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Peer-Review Record

Prevalence of Intestinal Parasites in HIV/AIDS-Infected Patients Attending Clinics in Selected Areas of the Eastern Cape

Microbiol. Res. 2022, 13(3), 574-583; https://doi.org/10.3390/microbiolres13030040
by Anozie Ifeoma 1, Teke Apalata 2, Boyisi Aviwe 3, Olanrewaju Oladimeji 1 and Dominic T. Abaver 2,3,*
Reviewer 1: Anonymous
Reviewer 2: Anonymous
Microbiol. Res. 2022, 13(3), 574-583; https://doi.org/10.3390/microbiolres13030040
Submission received: 28 May 2022 / Revised: 25 July 2022 / Accepted: 30 July 2022 / Published: 19 August 2022
(This article belongs to the Topic Host–Parasite Interactions)

Round 1

Reviewer 1 Report

Authors deal with a very important topic, which needs an attention.

I have only a few suggestions:

61-71 2.1 Study Setting – repeated reference source (13)

100 Isospera – should be Isospora, Cyclospora cayentanesis – should be Cyclospora cayentanensis

101-102 The duration of the study was from March 2019 to February 2020. The samples from the four sites were collected and analyzed between March 2019 and February 2020.  -  Is it necessary to explicitly state the duration of the study when it is the same as the collecting interval?

 

141-147  The parasites at the study were Ascaris lumbricoides 55.9%, Balantidium coli 15.1%i, Entamoeba coli 11.3%, Diphyllobothrium latum 4.3%, Taenia species 3.8%, Entamoeba Ver-  mucularis 3.8%, Schistosoma mansoni 2.1%, Cryptosporidium Parvum 2.0%, Fasciolopsis bus- iki1.1%, Trichuris trichiuria1.1%, isospera belli 0.5%, Hymenolepsis nana 1.6%, Fasciola hepat-  ica 0.5%, Trichostrongylus specie 0.5%. The opportunistic parasites found among them were cryptosporidium parvum, Entamoeba coli, Balantidium Coli, Isospera belli, entamoeba Ver-  mucularis and they accounted for 30.5%. The most detected helminth was Ascaris (55.9 %) and most detected protozoan was Balantidium coli (15.1 %).

 - Here and further in the text there are many typos considering the latin names and the use of zoological nomenclature (italic, capital letters, abbreviations). It is necessary to correct this in the whole manuscript.

E. g. in this paragraph it should be like this:

The parasites at the study were Ascaris lumbricoides 55.9%, Balantidium coli 15.1%, Entamoeba coli 11.3%, Diphyllobothrium latum 4.3%, Taenia spp. 3.8%, Entamoeba vermicularis 3.8%, Schistosoma mansoni 2.1%, Cryptosporidium parvum 2.0%, Fasciolopsis buski 1.1%, Trichuris trichiura 1.1%, Isospora belli 0.5%, Hymenolepis nana 1.6%, Fasciola hepatica 0.5%, Trichostrongylus spp. 0.5%. The opportunistic parasites found among them were Cryptosporidium parvum, Entamoeba coli, Balantidium coli, Isospora belli, Entamoeba vermicularis and they accounted for 30.5%. The most detected helminth was Ascaris lumbricoides (55.9 %) and most detected protozoan was Balantidium coli (15.1 %).

If the parasites’ names are used repeatedly, it is sufficient to use the full name only for the first time, then you can use abbreviation, e. g.:- Balantidium coli ->  B. coli.

In Table 1. There are many Socio-demographic characteristics, however, not all of them are discussed and statistically evaluated further in the text regarding the prevalence of parasites. I suppose it would be better either not to mention the undiscussed characteristics or discuss all of them (in the same order as they are stated in the Table1).

 

Author Response

Comment

Response

Page; line; paragraph

Remarks

1-71 2.1 Study Setting – repeated reference source (13)

Repeated phrase deleted

2&3; 35-39; 3

 

100 Isospera – should be IsosporaCyclospora cayentanesis – should be Cyclospora cayentanensis

 

Isospera corrected to Isospora

cayentanesis corrected to cayentanensis

3; 28; 4

 

101-102 The duration of the study was from March 2019 to February 2020. The samples from the four sites were collected and analyzed between March 2019 and February 2020.  -  Is it necessary to explicitly state the duration of the study when it is the same as the collecting interval?

 

This section is restructured based on how the sampling procedure was done. Explicit explanation is given under the section: “Sampling procedure”

3; 1-6; 8

Authors appreciate reviewer’s advice and implement same as advised. However, authors considered the duration of sampling procedure more pertinent, given its relevance to the manuscript. The Study was for a degree purpose and has a three year duration.

141-147….here and further in the text there are many typos considering the latin names and the use of zoological nomenclature (italic, capital letters, abbreviations). It is necessary to correct this in the whole manuscript

All typographical errors, including correct zoological nomenclatures were corrected

6; 1-9; 1

 

If the parasites’ names are used repeatedly, it is sufficient to use the full name only for the first time, then you can use abbreviation, e. g.:- Balantidium coli ->  B. coli.

