Perception of taste in HIV-positive individuals in treatment antiretroviral: results of a case-control study

2016 ◽  
Vol 37 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Indiara Welter Henn ◽  
Ruann Oswaldo Carvalho da Silva ◽  
Cassiano Lima Chaiben ◽  
Ângela Fernandes ◽  
Maria Ângela Naval Machado ◽  
...  
2016 ◽  
Author(s):  
Edwin Walong ◽  
Christopher Gontier ◽  
Walter Jaoko ◽  
Elizabeth Bukusi

ABSTRACTBackgroundUse of the progestin contraceptive Depot Medroxyprogesterone Acetate (DMPA) by HIV 1 infected women is associated with increased female to male transmission of HIV. Mucosal innate immune activation has been proposed as a likely mechanism. To establish the effect of DMPA upon mucosal immune activation, this study sought to evaluate the concentrations of 5 proinflammatory and the regulatory cytokine IL 10 in cervicovaginal lavage fluid.MethodsThis was a case control study, 70 participants were recruited, comprising of 35 asymptomatic ART naïve HIV positive women on DMPA recruited as cases and 35 age matched asymptomatic ART naive HIV positive women not on contraceptives recruited as controls. Peripheral blood CD4 and total lymphocyte counts, High vaginal swab microscopy, endocervical smears and cervical cytology were performed for each participant. Concentrations of six proinflammatory cytokines were measured on cervicovaginal lavage by multiplex cytometric bead array.ResultsThe mean age of cases was 26.8 years and 30 years for controls. Total lymphocyte counts and CD4 cell counts were significantly higher among cases (p=0.02 and 0.004 respectively). HSV 2 prevalence as determined by ELISA was higher (p=0.034 among cases. The concentrations of the cytokines IL 1β, IL 6, IL 8, IL 12p70 and TNF α were lower among cases, with IL 1β being statistically significant (p=0.046). Concentrations of IL 10 was higher among cases (p=0.022). On multivariate analysis, reduction in IL 1β and IL 8 were associated with the duration of DMPA use (p=0.015 and 0.041 respectively). Inclusion of HSV 2 into the multivariate models showed elevation of all cytokines measured (p=<0.001).ConclusionDMPA use is associated with reduction of proinflammatory cytokines and elevation of the regulatory cytokine IL 10. This may explain increased female to male transmission of HIV infection by modulation of male genital tract mucosa in the absence of increased HIV 1 genital shedding.


2020 ◽  
Vol 2 (8) ◽  
pp. 02-07
Author(s):  
Matthew Anyanwu ◽  
Samuel Anya ◽  
Richard Offiong ◽  
Bissallah Ekele

2019 ◽  
Author(s):  
Biruk Abate Beletew ◽  
Ayelign Mengesha ◽  
Mohammed Ahmed

Abstract Background: Anemia is one of the most commonly observed hematological abnormalities and an independent poor prognostic marker of HIV disease. The rate of progression and mortality in this subgroup of patients is high compared to non-anemic patients. WHO estimates that over 2 billion people are anemic worldwide and young children bear the world's highest prevalence rate of anemia. In Ethiopia, there is limited information about the determinant factors associated with anemia among HIV positive children. Thus, the main purpose of this study was to assess the determinants of anemia among children on highly active anti-retroviral therapy attending hospitals of North Wollo Zone, Amhara Region, Ethiopia. Methods: A case-control study was conducted on 350 HIV infected children on HAART attending Hospitals of North Wollo Zone, from February 1 to March 30, 2019. The study participants were selected with consecutive sampling technique. An adapted, interviewer-administered, and pre-tested questionnaire and chart review were employed to collect the data. Besides, blood and stool sample was investigated to determine hematologic indices and to investigate intestinal parasites respectively. Data were analyzed by using the SPSS version 24 statistical software and bivariate and multivariate logistic regression was used to identify predictors. Results: A total of 350 HIV positive children (117 cases and 234 controls) were included in this study with an overall response rate of 100%.On multivariate analysis, variables which have spastically significance association with anemia were; had Amebiasis (AOR = 7.29, 1.22 - 43.56), had history of opportunistic infections (AOR = 9.63, 1.94 - 47.85), had malaria infection (malaria pf) (AOR = 4.37, 1.16 - 16.42),eating non-diversified (AOR = 10.39, 2.25 - 48.0), WGT –Age Z score value between -2_-3 (AOR = 9.80, 2.46 - 39.14),level of adherence (AOR = 2.31, 1.92, 7.77) and being from rural area(AOR = 8.8, 2.07 - 37.79). Conclusion: In this study having parasitic infections, history of opportunistic infections, being malnourished, poor adherence to ART, caregivers living in the rural area and eating non-diversified foods were significantly associated with anemia among HIV positive children on HAART.This indicates the need of an integrated package of interventions to design anemia prevention program.


