Background
Although a third of people with tuberculosis (TB) are estimated to be co-infected with helminths, the prevalence is largely unknown among people with drug-resistant TB (DRTB). We determined the prevalence of helminth co-infection among people with DRTB in Uganda.
Methods
In a multi-centre, cross sectional study, eligible Ugandan adults with confirmed DRTB were consecutively enrolled between July to December 2021 at four treatment centres. Socio-demographic data were collected using a questionnaire. Participants underwent anthropometric and blood pressure (BP) measurements, and blood samples were evaluated for random blood glucose (RBG), glycated haemoglobin (HbA1c), non-fasting lipid profile, HIV infection, and a complete blood count. Fresh stool samples were evaluated for adult worms, eggs and larvae using direct microscopy after Kato-Katz concentration techniques.
Results
Of 212 participants, 156 (73.6%) were male, 118 (55.7%) had HIV and 3 (2.8%) had malaria co-infection. The prevalence of intestinal helminth co-infection was 4.7% (10/212) (95% confidence interval (CI) 2.6–8.6%). The frequency of helminth infections was: Ancylostoma duodenale (n = 4), Schistosoma mansoni (n = 2), Enterobius vermicularis (n = 2), Ascaris lumbricoides (n = 1), and Trichuris trichiuria (n = 1).
Conclusion
The prevalence of helminth co-infection was low among people with DRTB. More studies are needed to determine the clinical relevance of helminth/DRTB co-infection.