scholarly journals Magnitude and associated factors of peripheral cytopenia among HIV-infected children attending at University of Gondar Specialized Referral Hospital, Northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247878
Author(s):  
Biruk Bayleyegn ◽  
Berhanu Woldu ◽  
Aregawi Yalew ◽  
Fikir Asrie
Keyword(s):  
Viral Load ◽  
Associated Factors ◽  
Complete Blood Count ◽  
Intestinal Parasites ◽  
Study Participant ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Early Investigation ◽  
P Value ◽  
Increased Risk

Background Isolated or multi lineage cytopenia are the most common clinicopathological features and independently associated with increased risk of disease progression and death among human immunodeficiency virus infected children. In the study area, there is scarcity of data about the magnitude of various cytopenia. Objectives Aimed to determine the magnitude and associated factors of peripheral cytopenia among HIV infected children at the University of Gondar Specialized Referral Hospital ART clinic, Northwest Ethiopia. Methods Institutional based cross-sectional study was conducted on 255 HIV infected children from January- April 2020. None probable convenient sampling technique was used to select the study participant. Socio demographic data were collected by pre tested structured questionnaire via face-to-face interview and their medical data were obtained from their follow-up medical records. Moreover, blood specimens were collected and examined for complete blood count, viral load and blood film, whereas stool specimens were collected and examined for intestinal parasites. Bi-variable and multi-variable logistic regression models were fitted to identify associated factors of cytopenia. P-Value <0.05 was considered as statistically significant. Result The overall magnitude of peripheral cytopenia was 38.9%. Anemia, leukopenia, lymphopenia, thrombocytopenia and bi-cytopenia were 21.2%, 12.2%, 11%, 1.6% and 3.9% respectively. Being in the age group of 2–10 years (AOR = 5.38, 95%CI 2.33–12.46), AZT based regimen (AOR = 5.44, 95%CI: 2.24–13.21), no eating green vegetables (AOR = 2.49, 95% CI: 1.26–4.92) and having plasma viral load >1000 copies /ml (AOR = 5.38, 95%CI: 2.22–13.03) showed significant association with anemia. Conclusion Anemia was the predominant peripheral cytopenia among HIV infected children in this study. It was strongly associated with AZT based drug type, age below 10 years and high viral load. Critical stress should be given for early investigation and management of cytopenia in addition to the use of alternative drug which leads to higher viral suppression and lower risk of toxicity issue.

scholarly journals The Prevalence of Intestinal Parasites and Their Associated Factors among Diabetes Mellitus Patients at the University of Gondar Referral Hospital, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sintayehu Ambachew ◽  
Muluneh Assefa ◽  
Yalewayker Tegegne ◽  
Ayalew Jejaw Zeleke
Keyword(s):  
Diabetes Mellitus ◽  
Developing Countries ◽  
Associated Factors ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Educational Background ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Intestinal Parasitic Infection ◽  
The University

Background. Worldwide, more than one-sixth of the population is infected by intestinal parasites, of which the majority live in developing countries. On the other hand, the prevalence of diabetes mellitus has been increasing over recent decades in developing countries. Patients with diabetes mellitus encountered impaired immunity and suffer from the consequences of infection particularly intestinal parasitic infection. Objective. This study is aimed at assessing the prevalence of intestinal parasites and associated factors among diabetes mellitus patients at the University of Gondar Referral Hospital, Northwest Ethiopia. Methods and Materials. An institutional-based cross-sectional study was conducted at the University of Gondar Comprehensive Specialized Referral Hospital from February 15 to March 30, 2018. A total of 234 diabetes mellitus patients were enrolled. A systematic random sampling technique was used to select study participants. Sociodemographic and clinical data were collected using a semistructured questionnaire. A 5-gram stool sample was collected to identify parasitic infection using a direct wet mount and formal-ether concentration technique. Data was entered and analyzed by using SPSS version 20. A p value of ≤0.05 was considered as statistically significant. Result. In the current study, the overall prevalence of intestinal parasite infection among diabetics was 45 (19.2%). The parasites identified in this study were Ascaris lumbricoides 15 (6.41%), Entamoeba histolytica/dispar 9 (3.85%), Hookworm 9 (3.85%), Schistosoma mansoni 7 (3%), Enterobius vermicularis 3 (1.3%), and Giardia lamblia 2 (0.9%). Poor educational background ( AOR = 3.62 ; 95% CI (1.038, 12.65); p = 0.043 ), poor hygiene and sanitation ( AOR = 4.67 ; 95% CI (1.82, 12.07); p = 0.001 ), and inappropriate latrine usage ( AOR = 5.41 ; 95% CI (1.43, 20.56); p = 0.013 ) were significantly associated with the prevalence of intestinal parasitic infection among diabetes mellitus patients. Conclusion. The overall prevalence of intestinal parasitic infection among diabetes mellitus patients was relatively high. There should be continued prevention, control, and management of intestinal parasitic infection in such a study population.

