scholarly journals 945. Prevalence of HIV Associated Non-AIDS Conditions and Associated Risk Factors among Hospitalized HIV-infected Patients in India

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S504-S505
Author(s):  
Amyeo A Jereen ◽  
Celia Kucera ◽  
Saniya Pervin ◽  
Muralidhar Varma ◽  
Radhakrishnan Rajesh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Transmitted Disease ◽  
Multivariate Logistic Regression Analysis ◽  
Patient Risk ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Artery Disease ◽  
Associated Risk Factors

Abstract Background HIV-associated non-AIDS (HANA) conditions are becoming common as People Living with Human Immunodeficiency Virus (PLWHIV) age. However, data estimating the prevalence of HANA conditions and associated risk factors is lacking in developing countries. This study evaluates reasons for hospitalizations among PLWHIV in Udupi, India in the antiretroviral era, and describes associated risk factors. Methods Demographic and clinical data were extracted from medical charts of 1280 HIV-infected patients 18 years and older who were admitted to Kasturba Hospital, Manipal, India between January 1, 2013 and December 31, 2017, for a total of 2157 hospitalizations. Primary reasons for hospitalization were categorized into AIDS-defining vs Non-AIDS-defining and HANA vs Non-HANA conditions (Fig 1). Multivariate logistic regression analysis was performed to estimate demographic and clinical factors associated with hospitalizations due to AIDS-defining illness and HANA conditions. Categorization of Reasons for Hospitalization Results Patients’ median age was 45 (18-80) years; 70% male. Median age of patients with AIDS-defining illness (45% of hospitalizations) was lower at 44 (18-75) years compared with HANA (15% of hospitalizations) at 48 (21-80) years. Age (OR, 95% CI) (0.985, 0.974-0.995), admission CD4 (0.998, 0.997 - 0.998), history of hypertension (HTN) (0.59, 0.42-0.82), stroke (0.49, 0.24 - 0.93), diabetes (1.56, 1.10 - 2.19), and AIDS-defining cancers (1.74, 1.05 - 2.89) were associated with AIDS-defining hospitalizations (Fig 2). Additionally, age (1.016, 1.001 - 1.031), history of HTN (1.70, 1.16 - 2.46), coronary artery disease (CAD) (4.02, 1.87- 9.02), chronic kidney disease (CKD) (2.30, 1.15 - 4.61), stroke (2.93, 1.46 - 5.96), Hepatitis B (3.32, 1.66- 6.72), Hepatitis C (16.1, 2.84 - 314), sexually transmitted disease (STD) (3.76, 1.38- 10.8), and HANA-associated cancer (2.44, 1.28- 6.42) were associated with HANA hospitalizations (Fig 3). Patient Risk Factors for AIDS-related Hospitalization Patient Risk Factors for HANA-related Hospitalization Conclusion Prevalence of HANA conditions was lower than AIDS-defining illnesses possibly because of a younger population. Patients with AIDS-defining illnesses were also likely to have HANA conditions. Early detection and effective treatment of both HIV and HANA conditions is essential to decrease hospitalizations in low-resource settings. Disclosures All Authors: No reported disclosures

scholarly journals Seroprevalence of HCV and HIV Antibodies in Tuberculosis Confirmed Patients in Ekiti State, Nigeria

2019 ◽  
pp. 1-7
Author(s):  
O. Ojo-Bola ◽  
T. Fagbuyiro ◽  
T. O. Korode ◽  
A. A. Adebowale ◽  
C. T. Omisakin
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Transmitted Disease ◽  
Unprotected Sex ◽  
P Value ◽  
Drug Induced ◽  
Sexually Transmitted ◽  
Hiv Antibodies ◽  
History Of ◽  
Associated Risk Factors

