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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1998-9-29
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pubmed:abstractText |
The seasonality and factors associated with Cryptosporidium infection were assessed in a cohort of HIV-infected patients in Los Angeles County to better define the epidemiology of cryptosporidiosis among individuals with HIV. Data were analysed from a cohort of 4247 patients > or = 13 years of age with HIV infection enrolled from four outpatient facilities in Los Angeles, 1990-6. Cryptosporidiosis was diagnosed in 120 (2.8%) patients. Among the 1296 individuals with complete follow-up until death, cryptosporidiosis occurred in 69 (5.3%). The seasonal rate of cryptosporidiosis showed a modest bimodal trend with the highest rates occurring in March-May and September-October. There was no difference in the rate of cryptosporidiosis for the periods of heaviest rainfall (December-March) and low rainfall (April-November). Infection rates were higher among males (1.59 per 100 person-years) than females (0.92) and lower in blacks (0.98) than other racial/ethnic groups (1.80). A significant trend of decreasing cryptosporidiosis was observed with increasing age, with the highest rate (2.34) in the 13-34 year age group. A strong association between cryptosporidiosis and CD4+ count was noted. These data suggest that cryptosporidiosis among HIV-infected individuals in Los Angeles County exhibits a modest spring and fall seasonality. This pattern of occurrence of cryptosporidiosis appears temporally unrelated to local rainfall patterns. Our findings suggest that HIV-infected men, individuals in younger age groups and those with CD4+ lymphocyte counts < 100 x 10(6)/l are at increased risk of cryptosporidiosis. Blacks with HIV infection appear less likely than other racial/ethnic groups to be diagnosed with Cryptosporidium infection. These results may provide insight into possible routes of transmission and sources of cryptosporidiosis infection in individuals with HIV.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0950-2688
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
121
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
197-204
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pubmed:dateRevised |
2010-3-3
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pubmed:meshHeading |
pubmed-meshheading:9747773-Adolescent,
pubmed-meshheading:9747773-Adult,
pubmed-meshheading:9747773-Cohort Studies,
pubmed-meshheading:9747773-Cryptosporidiosis,
pubmed-meshheading:9747773-Female,
pubmed-meshheading:9747773-HIV Infections,
pubmed-meshheading:9747773-Humans,
pubmed-meshheading:9747773-Los Angeles,
pubmed-meshheading:9747773-Male,
pubmed-meshheading:9747773-Middle Aged,
pubmed-meshheading:9747773-Proportional Hazards Models,
pubmed-meshheading:9747773-Risk Factors,
pubmed-meshheading:9747773-Seasons,
pubmed-meshheading:9747773-Survival Analysis
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pubmed:year |
1998
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pubmed:articleTitle |
Seasonality and factors associated with cryptosporidiosis among individuals with HIV infection.
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pubmed:affiliation |
HIV Epidemiology Program, Los Angeles County Department of Health Serivces, Los Angeles, CA 90005, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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