scholarly journals Chronic Kidney Disease and associated factors among HIV/AIDS Patients on HAART at University of Gondar Referral Hospital, Northwest Ethiopia

2020 ◽  
Author(s):  
Gizachew Ayele Manaye ◽  
Dejene Derseh Abateneh ◽  
Wondwossen Niguse Asmare
Keyword(s):  
Logistic Regression ◽  
Viral Load ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Urine Specimen ◽  
Multivariate Logistic Regression ◽  
Hiv Patients ◽  
Study Participants

Abstract Background In developing countries, both opportunistic infections and chronic diseases account a high HIV associated mortality and morbidity. Chronic kidney diseases (CKD) associated with HIV infection has got increased attention in sub-Saharan Africa as a result of the high HIV prevalence and due to the late diagnosis and initiation of HAART. Thus, this study was conducted to assess CKD and associated factors among HIV patients on HARRT in Northwest Ethiopia. Methods A hospital-based cross-sectional study with a secondary data review was conducted from February 01 to April 30, 2017, at the University of Gondar Referral Hospital, Northwest Ethiopia. The study participants were selected using a systematic random sampling technique. Socio-demographic and clinical data were collected using a semi-structured questionnaire by trained nurses. Venous blood and urine specimen was collected for serum creatinine and urine protein determination respectively. Glomerular filtration rate was estimated using the CKD–EPI estimator. Data were entered into SPSS version 20 for analysis. Bivariate and multivariate logistic regression was employed and p-value < 0.05 was considered statistically significant. Results A total of 336 HIV patients on HARRT participated in the study. The mean (SD) age of the participants was 39.7 ( + 9.7) years. The study participants were on HAART with an average of 7.5 ( + 3) years. Before ART initiation, the majority of patients had WHO clinical stage II and III, 251 (74.7%), CD4+T cell count < 200 cells/mm 3 , 221 (65.8%).The overall prevalence of CKD was 16.1%. About 27 (8.0%), 16 (4.8%), 11 (3.3%) of the participants had stage 1 and stage 2 CKD and chronic renal failure (stage 3a-5) respectively. With multivariate logistic regression analysis being male (AOR=2.05 (1.03-4.09), p=0.04, occupation merchant (AOR=2.91(1.00-8.48),p=0.049)and viral load > 1000 copies/mm 3 (AOR=3.1 (1.38-7.00), P<0.01) were significantly associated with CKD. Conclusions The prevalence of CKD among HIV patients on HARRT is high. Being male, merchant and viral load > 1000 copies/mm 3 were associated factors of CKD. Patients should be regularly monitored and screened for early diagnosis and management of CKD. Those patients with high viral load and male patients should be closely followed.

scholarly journals Virological failure and associated factors among children receiving anti-retroviral therapy, Northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257204
Author(s):  
Biruk Bayleyegn ◽  
Zemene Demelash Kifle ◽  
Demeke Geremew
Keyword(s):  
Developing Countries ◽  
Viral Load ◽  
Antiretroviral Therapy ◽  
Virological Failure ◽  
Complete Blood Count ◽  
Multivariable Analysis ◽  
Northwest Ethiopia ◽  
P Value ◽  
Viral Load Suppression ◽  
Cross Sectional