This study was conducted to determine the seroprevalence of HCV and HIV antibodies in TB confirmed patient attending the Federal Medical Centre (FMC), Ido Ekiti, Ekiti State, Nigeria. A total of 500 tuberculosis confirmed patients were selected by random sampling. Their blood samples were collected and assayed for HCV and HIV antibodies using Clinotech diagnostic Anti-HCV detection test and Abbot determine HIV ½  in conjunction with Chembio HIV ½ STAT-PAK assay kit respectively. Out of 500 TB patients tested, 10(2.0%), 21(4.2%) and 3(0.6%) tested positive to HCV, HIV, and HCV/HIV antibodies respectively. Age group 36-45 was the most prevalence of HCV, HIV, and HCV/HIV antibodies with P-value 0.000, 0.000 and 0.002 respectively. The associated risk factors were alcoholism 14 (45.2%), being the highest identified risk factor, followed by previous unprotected sex, multiple sex partner, previous blood donor, previous transfusion, tattoos, and history of the Sexually transmitted disease being the least risk factor 3 (9.68%). The degree of disparity in regards to HCV, HIV and co-exists of HCV/HIV antibodies between 302 male and 198 female that participated were not statistically significant. (P-value 0.531, 0.549,and 0.824 for HCV, HIV and HCV/HIV antibodies respectively).These findings confirmed that both HCV and HIV can co-exist in TB patients, and may increase the risk of antituberculosis drug-induced hepatotoxicity, if overlooked, there will be a greater risk for TB patients, and these infections will continue to spread through the associated risk factors. However, in managing the TB patients, there is a need to screen for Anti- HCV, as it has been for HIV antibody.

Determination of factors associated with condom use among women infected with human immunodeficiency virus

1997 ◽  
Vol 8 (4) ◽  
pp. 229-233 ◽  
Author(s):  
Rebecca A Clark ◽  
Patricia Kissinger ◽  
Ariane L Bedimo ◽  
Patrice Dunn ◽  
Helena Albertin
Keyword(s):  
Human Immunodeficiency Virus ◽  
Condom Use ◽  
Transmitted Disease ◽  
Convenience Sample ◽  
Sexually Transmitted ◽  
Younger Age ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Hiv Women

Summary: To better understand potential barriers to condom use and the sexual behaviour of women infected with human immunodeficiency virus (HIV), an anonymous self-administered survey was performed on a convenience sample of 83 predominantly single HIV+ women. Most women had only one sexual partner who usually knew of the subject's serostatus. Only a minority of partners (26%) were known to also be HIV infected. Subjects were surprisingly more likely to use condoms with their main partner as opposed to other partners. Factors found to be associated with condom non-use included younger age, low education level, partner HIV+, history of a sexually transmitted disease (STD), and use of drugs or alcohol during sex. Although most subjects indicated the decision was mutual when deciding not to use a condom, 20% stated it a was a partner decision. Future intervention efforts should target these identified high-risk individuals and optimally involve the partners of HIV-infected women.

P5338Atherosclerotic cardiovascular events in people living with Human Immunodeficiency Virus

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
F Boccara ◽  
S Lang ◽  
S Ederhy ◽  
L Soulat-Dufour ◽  
S Adavane-Scheuble ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Artery Disease ◽  
Human Immunodeficiency Virus ◽  
Coronary Artery ◽  
High Risk ◽  
Vascular Risk ◽  
Factors Associated ◽  
Immunodeficiency Virus ◽  
Observational Cohort ◽  
Artery Disease