 

Corrected

6; 1-9; 1

 

In Table 1. There are many Socio-demographic characteristics, however, not all of them are discussed and statistically evaluated further in the text regarding the prevalence of parasites. I suppose it would be better either not to mention the undiscussed characteristics or discuss all of them (in the same order as they are stated in the Table1).

 

Table 1 presents demographic variables with introductory narratives. However, only variables considered to be statistically significant were further discussed down the following paragraphs.

 

 

Author Response File: Author Response.docx

Reviewer 2 Report

The work is interesting but it should be improved and particularly a lot of mistakes concerning parasites and English

Species names...in italic font

Taenia spp. and not Taenia sp

There are different size font in the text, change

Isospora belli not Isospera

Males were affected more frequently (27.9%) than females (39.2%)....??????

p-value or P-value...change following guidelines of journal

entamoeba Vermucularis 1.1 %???????

Cryptosporidium Parvum...change in Cryptosporidium parvum

Enterobius vermicularis...Didd the authors analyzed the prevalence of this parasite???they used scotch test to perform analysis??

other numerous mistakes...

 

 

Author Response

Comment

Response

Page; line; paragraph

Remarks

The work is interesting but it should be improved and particularly a lot of mistakes concerning parasites and English

 

Whole manuscript improved on spellings, typographical errors and grammar. Language editor edited the whole manuscript

Whole manuscript

Authors appreciate this very comment and suggestion immensely

Species names...in italic font

 

All species names that were not italicized are revised and written in italics

Whole manuscript

 

Taenia spp. and not Taenia sp

 

Corrected

6;5;1

 

There is different size font in the text, change

 

Uniform font size (calibri body, 12) effected

Whole manuscript

 

Isospora belli not Isospera

 

Isospera corrected to Isospora

3; 28; 4

 

Males were affected more frequently (27.9%) than females (39.2%)....??????

 

The correct position here, as seen from the findings of this study is that, the percentage of male that were found to be parasitized is higher (39.2%) compared to female (27.9%)

8; 1; 1

Authors highly regret this simple but costly mistake in results’ presentation

p-value or P-value...change following guidelines of journal

 

p-value upheld

Throughout the manuscript

 

entamoeba Vermucularis 1.1 %???????

 

The correct parasite in reference is Enterobius vermicularis, and not entamoeba Vermucularis

 

Authors highly regret this misinformation

Cryptosporidium Parvum...change in Cryptosporidium parvum

 

Correction made

Everywhere in the manuscript

 

Enterobius vermicularis...Didd the authors analyzed the prevalence of this parasite???they used scotch test to perform analysis??

 

 

 

 

other numerous mistakes...

 

Whole manuscript edited and revised to meet the guidelines of the journal

 

 

Author Response File: Author Response.docx

Round 2

Reviewer 2 Report

The work was improved but there are several errors yet, particularly species name, italics name...they must be corrected!!!!

page 4---lane 155-158

page 8---lane 260-263

page 8---lane

page 9---lane 276

Figure 1...a lot of errors

 

Author Response

25 July 2022

 

The Editor,

 

We thank the Handling Editor and reviewers for their efforts. We are pleased that there is interest in this topic and are grateful for the constructive comments that have improved the manuscript.

We have addressed each of the reviewers’ comments in a point-by-point manner in the table below. While hoping that these changes will meet with your favorable consideration, we hold ourselves at your disposition for any further clarifications.

S/N

 Reviewer comment 

Revision

1.

Diarrhoea is very common in HIV/AIDS patients. Comment on potential associations between diarrhoea and the presence of a given intestinal parasite species.

This comment was expanded as follows:

Diarrhoea is very common in HIV/AIDS patients and can cause life threatening complications, particularly in HIV/AIDS patients with CD4 counts <200 cells (19). In developing countries, Isospora belli is frequently associated with chronic diarrhea and it occurs in 5-26% among HIV/AIDS patients (20). A study in Australia, which examined the presence of enteric parasites in HIV/AIDS, showed that C. parvum cases occurred exclusively in patients with HIV (21).

2.

Microsporidia (e.g. Enterocytozoon bieneusi, Encephalitozoon spp.) are common opportunistic pathogens.

 This has been placed in the appropriate space.  Microsporidia such as Enterocytozoon bieneusi, Encephalitozoon spp were mentioned

3.

Cryptosporidium parvum

 Replaced with Cryptosporidium spp

4.

page 4---lane 155-158

This part has now been revised

5.

page 8---lane 260-263

 

  Additional information on diarrhea were made. Changes in italics, grammar, nomenclatures  

6.

page 8---lane

 

Additional information on diarrhea were made. Changes in italics, grammar, spellings  nomenclatures 

7.

page 9---lane 276

Reversed grammar

8.

Figure 1...a lot of errors

 This has now been presented correctly

 

 

Yours’

Olanrewaju Oladimeji for all authors

 

Author Response File: Author Response.docx

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