Low prevalence of Pneumocystis jirovecii lung colonization in Ugandan HIV-infected patients hospitalized with non-Pneumocystis pneumonia.

Abstract:

:Pneumocystis jirovecii is an important opportunistic infection in human immunodeficiency virus (HIV)-infected patients. In the developed world, P. jirovecii epidemiology is marked by frequent colonization in immunosuppressed patients, but data on the prevalence of colonization are very limited in sub-Saharan Africa, where the majority of persons living with HIV reside. Our objective was to describe the epidemiology of P. jirovecii colonization among HIV-positive patients in a cross-sectional, hospital-based study of patients admitted with suspected pneumonia in Kampala, Uganda. P. jirovecii was detectable in bronchoalveolar lavage fluid from 7 (6%) of 124 consecutive patients with non-Pneumocystis pneumonia. Colonization was not associated with patient demographic or clinical information. This prevalence is substantially lower than in published studies in the developed world and suggests that there is a limited reservoir of organisms for clinical infections in this Ugandan population. These findings may partially explain the low incidence of Pneumocystis pneumonia in Uganda and other sub-Saharan African countries.

authors

Taylor SM,Meshnick SR,Worodria W,Andama A,Davis JL,Cattamanchi A,den Boon S,Yoo SD,Goodman CD,Huang L,International HIV-associated Opportunistic Pneumonias (IHOP) Study.

doi

10.1016/j.diagmicrobio.2011.10.009

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

139-43

issue

2

eissn

0732-8893

issn

1879-0070

pii

S0732-8893(11)00444-5

journal_volume

72

pub_type

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