Title High Prevalence of Pneumocystis jiroveci Colonization Among Young HIV-Infected Patients
Authors Gutierrez, Sonia , Morilla, Ruben , Leon, Juan A. , Martin-Garrido, Isabel , Rivero, Laura , Friaza, Vicente , Respaldiza, Nieves , Montes-Cano, Marcos A. , Teran, Rafael , DE LA HORRA PADILLA, CARMEN
External publication Si
Means JOURNAL OF ADOLESCENT HEALTH
Scope Article
Nature Científica
JCR Quartile 1
SJR Quartile 1
SJR Impact 1.748
Publication date 01/01/2011
ISI 000285629200018
DOI 10.1016/j.jadohealth.2010.05.013
Abstract Background: Pneumocystis colonization in young HIV-infected patients has been poorly studied. The aim of this study was to analyze the prevalence of P jiroveci colonization in a cohort of young HIV-infected patients.\n Material and Methods: We designed a basal cross-sectional study in 20 young HIV-infected patients to determine the prevalence of P jiroveci colonization in oropharyngeal wash samples studied by nested polymerase chain reaction (PCR). Subsequently, patients were followed up during 50 weeks to observe the development of Pneumocystis pneumonia (PCP).\n Results: P jiroveci colonization was detected in eight (40%) of the 20 oropharyngeal wash samples. Genotype 85C/248C was the most frequent. After 50 weeks of follow-up, one colonized patient with advanced immunodepression developed PCP.\n Conclusions: We have found a high prevalence of P jiroveci colonization in young HIV-infected patients with a major prevalence of genotype 1 (85C/248C). Further studies are necessary to clarify if Pneumocystis colonization could be a potential risk factor of developing PCP in young HIV infected patients. (C) 2011 Society for Adolescent Health and Medicine. All rights reserved.
Keywords Pneumocystis; Colonization; Pneumonia; HIV
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