scholarly journals HIV infection in the west region of Pará

2021 ◽  
Vol 31 (1) ◽  
pp. e38938
Author(s):  
Carla Beatriz Bezerra Melo ◽  
Jord Thyego Simplício De Lima ◽  
Juciele Faria Silva ◽  
Erek Fonseca Da Silva ◽  
João Guilherme Pontes Lima Assy ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Viral Load ◽  
Medical Records ◽  
Opportunistic Infections ◽  
Western Region ◽  
Detectable Viral Load ◽  
The West ◽  
Reference Center ◽  
West Region ◽  
Immunodeficiency Virus

Aims: knowledge of the patient’s profile, for the evaluation and suggested behaviors, promotes a favorable outcome. Thus, the objective of the study is to analyze the socioeconomic, clinical, and immunological characteristics of patients infected by the human immunodeficiency virus in the western region of the state of Pará.Methods: were analyzed 1966 medical records of patients whose first visit to a reference center, in the municipality of Santarém-PA, was between 1998 and 2018. Socioeconomic, clinical, and immunological information was collected from patient medical records. Data were analyzed using descriptive and inferential statistics, adopting p <0.05.Results: there was a predominance of males (62.5%), aged 20-39 years (69.1%), elementary school (58.6%), single (57.3%), and employed (66.4%). Immunosuppression was present in 22% of patients and a viral load was detectable in 66%. Tuberculosis (37%) and toxoplasmosis (23%) predominated as opportunistic infections, and syphilis (62.6%) and human papillomavirus (HPV; 14%) as other infections.Conclusions: it is concluded that both opportunistic infections and other infections were present in 25-22% of the patients and that the presence of opportunistic infections favors the installation of another infection, or vice versa. Toxoplasmosis, HPV, and syphilis are positively associated with men, and toxoplasmosis and tuberculosis with age >35 years. Immunosuppression was shown to be positively associated with men and age >35 years, as well as favoring the onset of tuberculosis, toxoplasmosis, and detectable viral load.

Causes of Weight Loss in Human Immunodeficiency Virus Infection

1993 ◽  
Vol 4 (4) ◽  
pp. 234-236 ◽  
Author(s):  
C D Summerbell ◽  
J P Perrett ◽  
B G Gazzard
Keyword(s):  
Human Immunodeficiency Virus ◽  
Weight Loss ◽  
Immune System ◽  
Medical Records ◽  
Opportunistic Infections ◽  
Oral Lesions ◽  
Drug Related Problems ◽  
Unexplained Weight Loss ◽  
Immunodeficiency Virus ◽  
Loss Of Appetite

The medical records of all 420 patients attending an outpatient clinic between June 1990 and June 1991 were retrospectively reviewed for causes of weight loss. Of the 121 (29%) patients who had lost weight, the majority had a clear contributing cause; opportunistic infections ( n = 57), psychosocial factors ( n = 20), drug related problems ( n = 9). Unexplained weight loss ( n = 35) was more likely to have occurred in those patients with a better preserved immune system and most of these had symptoms suggestive of an unconfirmed infection or had local oral lesions associated with a loss of appetite. Unexplained weight loss associated with HIV infection is uncommon.

Prognostic Factors of Human Immunodeficiency Virus-Infected Patients on Chronic Hemodialysis

2017 ◽  
Vol 44 (3) ◽  
pp. 244-250
Author(s):  
Ivo Laranjinha ◽  
Patrícia João Matias ◽  
Jorge Dickson ◽  
Hermínia Estibeiro ◽  
Helena Boquinhas ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Prognostic Factors ◽  
Viral Load ◽  
Serum Albumin ◽  
Hiv Transmission ◽  
Opportunistic Infections ◽  
Chronic Hemodialysis ◽  
Lower Serum ◽  
Risk Of Death ◽  
Immunodeficiency Virus