Abstract Background People living with Human Immunodeficiency Virus (PLWHIV) under antiretrovirals have an increased risk of atherosclerotic cardiovascular disease (ASCVD) events. The risk factors associated with ASCVD events in this high risk population are various including traditional vascular risk factors and specific HIV-related factors. However their respective influence is questionable. Purpose Our aim was to determine the incidence of ASCVD events in a large cohort of PLWHIV and to identify the risk factors associated. Methods We conducted a longitudinal observational cohort study of asymptomatic PLWHIV at high risk of ASCVD addressed to our preventive cardiovascular unit for non-invasive cardiovascular evaluation. The first ASCVD event was censored and included CV death, acute coronary syndromes, coronary and peripheral revascularizations (PCI or CABG or endarterectomy or limb procedures) and ischemic strokes. Results From January 2003 to December 2014, 763 consecutive asymptomatic PLWHIV were enrolled (mean age of 51.3±8.3 years, 87% men, 90% were free of known coronary artery disease, mean Left ventricular ejection fraction 60%). At baseline, traditional CV risk factors were as follow: 54% had dyslipidemia, 43% hypertension, 35% were active smokers, 22% had family history of CAD and 11% were diabetics. Statins were prescribed in 38% of the cohort, aspirin in 14%, clopidogrel in 14% betablockers in 14%, RAS blockers in 32%, Calcium channel blockers in 8%. At baseline, median duration of HIV seropositivity was 19.8 years (14.0–23.6), 94% were under ARV predominantly protease inhibitors (68%). Median CD4 cell count was 545/mm3 (404–745) and 92% had undetectable HIV viral load. During a median follow up of 5.8 years (3.7–8.7), 58 (7.3%) subjects had a first ASCVD event (incidence of 12.70 [9.78–16.51] per 1000 persons-years) including 5 cardiovascular deaths, 14 ACS, 20 coronary revascularizations, 13 peripheral vascular procedures and 6 strokes) with a median time of occurrence of 3.1 years (1.5–5.1). CV death (first and second ASCVD events) occurred in 8 patients (22%) after CV death related to malignancies (33%) but before deaths related to unexplained causes (21%), infectious disease (13%), liver disease (8%) and suicides (3%). Coronary events including coronary death, MI, and coronary revascularization occurred in 39 patients (5.2%); Incidence of 8.28 [6.00–11.43] per 1000 persons-years. Conventional multivariate Cox model shows that age and tobacco were the independent risk factors associated with ACSVD events [Hazard ratio (HR) 1.04, 95% CI 0.99–1.09, p=0.05 and HR 2.17, 95% CI 1.07–4.38, p=0.03]. Conclusion Traditional vascular risk factors (age and active smoking) are associated with the occurrence of ASCVD events predominantly coronary artery disease in our observational cohort of asymptomatic PLWIHV at high risk for ASCVD. Cardiovascular prevention including tobacco cease action is mandatory in the aging HIV population.

scholarly journals Seroprevalence and risk factors associated with Neospora caninum in crossbred dairy cows in Uberlândia

2018 ◽  
Vol 39 (4) ◽  
pp. 1585 ◽  
Author(s):  
Nayara Resende Nasciutti ◽  
Patrícia Magalhães de Oliveira ◽  
Vinícius De Morais Barbosa ◽  
Selwyn Arlington Headley ◽  
Felipe Gonçalves Garcia ◽  
...  
Keyword(s):  
Risk Factors ◽  
Dairy Cows ◽  
Neospora Caninum ◽  
Reproductive Disorders ◽  
Blood Samples ◽  
Factors Associated ◽  
History Of ◽  
Antibody Titers ◽  
Associated Risk Factors ◽  
The City

Neospora caninum causes reproductive disorders in dairy cattle such as repeat breeding, abortion, and anestrus, which are risk factors associated with the seroprevalence of N. caninum in Brazil and worldwide. This study aimed to verify the risk factors related to the seroprevalence of Neospora caninum in crossbred dairy cows in the city of Uberlândia, Minas Gerais. During, January to July 2013, 740 blood samples were collected from 57 herds with a history of reproductive disorders and determinations of antibody titers against N. caninum were obtained by ELISA assay. The seroprevalence of N. caninum was 18.4% (136/740). Risk factors for N. caninum were cows greater than 2 years of age (P = 0.034), mechanical milking (P = 0.012), and frequent purchase of animals (P = 0.004), in addition to individual history of abortion (P = 0.007) and repeat breeding (P = 0.030). The highest probability of occurrence of associated risk factors was associated with individual history of abortion and repeated breeding and the frequent purchase of animals, with odds of 12.8, 5.9, and 3.8 times, respectively. In conclusion, the risk factors associated with N. caninum: members of the female sex and cows with more than 2 years-of-age, mechanical milking, and the frequent purchase of animals, in addition to individual history of abortion and repeated breeding.

scholarly journals Prevalence and associated risk factors of bovine clinical mastitis in Patiya upazila under Chittagong district of Bangladesh

2016 ◽  
pp. 5-9 ◽  
Author(s):  
MS Bari ◽  
M Alam ◽  
M Uddin ◽  
MK Rahman
Keyword(s):  
Risk Factors ◽  
Herd Size ◽  
Clinical Mastitis ◽  
Cross Sectional Study ◽  
Lactation Period ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of ◽  
Associated Risk Factors ◽  
General Physical

