Etiological agents of diarrhea in patients infected by the human immunodeficiency virus-1: a review Agentes etiológicos da diarréia em pacientes infectados pelo vírus da imunodeficiência tipo-1: revisão

Despite the importance of understanding the epidemiology of agents responsible for infectious diarrhea in human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) population, the number of articles about this subject is relatively few. The current article summarizes published dat...

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Bibliographic Details
Published in:Revista do Instituto de Medicina Tropical de São Paulo
Main Authors: Andréa Regina Baptista Rossit, Ana Carolina Musa Gonçalves, Célia Franco, Ricardo Luiz Dantas Machado
Format: Article in Journal/Newspaper
Language:English
Published: Universidade de São Paulo (USP) 2009
Subjects:
HIV
Online Access:https://doi.org/10.1590/S0036-46652009000200001
https://doaj.org/article/3912640c0aef4eb5a9e2e3b6305ae446
Description
Summary:Despite the importance of understanding the epidemiology of agents responsible for infectious diarrhea in human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) population, the number of articles about this subject is relatively few. The current article summarizes published data on bacterial, fungal, viral and parasitic enteropathogens in the HIV/AIDS seropositive subjects in different countries, regions and localities. In general, there is a great difference in the frequencies of etiological agents due to factors which include immune status, geographical location, climate and socioeconomic conditions. It is important to stress that a great prevalence of infection by emergent agents has been reported in the more advanced stages of AIDS. Therefore, to establish specific treatment depends directly on knowledge of these agents and risk factors associated to their distribution. Moreover, the colonization by potential pathogenic agents verified in these individuals is high thus implicating that they act as carriers. Finally, public health measures of control and prevention must take into consideration the regional previously identified enteropathogens, especially in areas where HIV prevalence is high. Muito embora a importância do conhecimento sobre a epidemiologia dos agentes responsáveis pela diarréia infecciosa nos portadores do vírus da imunodeficiência humana (HIV) e/ou doentes pela síndrome da imunodeficiência adquirida (SIDA), o número de artigos científicos sobre o tema é relativamente pequeno. Este artigo resume os dados já publicados sobre os enteropatógenos bacterianos, fúngicos, virais e parasitários que acometem os indivíduos soropositivos para o HIV e/ou doentes pela SIDA em diferentes países, regiões e localidades. Em geral, existe uma grande diferença nas freqüências dos agentes etiológicos, devido a fatores que incluem status imunológico, localização geográfica, clima e condições socioeconômicas. Ressalta-se, que é grande a prevalência de infecção por agentes emergentes nos ...