Background Virological failure is under-recognized issue among children living with human immunodeficiency virus in developing countries. This partly may lead to failure to achieve the global goal of 90-90-90 targets in most developing countries including Ethiopia. Objectives This study aimed to assess the virological failure and its predictors among children receiving antiretroviral therapy at the University of Gondar comprehensive specialized hospital, Northwest Ethiopia. Methods An institutional based cross-sectional study was conducted among 253 study cohorts from January 2020-April 2021. Socio-demographic characteristics were collected using a structured questionnaire via a face-to-face interview, while detailed clinical data of the children were collected by reviewing the medical record. About 5 ml of blood were collected for the analysis of complete blood count and viral load quantification. Data were analyzed using SPSS version 20 and variables at p-value < 0.05 in the multivariable analysis were considered as statistically significant. Results In this study, the viral load suppression rate among antiretroviral therapy experienced children was 68.8%. Meanwhile, the overall virological failure among study participants was 19.4%. Children living without family (AOR = 3.63; 95%CI: 1.27–10.24), children with unemployed family (AOR = 4.95; 95%CI: 1.74–14.12), being wasted (AOR = 3.02; 95%CI: 1.19–7.67) being stunted (AOR = 2.38;95%CI:1.03–5.46), anemia (AOR = 5.50:95%CI;1.37–22.04) and being lymphopenic (AOR = 2.69:95%CI;1.04–7.75) were significantly associated with virological failure among children under treatment. Conclusion Higher virological failure among children was noteworthy in the present study. Caretakers other than immediate family, unemployed family, wasted, stunted, anemia, and lymphopenia were significant independent predictors of virological failure. Hence, standard, and optimal management of children under treatment should be warranted.

Prevalence of Intestinal Parasites and Associated Factors among HIV Patients who had Follow up at Debre Markos Referral Hospital,Northwest Ethiopia,from 2015-2019.

2019 ◽  
Author(s):  
Wodaje Gietaneh ◽  
Ayalnesh Agegne ◽  
Getnet Gedif
Keyword(s):  
Immune Deficiency ◽  
Associated Factors ◽  
Intestinal Parasites ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Human Immune Deficiency Virus ◽  
Debre Markos

Abstract Objective To assess prevalence of intestinal parasite and associated factors among patients with human immune deficiency virus (HIV)/ acquired immune deficiency syndrome (AIDS) in Debre markos referral hospital, Amhara region, Ethiopia from 2015-2019RESULTS This study revealed that, out of 380 patients, the prevalence of intestinal parasites was found to be 24.2% with95%CI (18.9, 28.4). The most predominant parasite was both forms of Entamoeba histolytica 11.3% followed by G.lambilia 8.9%, Strongyloides sterocoralis 2.4%, but A.lumbricoid 0.8% and H.worm 0.8% were the least detected. ART status had significant association with prevalence of intestinal parasites (AOR =3.566, CI: 1.882, 6.758).

scholarly journals Prevalence of Microalbuminuria and associated factors among HIV−infected ART naïve patients at Mulago hospital, Kampala, Uganda.

2020 ◽  
Author(s):  
THOMAS KIGGUNDU ◽  
Pauline Byakika-Kibwika ◽  
Irene Andia Biraro ◽  
Gyaviira Makanga ◽  
Robert Kalyesubula
Keyword(s):  
Diabetes Mellitus ◽  
Associated Factors ◽  
Alcohol Intake ◽  
Complete Blood Count ◽  
Cd4 Count ◽  
P Value ◽  
Mulago Hospital ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Mean

Abstract Background The kidney is one of the common target organs for HIV infection. Early detection of microalbuminuria, the earliest marker of renal damage is critical to slowing down progression to end stage renal disease if appropriate intervention is made. The burden of microalbuminuria and its associated factors in HIV−infected ART naive patients has not been determined in Uganda.Methods A cross-sectional study was conducted in the Mulago Immune suppression syndrome (ISS) clinic on adult HIV−infected ART naïve outpatients. Data was collected on age, sex, level of education, marital status, religion, address, and history of alcohol intake, diabetes mellitus, hypertension, medications and smoking. Measurement of blood pressure, weight and height to determine body mass index (BMI) and investigations including complete blood count (CBC),serum urea and creatinine, Liver function tests(LFTs), CD4+ count, spot morning urine albumin and urine creatinine to determine microalbuminuria were conducted. Logistic regression was used to estimate the strength of association between variables.ResultsA total of 185 adult participants were consecutively enrolled into the study. The mean (SD) age was 34.2(±9.0) years and majority (63.8%) were female. The mean (SD) CD4+ count 466±357 cells/µL, and BMI 23.1 (±4.9) kg/m 2 . The prevalence of microalbuminuria was 18.9%. None of the participants had albuminuria. CD4+ count <350cells/µL and BM1<18.5kg/m 2 were associated increased risk of microalbuminuria OR 3.8 (95%CI 1.7-8.3) (p value=0.01) and OR 4.7 (95%CI 1.82-12.4) (p value=0.03) respectively. Diabetes mellitus, hypertension, smoking, alcohol intake were not found to be significantly associated with microalbuminuria.Conclusion Microalbuminuria was highly prevalent in adult HIV−infected ART patients especially those with low CD4+ count and low BMI. There is need to study the effect of ART on microalbuminuria in adult HIV−infected patients. Key words: HIV, microalbuminuria, Uganda, ART naïve

