Background: Treatment and wastewater disposal lack in Abidjan leads to wastewater discharge in the natural environment without treatment. These waters were loaded with pathogenic microorganisms that are the causes of many diseases. Objectives: This study aims to assess the parasitological quality of water from pipes of Abididjan City, studying protozoa and helminths. Methodology: 400 samples were collected in three municipalities and 19 sites. Parasites were identified using sedimentation. Biological analyzes revealed 269 (67.2%) positive samples, with the presence of 19 taxa belonging to helminths (nematodes, cestodes) and protozoa group (amoeba, ciliates, flagellates). Protozoa are most common with a clear dominance of amoebas class followed by ciliates and flagellates. In 269 positives samples, Entamoeba coli (160 (59.48%)), Endolimax nana (112 (41.64%)), Giardia spp (71 (26.4%)), and Paramecium caudatum (66 (24.54%)) are the most common species. The spatial distribution showed that Yopougon commune was the most parasitized, followed by Abobo-Adjame. Results: The most parasitized sites were CHU, SEL, and AG. At the seasonal level, the dry season was where the parasite load was highest regardless of municipality and sites. Conclusion: The presence of these parasite groups and the diversity of parasitic taxonomic indicates faecal contamination of piped water in Abidjan city. These parasites present a potential danger for these piped waters' direct and indirect uses. Therefore, it is necessary to treat this water before any use and before it flows into surface water to avoid these parasites.
Cryptosporidium spp. infection is one of the causes of diarrhea in people living with HIV/AIDS. The objective of this study is to compare the sensitivity of microscopy and molecular biology to determine the prevalence of Cryptosporidium spp. in Patients Living With HIV (PLWH). This is a descriptive cross-sectional study conducted in three care centers for people living with HIV/AIDS in Abidjan. It took place from November 2018 to March 2020. Sociodemographic data were obtained via a questionnaire. Stool and blood samples were collected and analyzed for microscopy and Nested PCR detection of Cryptosporidium spp. Blood samples were analyzed for CD4+ count. A total of 363 stool samples were collected from the three sites. Individuals aged 40 -50 years (36.52%) were most likely to participate in the study. HIV Type 1 accounted for 86.22% of the study population. The samples collected consisted of 47.65% diarrheal stool. Microscopic examination of the stool yielded a prevalence of 3.86% for Cryptosporidium spp. while the prevalence was 3.96% with molecular identification. No statistically significant difference was observed between these two prevalences (χ 2 = 0.26; p = 0.609). CD4+ count was the factor associated with Cryptosporidium spp. infection for both microscopy (OR = 0.887, p = 0.001) and PCR (OR = 0.896, p = 0.001). This study demonstrated that Nested PCR improves the detection of Cryptosporidium spp. in patient diagnosis.
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