• Jeanne Vanessa Koumba Lengongo, Bedrich Pongui Ngondza, Bridy Moutombi Ditombi, Noé Patrick M'Bondoukwé, Jacques Mari Ndong Ngomo, Arnaud Mongo Delis, Princilia Bouyi Lekounga, Marielle Bouyou-Akotet, and Denise Patricia Mawili-Mboumba.
• Faculty of Medecine, Department of Parasitology Mycology.
• Afr Health Sci. 2020 Sep 1; 20 (3): 102410341024-1034.

IntroductionIntestinal parasites infections are endemic in Gabon. Nevertheless, they are rarely described in people living with HIV (PLHIV).ObjectiveThe frequency of intestinal parasite infection was estimated and compared between HIV-positive and HIV uninfected individuals in Gabon; factors associated with intestinal parasites were also analysed.Material And MethodsUsing a cross-sectional study design sociodemographic data, life style habits, antiretroviral therapy, cotrimoxazole use and CD4 cell count were recorded.. Stool samples from participants living in Koulamoutou and Oyem were analysed using microscopy. Chi-squared or fisher's exact tests and logistic regression were performed.ResultsAmong participants (n=332), female gender was predominant (73.7%; n=135/183) and the median age was 45 [33-57] years old. Among 183 samples, 53.6% (n = 98/183) were infected by intestinal parasites. The proportion was higher (72.1%) in HIV negative participants compared to PLHIV (42.6%) (p <0.01). PLHIV were more frequently poly-infected. Infection was frequent in patients using external toilets and tap water (>70.0%).ConclusionPrevalence of intestinal parasites is higher in seronegative participants but polyparasitism is more frequent in PLHIV. Strategies are focused on HIV negative population, but this study shows the importance of sensitization for PLHIV to improve their quality of life.© 2020 Lengongo JVK et al.

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