PLoS ONE ◽  
2011 ◽  
Vol 6 (3) ◽  
pp. e17781 ◽  
Author(s):  
Axel J. Schmidt ◽  
Jürgen K. Rockstroh ◽  
Martin Vogel ◽  
Matthias An der Heiden ◽  
Armin Baillot ◽  
...  

Neurology ◽  
2010 ◽  
Vol 75 (2) ◽  
pp. 111-115 ◽  
Author(s):  
B. M. Ances ◽  
J. J. Christensen ◽  
M. Teshome ◽  
J. Taylor ◽  
C. Xiong ◽  
...  

2016 ◽  
Vol 44 (4) ◽  
Author(s):  
Sachin K. Gupta ◽  
Pam Haerr ◽  
Richard David ◽  
Alok Rastogi ◽  
Suma Pyati

AbstractOur aim was to determine whether maternal HIV infection in the current era is associated with an increased incidence of meconium aspiration syndrome (MAS) in their infants.Infants born to 149 HIV-positive women at our hospital over a 5-year period were compared with infants born to HIV-negative women in a retrospective case-control study. Charts of all 298 patients included in the study were reviewed for maternal and infant demographics, HIV treatment, vertical transmission and untoward events at delivery or during the hospital course.When compared with HIV-negative women, a greater proportion of HIV-positive women had meconium-stained amniotic fluid (MSAF), 33% vs. 13%, P<0.001; and thick MSAF, 17% vs. 5%, P<0.001, respectively. Seven of 298 infants were admitted to the neonatal intensive care unit for MAS; all seven were born to HIV-positive women (P=0.015). AlthoughInfants born to HIV-positive women had significantly more MSAF and MAS than infants born to non-infected women. It is unclear whether this association results from maternal HIV infection itself or from anti-retroviral therapy. Maternal and infant care providers should be prepared for this complication when attending to the deliveries of HIV-positive women.


2020 ◽  
Vol 14 (08) ◽  
pp. 901-907
Author(s):  
Tung-Che Hung ◽  
Li-Cheng Lu ◽  
Mei-Hui Lin ◽  
Yu-Chia Hu ◽  
Chien-Yu Cheng ◽  
...  

Introduction: This study determined risk factors, obstetric comorbidities, and fetal conditions among HIV-positive mothers to improve their maternal care. Methodology: This retrospective case-control study included HIV-positive pregnant women 18 years of age or older and age-, parity-, and delivery method-matched HIV-negative controls between 2011 and 2018. Those who had stillbirth were excluded. Baseline demographics, labor process, CD4 count, plasma HIV viral load, and antiretroviral therapy (ART) regimen were recorded. Fetal conditions were recorded as well. Results: Forty HIV-positive women (45 parities; 22 via NSD, 23 via C/S) were included, with 45 HIV-negative parities as controls. Twenty-nine (72.5%) HIV-positive women had illicit drug use. In the HIV-positive group, 17% received ART prior to first perinatal visit, and 75.6% reached viral suppression pre-delivery. Zidovudine and ritonavir-boosted lopinavir were the majorly prescribed ART. Mild perineal lacerations via NSD were observed in HIV-positive women. Fetal body weight was lower in HIV- and ART-exposed fetuses (2665 vs 3010 g, p < 0.001). Preterm delivery PTB (28.9% vs 8.9%, p= 0.015) and small-for gestational age SGA (28.9% vs 8.8%, p = 0.003) rates were higher in the HIV-positive group. There was no vertical transmission of HIV. Conclusions: HIV-positive women tend to deliver fetuses with low body weight and have higher SGA and PTB rates. Given that most women received zidovudine and protease inhibitors, benefits of newer agents for HIV-positive pregnancies should be studied.


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