scholarly journals Chronic Kidney Disease and associated factors among HIV/AIDS Patients on HAART at University of Gondar Referral Hospital, Northwest Ethiopia

2020 ◽  
Author(s):  
Gizachew Ayele Manaye ◽  
Dejene Derseh Abateneh ◽  
Wondwossen Niguse Asmare
Keyword(s):  
Logistic Regression ◽  
Viral Load ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Urine Specimen ◽  
Multivariate Logistic Regression ◽  
Hiv Patients ◽  
Study Participants

Abstract Background In developing countries, both opportunistic infections and chronic diseases account a high HIV associated mortality and morbidity. Chronic kidney diseases (CKD) associated with HIV infection has got increased attention in sub-Saharan Africa as a result of the high HIV prevalence and due to the late diagnosis and initiation of HAART. Thus, this study was conducted to assess CKD and associated factors among HIV patients on HARRT in Northwest Ethiopia. Methods A hospital-based cross-sectional study with a secondary data review was conducted from February 01 to April 30, 2017, at the University of Gondar Referral Hospital, Northwest Ethiopia. The study participants were selected using a systematic random sampling technique. Socio-demographic and clinical data were collected using a semi-structured questionnaire by trained nurses. Venous blood and urine specimen was collected for serum creatinine and urine protein determination respectively. Glomerular filtration rate was estimated using the CKD–EPI estimator. Data were entered into SPSS version 20 for analysis. Bivariate and multivariate logistic regression was employed and p-value < 0.05 was considered statistically significant. Results A total of 336 HIV patients on HARRT participated in the study. The mean (SD) age of the participants was 39.7 (± 9.7) years. The study participants were on HAART with an average of 7.5 (± 3) years. Before ART initiation, the majority of patients had WHO clinical stage II and III, 251 (74.7%), CD4 + T cell count < 200 cells/mm3, 221 (65.8%).The overall prevalence of CKD was 16.1%. About 27 (8.0%), 16 (4.8%), 11 (3.3%) of the participants had stage 1 and stage 2 CKD and chronic renal failure (stage 3a-5) respectively. With multivariate logistic regression analysis being male (AOR = 2.05 (1.03–4.09), p = 0.04, occupation merchant (AOR = 2.91(1.00-8.48),p = 0.049)and viral load ≥ 1000 copies/mm3 (AOR = 3.1 (1.38-7.00), P < 0.01) were significantly associated with CKD. Conclusions The prevalence of CKD among HIV patients on HARRT is high. Being male, merchant and viral load ≥ 1000 copies/mm3 were associated factors of CKD. Patients should be regularly monitored and screened for early diagnosis and management of CKD. Those patients with high viral load and male patients should be closely followed.

scholarly journals Magnitude of anemia and associated factors among children aged 6–59 months at Debre Markos referral hospital, Northwest Ethiopia: a hospital-based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Yoseph Merkeb Alamneh ◽  
Tadesse Yirga Akalu ◽  
Abtie Abebaw Shiferaw ◽  
Aytenew Atnaf
Keyword(s):  
Public Health ◽  
Associated Factors ◽  
Family Income ◽  
Dietary Diversity ◽  
Intestinal Parasites ◽  
Public Health Problem ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Cross Sectional ◽  
Debre Markos

