigeria. Journal of Nature and Science. 10(94).
Onankpa, B. O., Nma, M. J., Tahir, Y. (2017). Malaria parasitemia in HIV‑infected children attending antiretroviral therapy clinic in a teaching hospital. Sahel Medical Journal. 20(1): 30-32.
Ouedraogo, S. M., Sangare, I et al (2015). HIV-Malaria co-infection in the Department of Paediatrics of Centre Hospitalier Universitaire Souro SANOU (CHUSS). African Journal of Internal Medicine. 3(4): 139 - 145.
Tagoe, D. N. A. and Boachie, J. (2012). Assessment of the impact of malaria on CD4+ T cells and haemoglobin levels of HIV-Malaria co-infected patients. The Journal of Infection in Developing Countries. 6(9): 660-663.
https://doi.org/10.3855/jidc.2124
Tay, S. C., Badu, K., Mensah, A. A., and Gbedema, S. Y. (2015). The prevalence of malaria among HIV seropositive individuals and the impact of the co-infection on their haemoglobin levels. Annals of Clinical Microbiology and Antimicrobials, 14(1): 10 - 17.
https://doi.org/10.1186/s12941-015-0064-6
UNAIDS. (2018). Practical Guidelines for intensifying HIV prevention; Towards Universal Access United Nations Programme on HIV/AIDS and World Health Organization. Geneva, Switzerland.
World Health Organization (2015). Methods Manual: Microscopy for the detection, identification and qualification of Malaria parasites on stained Thick and Thin Blood Film in research settings.TDR/World Health Organization 20, Avenue Appia 1211 Geneva 27, Switzerland.
World Health Organization. (2017). Malaria in HIV/AIDS Patients. Geneva: WHO. Retrieved from https://www.who.int/news-room/fact-sheets/detail/malaria.
World Health Organization (2019). World Malaria Report 2019. WHO Geneva, Switzerland. Retrieved from https://www.who.int/news-room/fact-sheets/detail/malaria.
https://doi.org/10.30875/7e6f8c91-en
World Health Organization. (2020). HIV/AIDS. WHO Geneva, Switzerland. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hiv-aids#.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 UMYU Journal of Microbiology Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.