Background/Aims: The number of human immunodeficiency virus (HIV)-infected patients on hemodialysis (HD) have increased, and their prognostic factors are still poorly clarified. The study aimed to identify factors that can influence the survival of HIV-infected patients on HD. Methods: We performed a retrospective cohort study of 44 HIV-infected patients on HD. Results: A total of 17 patients (39%) died. Median survival on HD was 30.8 months and the survival rate at 1 and 5 years was 82.5 and 62.9%, respectively. Male (relative risk [RR] 3.1, p = 0.040) and blacks (RR 2.5, p = 0.037) had higher risk of death. The patients who died had a shorter duration of HIV infection (p = 0.028), had a higher viral load (p = 0.044), more opportunistic infections (p = 0.013), and a lower serum albumin (p = 0.009). Lower serum albumin, nonsexual HIV transmission, viral load, opportunistic infections, and usage of catheters were associated with lower survival. Conclusion: Several demographic, viral, and dialysis variables may help to predict survival of this population. The intervention in these factors could improve their prognosis.

scholarly journals An evaluation of human immunodeficiency virus oral screening test awareness and preferences in the West region of Cameroon

2015 ◽  
Vol 8 (3) ◽  
pp. 254-259 ◽  
Author(s):  
Celine N. Nkenfou ◽  
Japhette T. Kembou ◽  
Appolinaire Djikeng ◽  
Irenee Domkam ◽  
Timoleon Tchuinkam
Keyword(s):  
Human Immunodeficiency Virus ◽  
Screening Test ◽  
The West ◽  
West Region ◽  
Immunodeficiency Virus ◽  
Oral Screening

scholarly journals Antiretroviral Therapy (ART) Use, Human Immunodeficiency Virus (HIV)-1 RNA Suppression, and Medical Causes of Hospitalization Among HIV-Infected Intravenous Drug Users in the Late ART Era

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Gabriel Vallecillo ◽  
Sergio Mojal ◽  
Marta Torrens ◽  
Roberto Muga
Keyword(s):  
Human Immunodeficiency Virus ◽  
Viral Load ◽  
Drug Users ◽  
Opportunistic Infections ◽  
Organ Damage ◽  
Intravenous Drug ◽  
Intravenous Drug Users ◽  
Discharge Diagnosis ◽  
Immunodeficiency Virus ◽  
Hiv 1

Abstract Background.  Antiretroviral therapy (ART) has reduced the rates and changed the causes of hospital admission. However, human immunodeficiency virus-positive intravenous drug users (HIV-IDU) continue to have increased hospitalizations and discharge diagnosis are less defined in the late ART era. Our aim was to examine ART use, HIV-1 RNA suppression, and hospital discharge diagnoses among HIV-IDU admitted to an urban hospital. Methods.  A retrospective analysis was made of HIV-IDU admitted for medical causes for the first time (2006–2010). Surgical, obstetric, or mental (except HIV-associated neurocognitive disorder) diagnoses were excluded. Clinical characteristics, number of admissions, and primary discharge diagnoses were determined for each patient. Results.  Three hundred and seventy-five admissions were recorded among 197 hospitalized HIV-IDU. Lifetime prevalence of ART use was 83.2% (164 of 197) and the rate of HIV-1 RNA &lt;50 copies/mL was 38.1% (75 of 197). Primary discharge diagnosis groups were as follows: bacterial infections (59.2%), chronic end-organ damage (16.8%), complications derived from injected drug use (16.8%), malignancies (9.1%), and opportunistic infections (6.6%). Chronic end-organ damage was diagnosed more frequently in patients with HIV-1 RNA &lt;50 copies/mL (36% vs 4.9%; P &lt; .000), and complications derived from injected drug use (23.8% vs 5.3%; P &lt; .0008) and acquired immune deficiency syndrome (AIDS) opportunistic infections (19.8% vs 1.3% P &lt; .019) were usually diagnosed in patients with HIV-1 RNA detectable viral load. Conclusions.  Human immunodeficiency virus-positive intravenous drug users are admitted to hospitals mainly for non-AIDS-related illnesses; however, sustained HIV-1 RNA viral load suppression is poor and determines hospital discharge diagnoses. Providers need to be aware of the management of HIV-related comorbidities and reinforce strategies to improve ART retention in this population.