A cross sectional study was conducted to measure the prevalence; and identification of risk factors associated with clinical mastitis in dairy cows at Patiya upazila under Chittagong district of Bangladesh from 20th July to 31st December, 2013. A total of 160 farms and households were selected and 634 cows were clinically examined for determining the prevalence of mastitis and identification of risk factors. The overall prevalence of clinical mastitis was found 8.36%. Mastitis prevalence in crossbred cows was significantly (P<0.05) higher (10.09%) than indigenous cows (4.26%). The prevalence of mastitis was also significantly higher (P<0.05) with advancing age (12.5%) and in 3rd lactation period (13.62%). The cows were more prone to mastitis during 1st month of lactation (17.53%). There was a significant relationship (P<0.05) between prevalence of clinical mastitis and associated risk factors like general physical condition, herd size, frequency of dung removal, floor drainage quality and condition of floor. There was higher (P<0.01) prevalence (33.67%) of mastitis in cows having history of peri-parturient disease compared to those not having such history. Therefore, it can be concluded that minimization of risk factors of mastitis is very much necessary to control mastitis as well as to increase profitability of dairy farms.International Journal of Natural Sciences (2014), 4(1) 5-9

Prevalence and the associated risk factors of HIV, STIs and HBV among men who have sex with men in Kunming, China

2017 ◽  
Vol 28 (11) ◽  
pp. 1115-1123 ◽  
Author(s):  
Xiujie Zhang ◽  
Manhong Jia ◽  
Min Chen ◽  
Hongbing Luo ◽  
Huichao Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Community Based ◽  
Inconsistent Condom ◽  
Sexually Transmitted ◽  
Multiple Risk Factors ◽  
Community Based Organizations ◽  
B Virus ◽  
Immunodeficiency Virus ◽  
Sex With Men ◽  
Associated Risk Factors

To investigate the prevalence and the associated risk factors of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and sexually transmitted infections (STIs) among men who have sex with men (MSM) in Kunming, 300 MSM were recruited through community-based organizations between September 2014 and January 2015. The prevalence of HIV, HBsAg, syphilis, Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) were 17.0%, 7.7%, 11.3%, 18.2% and 13.2%, respectively. In the three different anatomic sites (urethra, rectum and pharynx), the prevalence of rectal CT was the highest (15.5%), whereas NG was most commonly found in the pharynx (8.1%). Low education level, homosexuality, inconsistent condom use and drug use in the previous six months were significantly associated with HIV infection, whereas the former three factors were also associated with HBV infection.Older people (aged ≥ 40 years) and those who lacked knowledge of STIs, and younger people (aged <30 years) as well as inconsistent condom users were more at risk of syphilis and CT infections, respectively. NG infection was only associated with reported dating venues. Our study revealed a heavy disease burden and multiple risk factors of HIV/STIs among MSM in Kunming. It is necessary to promote regular screening and proactive treatment of HIV/STIs among MSM.

scholarly journals SEROPREVALENCE AND RISK FACTORS ASSOCIATED WITH HPV INFECTIONS AMONG PATIENTS IN KOGI EAST SENATORIAL ZONE

2020 ◽  
Vol 4 (3) ◽  
pp. 645-655
Author(s):  
OLOBO F. AWULU ◽  
Mariam Aminu ◽  
A. B. SULEIMAN ◽  
DANIEL MAKOLO
Keyword(s):  
Risk Factors ◽  
Sexual Debut ◽  
Transmitted Disease ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Hpv Infection ◽  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
Factors Associated

Analysis of prevalence and risk factors for Human Papilloma Virus (HPV) is the basis for prophylactic strategies against HPV infections. This study was to determine the seroprevalence of human papillomavirus, sociodemographic and risk factors associated with acquiring the virus among the study population. A total of 195 samples were collected by simple random sampling technique from three major hospitals in the zone. Serum from blood samples was used for ELISA and analyzed for IgM. Overall prevalence of 3.08% (6/195) was established for HPV infection. Patients with early sexual activity and those with multiple sexual partners were likely to be infected than their counterparts with 15.8%: 3/19 (χ 2 =16.4, df=3, p=0.001) and 50%: 2/4 (χ 2 =30.2, df=1, p=0.005) respectively. The infection was more among those who got married at age range of 26-30 years with prevalence of 5.4%: 2/37 (χ 2 =1.30, df = 5, p=0.82). On the basis of sex, female were found to have higher prevalence of 3.6%: 6/167(χ 2 =1.04, df = 1, p=0.6). Subjects with sexually transmitted disease (STD) had a higher prevalence of 8%: 2/25(χ 2 =2.45, df=2, p=0.32). The study shows that infection with HPV was strongly associated with age of sexual debut and number of sexual partners. It also reveals the occurrence of HPV infection in Kogi East, Nigeria. Hence, there is need for routine screening, public education and vaccination to prevent the spread of the virus which is a threat to public health.

