Llenas-García, JaraFiorante, SilvanaSalto, EfrénMaseda, DiegoRodríguez, VioletaMatarranz, MarianoHernando Jeréz, María AsunciónRubio, RafaelPulido, Federico2013-11-272013-11-272013Llenas-García, J., Fiorante, S., Salto, E., Maseda, D., Rodríguez, V., Matarranz, M., …, & Pulido, F. (2013). Should we look for strongyloides stercoralis in foreign-born HIV-infected persons? Journal of Immigrant and Minority Health, 15(4), 796-802.http://hdl.handle.net/11268/1071The objective was to evaluate the implementation of a systematic Strongyloides stercoralis screening programme in HIV infected immigrants attending an HIV Unit in Spain. An enzyme-linked immunosorbent assay (ELISA) was performed to assess the presence of Strongyloides IgG. Patients with a positive serology were treated with ivermectin; serologic follow-up testing was performed. 237 patients were screened (65.4 % men). Origin: 64.1 % came from Latin America, 16.5 % from Sub-Saharan Africa, 9.7 % from the Caribbean, 9.7 % from other areas. Strongyloides stercolaris IgG was positive in 13 cases (5.5 %). In the multivariate analysis, factors associated with a positive Strongyloides serology were illiteracy (OR: 23.31; <I>p</I> = 0.009) and eosinophilia (OR: 15.44; <I>p</I> < 0.0001). Nine of the 13 patients positive for S. stercoralis IgG and treated with ivermectin had a follow up serologic test: 77.8 % achieved a serologic response (55.5 % seroreversion). Screening of HIV-positive immigrants may be desirable, at least in those with higher risk of hyperinfection syndrome. Serologic testing seems a useful tool in both diagnosis and follow-up of these patients.engjournal article10.1007/s10903-012-9756-6restricted accessSidaTratamiento médico