High Prevalence of Persistent Parasitic Infections in Foreign-Born, HIV-Infected Persons in the United States 英文参考文献.docVIP

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High Prevalence of Persistent Parasitic Infections in Foreign-Born, HIV-Infected Persons in the United States 英文参考文献.doc

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High Prevalence of Persistent Parasitic Infections in Foreign-Born, HIV-Infected Persons in the United States 英文参考文献

HighPrevalenceofPersistentParasiticInfectionsin Foreign-Born,HIV-InfectedPersonsintheUnitedStates NatashaS.Hochberg1,2*,RuthN.Moro3,AnandiN.Sheth2,SusanP.Montgomery4,FrankSteurer4, IsabelT.McAuliffe4,YunF.Wang5,6,WendyArmstrong2,HildaN.Rivera4,JeffreyL.Lennox2 ,Carlos Franco-Paredes3,7 1Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, United States of America, 2Division of Infectious Diseases, Emory UniversitySchoolofMedicine,Atlanta,Georgia,UnitedStatesofAmerica,3RollinsSchoolofPublicHealth,EmoryUniversity,Atlanta,Georgia,UnitedStatesofAmerica, 4DivisionofParasiticDiseasesandMalaria,CentersforDiseaseControlandPrevention,Atlanta,Georgia,UnitedStatesofAmerica,5GradyMemorialHospital,Atlanta, Georgia,UnitedStatesofAmerica,6DepartmentofPathologyandLaboratoryMedicine,EmoryUniversitySchoolofMedicine,Atlanta,Georgia,UnitedStatesofAmerica, 7HospitalInfantildeMexicoFedericoGomez,MexicoCity,Mexico Abstract Background:Foreign-born,HIV-infectedpersonsareatriskforsub-clinicalparasiticinfectionsacquiredintheircountriesof origin.Thelong-termconsequencesofco-infectionscanbesevere,yetfewdataexistonparasiticinfectionprevalencein thispopulation. Methodology/Principal Findings: This cross-sectional study evaluated 128 foreign-born persons at one HIV clinic. We performed stool studies and serologic testing for strongyloidiasis, schistosomiasis, filarial infection, and Chagas disease basedonthepatient’scountryofbirth.Eosinophiliaandsymptomswereexaminedaspredictorsofhelminthicinfection.Of the128participants,86(67%)weremale,andthemedianagewas40years;70wereMexican/LatinAmerican,40African, and18fromothercountriesorregions.Strongyloidesstercoralisantibodiesweredetectedin33/128(26%)individuals.Ofthe 52 persons from schistosomiasis-endemic countries, 15 (29%) had antibodies to schistosome antigens; 7 (47%) had antibodiestoS.haematobium,5(33%)toS.mansoni,and3(20%)tobothspecies.Stoolovaandparasitestudiesdetected helminths in 5/85 (6%) persons. None o