scholarly journals FACTORS ASSOCIATED WITH A MEASLES OUTBREAK IN DISTRICT SKARDU, GILGIT BALTISTAN, PAKISTAN

2019 ◽  
Vol 9 (1) ◽  
pp. 30-33
Author(s):  
Zakir Hussain ◽  
Abdul Wali Khan
Keyword(s):  
Risk Factors ◽  
Vaccination Coverage ◽  
Maculopapular Rash ◽  
Control Measures ◽  
Factors Associated ◽  
Measles Outbreak ◽  
History Of ◽  
Measles Vaccination ◽  
Associated Risk Factors ◽  
Gilgit Baltistan

Background: In Pakistan, annually 20,000 children deaths reported due to measles. This outbreak was investigated with the objectives to identify the associated risk factors and recommend appropriate control measures to prevent future outbreaks. Methods: A case was defined as any child presented with fever, generalized maculopapular rash with one of the following symptoms; cough, coryza or conjunctivitis during March-April 2011 in Skardu district. Two healthy age and sex matched controls were selected for each case from the same neighborhood. Information was collected on demographics, date of onset of illness and possible risk factors. Results: A total of 29 suspected measles cases were identified. The overall attack rate was 19% and the most affected age group was 9-19 months (attack rates 16%). Measles vaccination was lower among children with measles (OR. 4, C.I 1.8-12.5, p<0.05). The proportion of parents who consider measles as dangerous was significantly higher among the parents of cases (OR 3.6, CI 1.4-9.3, P 0.006). Better educated mothers were more likely to get their child vaccinated (OR 4, CI, 2.1-7.9, p<0.05) and history of contact was found associated with the disease (OR 7.2, CI 3.5-12.7, p 0.002). Multivariate analysis yielded significant association of following risk factors; vaccination status (OR 3.8, CI 1.8-12.5, p 0.005) and history of contact (OR 3.2, CI 1.0-10.7, p<0.05) with the disease. Conclusion: Lower vaccination coverage and lack of awareness about measles among parents was the most probable cause of this outbreak. Improvement in routine vaccination coverage and health education on the safety of immunization was recommended.

scholarly journals Heterosexual and homosexual transmission of hepatitis C virus: relation with hepatitis B virus and human immunodeficiency virus type 1

1991 ◽  
Vol 107 (3) ◽  
pp. 667-672 ◽  
Author(s):  
R. Corona ◽  
G. Prignano ◽  
A. Mele ◽  
G. Gentili ◽  
F. Caprilli ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Drug User ◽  
Sexually Transmitted Disease ◽  
Sexual Transmission ◽  
Transmitted Disease ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Hiv 1

SUMMARYA seroprevalence study was carried out on 1757 outpatients consecutively seen in a sexually transmitted disease (STD) clinic in order to evaluate the sexual transmission of hepatitis C virus (HCV). A total of 1442 consenting patients were tested for hepatitis C, hepatitis B and human immunodeficiency virus type 1 (HCV. HBV, HIV - 1) antibodies. The relations between anti-HCV, anti-HBc and anti-HIV - 1 were studied. Of 73 anti-HCV positive reactions, 45 (61.6%) were confirmed by the recombinant immunoblot assay (RIBA). The proportion of individuals with anti-HCV was higher in outpatients with a history of sexually transmitted disease than without. It was 2.8% in non drug user heterosexuals and 2.9% in non drug user homosexuals. Intravenous drug users (IDU) had higher anti-HCV prevalence when a history of STD was taken into account (42.3% in subjects with STD versus 36.7% in subjects without STD). Among non drug user heterosexuals an association was found between anti-HCV and anti-HBc. These data suggest that sexual transmission of HCV occurs, although it seems to be less efficient than other parenteral modes of transmission. When a more sensitive and specific marker of HCV infection become available, a more accurate estimate of the frequency and efficiency of the sexual transmission will be possible.

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