{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:39:08Z","timestamp":1791196748289,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2006,6,2]],"date-time":"2006-06-02T00:00:00Z","timestamp":1149206400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:title>R\u00e9sum\u00e9<\/jats:title><jats:p>La cryptosporidiose constitue un probl\u00e8me majeur de sant\u00e9 publique en Ha\u00efti. Pour \u00e9valuer son impact chez les patients atteints du SIDA et les sujets contacts, les enfants en bas \u00e2ge, et pour d\u00e9terminer les esp\u00e8ces en cause par g\u00e9notypage, une \u00e9tude a \u00e9t\u00e9 men\u00e9e \u00e0 Port\u2010au\u2010Prince, incluant l\u2019\u00e9tude de la viabilit\u00e9 des oocystes \u00e9limin\u00e9s dans les selles des patients. De janvier 2000 \u00e0 janvier 2001, sur 1.529 selles diarrh\u00e9iques provenant de patients suivis dans les Centres GHESKIO et d'enfants hospitalis\u00e9s \u00e0 l'h\u00f4pital de l'Universit\u00e9 d\u2019\u00c9tat d\u2019Ha\u00efti, 158 (10,3%) ont montr\u00e9 la pr\u00e9sence d'oocystes de cryptosporidies. Chez ces malades, 56 adultes sur 57 (98%) et 7 enfants sur 36 (19%) \u00e9taient VIH\u2010positifs. Chez 102 sujets contacts examin\u00e9s, un seul a \u00e9t\u00e9 d\u00e9pist\u00e9 porteur sain de cryptosporidies du m\u00eame g\u00e9notype que celui de l'isolat trouv\u00e9 chez le malade VIH\u2010positif. Le g\u00e9notypage par biologie mol\u00e9culaire de 69 isolats de cryptosporidies a identifi\u00e9 trois esp\u00e8ces: <jats:italic>Cryptosporidium hominis<\/jats:italic> (41), <jats:italic>C. parvum<\/jats:italic> (26) et <jats:italic>C. felis<\/jats:italic> (2). C'est la premi\u00e8re fois qu'est rapport\u00e9e dans la Cara\u00efbe l'infestation de deux patients VIH\u2010positifs par <jats:italic>C. felis<\/jats:italic>. Les enfants g\u00e9n\u00e9ralement non infect\u00e9s par le VIH sont dans 72% des cas parasit\u00e9s par <jats:italic>C. hominis<\/jats:italic>. Les adultes VIH\u2010positifs sont parasit\u00e9s aussi bien par le g\u00e9notype humain que par les g\u00e9notypes animaux. Sur 18 isolats de cryptosporidies \u00e9tudi\u00e9s \u00e0 l'aide d'un mod\u00e8le exp\u00e9rimental (souriceau nouveau\u2010n\u00e9), la viabilit\u00e9 des oocystes a \u00e9t\u00e9 confirm\u00e9e pour 17 d'entre eux (12 <jats:italic>C. hominis<\/jats:italic>, 4 <jats:italic>C. parvum<\/jats:italic>, 1 <jats:italic>C. felis<\/jats:italic>). Le pouvoir infestant est dose\u2010d\u00e9pendant et plus \u00e9lev\u00e9 avec <jats:italic>C. parvum<\/jats:italic> qu'avec les deux autres esp\u00e8ces. Au moins trois esp\u00e8ces de cryptosporidies circulent en Ha\u00efti o\u00f9 la population pauvre vit dans des conditions d'hygi\u00e8ne pr\u00e9caires, et utilise pour sa consommation une eau pollu\u00e9e notamment par des f\u00e8ces d'origine humaine et animale, dans un tissu urbain surpeupl\u00e9 o\u00f9 les animaux domestiques se d\u00e9placent en toute libert\u00e9.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2006.01631.x","type":"journal-article","created":{"date-parts":[[2006,6,6]],"date-time":"2006-06-06T17:43:09Z","timestamp":1149615789000},"page":"929-934","source":"Crossref","is-referenced-by-count":26,"title":["Cryptosporidiose humaine et esp\u00e8ces en cause en Ha\u00efti"],"prefix":"10.1111","volume":"11","author":[{"given":"Christian 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