Academic Journal

Cryptosporidiosis among immunocompromised patients in Saudi Arabia.

Bibliographic Details
Title: Cryptosporidiosis among immunocompromised patients in Saudi Arabia.
Authors: Sanad MM; Department of Biology, Al-Riyadh University for Girls, Saudi Arabia. sand_mm2000@yahoo.com, Al-Malki JS
Source: Journal of the Egyptian Society of Parasitology [J Egypt Soc Parasitol] 2007 Aug; Vol. 37 (2 Suppl), pp. 765-74.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: The Society] Country of Publication: Egypt NLM ID: 8102141 Publication Model: Print Cited Medium: Print ISSN: 1110-0583 (Print) Linking ISSN: 11100583 NLM ISO Abbreviation: J Egypt Soc Parasitol Subsets: MEDLINE
Imprint Name(s): Original Publication: [Cairo : The Society]
MeSH Terms: Immunocompromised Host*, Cryptosporidiosis/*epidemiology , Cryptosporidium parvum/*isolation & purification, Cryptosporidium parvum/immunology ; Enzyme-Linked Immunosorbent Assay/methods ; Feces/parasitology ; Saudi Arabia/epidemiology ; Adolescent ; Adult ; Age Factors ; Animals ; Child ; Child, Preschool ; Diagnosis, Differential ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Prevalence ; Sensitivity and Specificity ; Sex Factors
Abstract: A total of (408) immunocompromised Saudi patients (<2 - >60 years) checked for Cryptosporidium infection showed 69.7% and 64.2% infection rates by Kinyoun's acid fast staining for oocysts and a monoclonal ELISA kit for C. parvum coproantigen detection respectively (P > 0.05). Microscopic examination of stained faecal smears was more sensitive than ELISA (P > 0.05) & showed 84.4% sensitivity, 81.7% specificity & 83.8% diagnostic accuracy. Infection rates of 47.6%, 78.2% & 82.3% were obtained by microscopic examination for children with chronic diarrhea and malnutrition, patients receiving immunosuppressive (I.S.) drugs for organ transplantation or cancers and patients with HIV and chronic diarrhoea respectively. Infection rates of 84% & 74.3% were in patients receiving I.S. drugs for organ transplantation and malignancy respectively. In all patients, the highest infection rate (84%) was among age group 16-40 years while the least (35.3%) was among infants <2 years (P<0.001). Infections in males (73.9%) was significantly (P < 0.05) higher than females (62.6%). This high prevalence rate revealed the first reported for cryptosporidiosis among immunocompromised Saudis, indicating the presence of infection source(s) (nosocomial), and thus, transmission in Saudi Arabia.
Entry Date(s): Date Created: 20071012 Date Completed: 20071102 Latest Revision: 20130502
Update Code: 20260130
PMID: 17926813
Database: MEDLINE
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