阿扎雷联邦医疗中心HIV患者中念珠菌病的流行及相关感染部位

Auwal Magaji, Ibrahim Musa Moi
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摘要

人类免疫缺陷病毒(HIV)患者感染各种机会性感染的风险最大,因为他们的免疫系统变得如此脆弱,无法抵抗感染因子。念珠菌是影响免疫系统较弱的人的最常见的机会性病原体之一。念珠菌病仍然是艾滋病毒患者面临的重大公共卫生挑战。关于念珠菌病对尼日利亚东北部,特别是包奇州公共卫生的影响的信息缺乏。本研究旨在确定念珠菌病在HIV患者中的患病率和相关感染部位。从包奇州阿扎雷联邦医疗中心的300名艾滋病毒患者中收集了血液、尿液、痰和口腔拭子等临床样本。在Sabouraud Dextrose琼脂上分离病原菌,采用玉米粉琼脂、试管试验、ChromagarCandida、革兰氏染色和乳酚棉蓝进行鉴定。分离到4种念珠菌,其中以白色念珠菌最多(51%),其次为光秃念珠菌(12%)。51.11%的患者口腔中存在念珠菌,口腔念珠菌病在患者中最为常见。口腔念珠菌病是HIV患者中最麻烦的念珠菌病,主要由白色念珠菌引起。关键词:机会性感染,念珠菌病,感染部位,HIV,包奇
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Prevalence of Candidiasis and Associated Site of Infection among HIV Patients Attending Federal Medical Center, Azare
Patients with Human Immunodeficiency Virus (HIV) are at the greatest risk of being infected with various opportunistic infections, as their immune systems become so weak to fight against the infectious agents. Candida species are among the commonest opportunistic pathogens affecting people with weakened immune systems. Candidiasis remains the major challenge of public health important to the HIV patients. There is scarcity of information regarding the impact of Candidiasis in public health in Northeastern part of Nigeria, especially Bauchi State. This study aimed at determining the prevalence of Candidiasis and the associated site of infection in the HIV patients. Clinical samples such as blood, urine, sputum and oral swab were collected from 300 HIV patients attending Federal Medical Center Azare, Bauchi State. The pathogens were isolated on Sabouraud Dextrose Agar and identified using Corn meal agar, Germ tube test, ChromagarCandida, Gram staining and Lactophenol cotton blue. Four Candida species were isolated among which Candida albican (51%) was the most prevalent followed by Candida glabrata (12%). The isolates colonized the oral cavity of 51.11% of the patients making oral candidiasis most common among the patients. The oral candidiasis is the most troublesome form of candidiasis among HIV patients and has been caused mostly by Candida albican. Key words- Opportunistic infections, Candidiasis, Site of Infection, HIV, Bauchi
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