Abstract Background Anemia, the most common micro-nutrient deficiency disorder, is the world’s second leading cause of morbidity and morbidity, affecting 24.8% of the population, of which 47.4% are under-five children. The prevalence of anemia ranges from 44 to 56% in Ethiopia. Although its magnitude has shown decreases across regions; it continues to be a significant public health problem, particularly in developing countries including Ethiopia. Despite this evidence, the magnitude and associated factors of anemia was not systematically explored and there is a limited information or limited evidences in the study area. Hence, the aim of this study was to assess the magnitude and associated factors of anemia among children aged 6–59 months attending at Debre Markos Referral Hospital, Northwest Ethiopia. Methods A hospital-based cross-sectional study was conducted at Debre Markos referral hospital Northwest Ethiopia from September 30 to December 30, 2019. Data on socio-demographic and socio-economic factors, health and nutritional features of children and their mothers were obtained using pre-tested structured questionnaires in a face-to-face interview with child care providers. Blood samples and stool examination for intestinal parasites were performed. Hemoglobin level was analyzed using the HemoCue device (HemoCueHb 301). The collected data were coded, cleared and entered into Epi-Data version 3.1, and analyzed using Stata version 14 software. To identify candidates and predictor variables, bivariate and multivariate logistic regressions were applied respectively. The significance level was determined at a confidence interval of 95% at p-value < 0.05. Results Of the total of 341 participants planned to be participated, about 310 mother-child pairs participated in the study, giving a response rate of 91%; and data were collected from children as well as their parents or guardians. In this study, the magnitude of anemia was 11.9% (95% CI, 8.5, 16.2%). Poor dietary diversity (AOR = 2.3; 95% CI: 1.12, 5.14), food-insecure households (AOR = 3.24; 95% CI: 1.85, 4.52), complementary feeding initiation time (AOR = 3.20; 95% CI:1.23, 6.61), intestinal parasites infection (AOR = 3.20; 95% CI:1.23, 6.61) and family income (AOR = 2.87; 95% CI:1.57, 5.0) were found to be factors significantly associated with anemia. Conclusion Overall, anemia is considered a public health problem among children aged 6–59 months attending at Debre Markos referral hospital, based on the cut-off point of the World Health Organization. Poor dietary diversity, complementary feeding initiation time, household food insecurity, intestinal parasite infection and family income were significantly associated with childhood anemia. Thus, it needs for proven interventions in public health such as food diversification, anti-helmintic drug provision and household food security. In addition, educating women about nutrition and diet diversification, as well as involving them in alternative sources of income-generating activity, can be vital in the study area.

Prevalence of Hypertension and Associated Factors among Bank Workers in Harar Town, Eastern Ethiopia 2018

2020 ◽  
Vol 2 (3) ◽  
pp. 1-6
Author(s):  
Gosaye Teklehaymanot Zewde ◽  
Keyword(s):  
Risk Factor ◽  
Heart Disease ◽  
Life Style ◽  
Associated Factors ◽  
Study Participant ◽  
P Value ◽  
Eastern Ethiopia ◽  
Sedentary Life ◽  
Sedentary Life Style

Background: Hypertension clinically defined as a blood pressure of 140/90 mmHg or more on at least two readings on separated time. It is one of the most prevalent non communicable diseases and the most important preventable risk factor for premature death worldwide, due to heart disease and stroke. It is the most important modifiable risk factor for coronary heart disease, stroke, congestive heart failure, end stage renal disease and peripheral vascular diseases. Objective: To assess the prevalence of hypertension and its associated factors among bank workers in Harar town, Eastern Ethiopia 2018. Methods and material: Institutions based cross sectional study was conducted on 149 Bank workers in 6 governmental and 19 private banks which were found in Harar Town. Sample was allocated proportionately and study participant was selected by simple random sampling. Collected and checked data were entered in to Epi Data software version 3.02 and exported and analyzed using SPSS version 21. Descriptive statistics were used to determine prevalence such as frequency, percentage, mean and ratio. Both Bivariate and multiple logistic regressions were used to observe the association between the outcome variable and associated factors. P value less than 0.2 in Bivariate analysis was transferred to multivariate analysis and P value less than or equal to 0.05 was considered as level of statistically significance. Result: The prevalence of hypertension on this study was 27.5 %. Among study participant 6(4%) had diagnosed with hypertension and only 3 (2%) had on treatment and follow- up. 26(17.4%) bank workers BMI Was obsessed. In multivariable logistic regression analysis Age, Sedentary life style and BMI of bank workers had significant association with hypertension. Conclusion and recommendation: The prevalence of Hypertension in the study was 27.5% Age, Sedentary life style and BMI (Obesity) in this study was positively associated with higher odds of having hypertension. Regular blood monitoring, conducting physical exercise and reduction of Alcohol consumption and street Treatment care and follow-up strategy need to be maintained.

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