The prevalence of Cryptosporidium spp. and other intestinal parasites in elderly patients

Yıl 2023, Cilt: 48 Sayı: 4, 1333 - 1338, 29.12.2023

Filiz Orak Adem Doğaner Murat Aral Hulusi Güven Şermin İnal Büşra Pembe

https://doi.org/10.17826/cumj.1349781

Öz

Purpose: Cryptosporidiosis is a self-limiting infection in individuals with immune competence, but it can have serious and life-threatening consequences in the elderly and immune-compromised individuals. In this study, we aimed to investigate the prevalence of Cryptosporidium spp. and other intestinal parasites and their relationship with symptoms in elderly patients.
Materials and Methods: The distribution of Cryptosporidium spp. and other intestinal parasites was prospectively evaluated in elderly patients admitted to different clinics of the university hospital between September 2018 and September 2019.
The study group included 40 elderly patients (18 females and 22 males; mean age: 73.35 ±6.55years) with gastrointestinal complaints and a control group consisting of 44 elderly patients without gastrointestinal complaints. Stool samples were examined using wet mount, and Kinyoun acid fast staining.
Results: The most frequently isolated parasites were amoeba cysts and trophozoites in elderly patients. Cryptosporidium spp. cysts were detected in 9 (22.5%) of patients with gastrointestinal symptoms, and in 13 (40.6%) of those with other complaints and in the control group. Cryptosporidium spp. cysts were found more common in those with a solid stool consistency than others with a watery stool consistency.
Conclusion: Cryptosporidiosis could be a life-threatening condition in a high-risk population, such as the elderly with co-morbidities, and physicians should have increased awareness.

Anahtar Kelimeler

Cryptosporidium, parasite, elderly

Proje Numarası

Yok

Yaşlı hastalarda Cryptosporidium spp. ve diğer bağırsak parazitlerinin yaygınlığı

Öz

Amaç: Kriptosporidyoz, bağışıklık yetkinliğine sahip bireylerde kendini sınırlayan bir enfeksiyondur, ancak yaşlı ve bağışıklığı baskılanmış kişilerde ciddi ve hayatı tehdit edici sonuçlara yol açabilir. Bu çalışmada yaşlı hastalarda, Cryptosporidium spp. ve diğer bağırsak parazitlerinin prevalansını ve semptomlarla ilişkilerini araştırmayı amaçladık.
Gereç ve Yöntem: Eylül 2018 ile Eylül 2019 tarihleri arasında üniversite hastanesinin farklı kliniklerine başvuran yaşlı hastalarda Cryptosporidium spp. ve diğer bağırsak parazitlerinin dağılımı prospektif olarak değerlendirildi.
Çalışma grubuna gastrointestinal şikayetleri olan 40 yaşlı hasta (18 kadın ve 22 erkek; ortalama yaş: 73,35 ±6,55 yıl) ve gastrointestinal şikayeti olmayan 44 yaşlı hastadan oluşan kontrol grubu dahil edildi.
Gaita örnekleri ıslak bakı ve modifiye Kinyoun asit hızlı boyama kullanılarak incelendi.
Bulgular: En sık izole edilen parazitler amip kistleri ve trofozoitleri oldu. Gastrointestinal semptomları olan hastaların 9 (% 22.5)’ unda ve diğer şikayetleri olanlar ile kontrol grubunun 13 (% 40.6)' ünde Cryptosporidium spp. kistleri saptandı. Cryptosporidium spp. kistleri katı dışkı kıvamında olanlarda sulu dışkı kıvamına sahip olanlara göre anlamlı derecede daha yaygın bulundu.
Sonuç: Kriptosporidyoz, altta eşlik eden hastalık varlığında yaşlılar gibi yüksek riskli bir popülasyonda hayatı tehdit eden bir durum yaratabilir ve doktorlar bu konuda farkındalığı arttırmalıdır.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

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