Profile of Chronic Comorbid Conditions and Obstetrical Complications Among Pregnant Women With Human Immunodeficiency Virus and Receiving Antiretroviral Therapy in the United States

2021 ◽  
Author(s):  
Kartik K Venkatesh ◽  
Leavitt Morrison ◽  
Ruth E Tuomala ◽  
Alice Stek ◽  
Jennifer S Read ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Viral Load ◽  
Antiretroviral Therapy ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Detectable Viral Load ◽  
Comorbid Conditions ◽  
Obstetrical Complications ◽  
Immunodeficiency Virus ◽  
Women With Hiv

Abstract Background To evaluate the frequency and associated characteristics of chronic comorbid conditions and obstetrical complications among pregnant women with human immunodeficiency virus (HIV) and receiving antiretroviral therapy (ART) in comparison to those without HIV. Methods We compared 2 independent concurrent US pregnancy cohorts: (1) with HIV (International Maternal Pediatric Adolescent AIDS Clinical Trials Protocol P1025, 2002–2013) and (2) without HIV (Consortium for Safe Labor Study, 2002–2007). Outcomes were ≥2 chronic comorbid conditions and obstetrical complications. For women with HIV, we assessed whether late prenatal care (≥14 weeks), starting ART in an earlier era (2002–2008), and a detectable viral load at delivery (≥400 copies/mL) were associated with study outcomes. Results We assessed 2868 deliveries (n = 2574 women) with HIV and receiving ART and 211 910 deliveries (n = 193 170 women) without HIV. Women with HIV were more likely to have ≥2 chronic comorbid conditions versus those without HIV (10 vs 3%; adjusted OR [AOR]: 2.96; 95% CI: 2.58–3.41). Women with HIV were slightly less likely to have obstetrical complications versus those without HIV (both 17%; AOR: .84; 95% CI: .75–.94), but secondarily, higher odds of preterm birth &lt;37 weeks. Late entry to prenatal care and starting ART in an earlier era were associated with a lower likelihood of ≥2 chronic comorbidities and obstetrical complications; detectable viral load at delivery was associated with a higher likelihood of obstetric complications. Conclusions Pregnant women with HIV receiving ART have more chronic comorbid conditions, but not necessarily obstetrical complications, than their peers without HIV.

scholarly journals Relations of Antiretroviral Combinations to CD4 Levels of HIV TB Patiens in RSUD H.Abdul Manap Jambi

2021 ◽  
Vol 6 (2) ◽  
pp. 75-79
Author(s):  
Jelly Permatasari ◽  
Indri Meirista ◽  
Hamira Bafadhal
Keyword(s):  
Human Immunodeficiency Virus ◽  
Medical Records ◽  
Retrospective Cohort ◽  
Opportunistic Infections ◽  
Hiv Replication ◽  
Exclusion Criteria ◽  
Hiv Progression ◽  
Immunodeficiency Virus ◽  
The World ◽  
The Relationship

The cases of Human Immunodeficiency Virus (HIV) infection are increasing every year. This case is a disease that is very rapidly transmitted throughout the world. HIV increases the risk of developing tuberculosis (TB) and conversely TB infection increases HIV progression. In 2017, it is estimated that 10 million people have HIV TB. Combination of antiretrovirals is the basis for the management of antiretroviral therapy for HIV / AIDS patients, because it can reduce resistance, suppress HIV replication effectively so that transmission, opportunistic infections and other complications. The purpose of this study was to determine the relationship between antiretroviral combinations and CD4 levels in outpatient HIV TB patients at RSUD H. Abdul Manap Jambi. This study is a retrospective cohort study using medical records of outpatient HIV TB patients at RSUD H. Abdul Manap Jambi based on inclusion and exclusion criteria. Based on research conducted on outpatient HIV TB patients at Abdul Manap Hospital, Jambi, it was found that there was no relationship between antiretroviral combinations and CD4 levels in HIV TB patients, marked by Asimp.Sig 0.778> 0.05.

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