scholarly journals Hematological parameters of human immunodeficiency virus positive pregnant women on antiretroviral therapy in Aminu Kano Teaching Hospital Kano, North Western Nigeria

2018 ◽  
Vol 10 (01) ◽  
pp. 060-063
Author(s):  
Ibrahim Abdulqadir ◽  
Sagir Gumel Ahmed ◽  
Aisha Gwarzo Kuliya ◽  
Jamilu Tukur ◽  
Aminu Abba Yusuf ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Pregnant Women ◽  
Hematological Parameters ◽  
Cd4 Count ◽  
Reproductive Age ◽  
Full Blood Count ◽  
Hiv Positive ◽  
Mean Cell Volume ◽  
Significant Difference ◽  
Immunodeficiency Virus

Abstract CONTEXT: Human immunodeficiency virus (HIV) scourge continues to affect young women within the reproductive age group and pregnancy is a recognized indication for the use antiretroviral (ARV) drugs among HIV-positive women. AIMS: The aim is to determine the combined effect of pregnancy, HIV and ARV drugs on the hematological parameters of the pregnant women. SETTINGS AND DESIGN: This was a comparative cross-sectional study conducted among 70 each of HIV-positive and negative pregnant women. SUBJECTS AND METHODS: Bio-demographic and clinical data were extracted from the client folder and 4 ml of blood sample was obtained from each participant. Full blood count was generated using Swelab automatic hematology analyzer while reticulocyte count and erythrocyte sedimentation rate (ESR) were conducted manually. STATISTICAL ANALYSIS USED: Data analysis was performed using SPSS version software 16 while P < 0.05 was considered statistically significant. RESULTS: Pregnant women with HIV had statistically significant lower hematocrit and white blood cell (WBC) and higher ESR than pregnant women without HIV (P < 0.000). There was no statistically significant difference between the two groups in terms of platelet and reticulocyte (P > 0.05). However, among HIV positive pregnant women, those with CD4 count <350/μL had statistically significant lower WBC and lymphocyte count than those with CD4 count ≥350/μL (P < 0.05), whereas, those on zidovudine (AZT)-containing treatment had statistically significant lower hematocrit and higher mean cell volume than those on non-AZT-containing treatment (P < 0.05), but there was no statistically significant difference in any of the hematological parameters (P > 0.050) between women on first- and second-line ARV regimens. CONCLUSIONS: There is a significant difference in terms of hematological parameters between HIV-positive and HIV-negative pregnant women in this environment.

scholarly journals EFFECT OF ANTIRETROVIRAL TREATMENT REGIMENS ON LIVER ENZYMES IN HUMAN IMMUNODEFICIENCY VIRUS PATIENTS

2018 ◽  
Vol 11 (8) ◽  
pp. 95
Author(s):  
Adiga Sachidananda Mn ◽  
Adiga Usha S
Keyword(s):  
Human Immunodeficiency Virus ◽  
Highly Active Antiretroviral Therapy ◽  
Liver Enzymes ◽  
Cd4 Count ◽  
Treatment Regimens ◽  
Highly Active ◽  
Significant Difference ◽  
Immunodeficiency Virus ◽  
Slight Elevation ◽  
The Difference

Objective: Treatment of human immunodeficiency virus (HIV) with highly active antiretroviral therapy is complicated due to its effect on liver enzymes along with associated risk of opportunistic infection and its treatment. The objective of the study was to compare the effect of two zidovudine and lamivudine-based regimens on liver enzymes and to correlate them with age and CD4 count in HIV patients.Methods: In this retrospective study, patients who have received zidovudine+lamivudine+nevirapine (ZLN) or zidovudine+lamivudine+efavirenz (ZLE) at least for 1 year were included. Baseline, 6-month, and 1-year values of aspartate amino transferase (AST), alanine amino transferase (ALT), and CD4 count were collected. One-way analysis of variance and unpaired t-test were used to compare the difference in AST, ALT, and CD4 count value within basal, 6 months, and 1 year of two group and between the groups, respectively. Pearson’s correlation was used for correlation study.Results: Elevation of AST levels in patients who had received ZLN regimen at different interval was significant statistically. There was a statistically significant elevation of ALT level at 6 months. There was no significant change in AST and ALT values in patients who had received ZLE regimen. Between the two regimens, there was statistically significant difference in AST and ALT values at 6 months and 1 year. There was no correlation between age and CD4 count with liver enzymes.Conclusion: We conclude from the study that nevirapine containing zidovudine regimen showed a slight elevation in AST. The efavirenz regimen did not show a change in AST and ALT.

scholarly journals Human Immunodeficiency Virus Status in Malnourished Children seen at Lagos

2018 ◽  
Author(s):  
EO Temiye ◽  
OF Adeniyi ◽  
IB Fajolu ◽  
AA Ogbenna ◽  
TA Ladapo ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Total Protein ◽  
Protein Energy Malnutrition ◽  
World Health ◽  
Full Blood Count ◽  
Hiv Positive ◽  
Hiv Status ◽  
Malnourished Children ◽  
Immunodeficiency Virus ◽  
Oral Thrush

AbstractIntroductionHuman immunodeficiency virus and protein energy malnutrition are still prevalent in Nigeria and the occurrence of the two conditions together confers a poor prognosis. The aim of this study was to determine the current categories of malnutrition amongst under 5 children in Lagos, document their HIV status and determine any peculiarities in the clinical features, haematological and some biochemical profile in these children.MethodsThe study was a prospective crossectional study conducted at the Paediatric department of the Lagos University Teaching Hospital and the Massey Street Children’s Hospital over a 6 month period. All the subjects had anthropometry, HIV testing, full blood count and serum proteins done. The factors associated with HIV status were determined with the logistic regression analysis.ResultsTwo hundred and fourteen (214) malnourished children ≤5 years were recruited into the study and 25(11.7%) were HIV positive. One hundred and five (49.1%) of the participants had moderate malnutrition while 25.2% had severe forms of malnutrition. Fever, cough and diarrhea were the commonest symptoms. Severe wasting, oral thrush, dermatoses and splenomegaly were seen more commonly in the HIV positive subjects. The haematological indices were comparable in the two groups, however, the total protein was significantly higher in the HIV positive subjects compared to the negative group (p=0.042). Multivariate analysis showed that the total protein (p=0.001) and platelet count (p=0.016) could significantly predict the occurrence of HIV in the malnourished childrenConclusionThe presence of severe wasting, oral thrush, diarrhea, splenomegaly, thrombocytopenia and high total proteins in malnourished children should heighten the suspicion of possible underlying associated HIV infection. This study reinforces the recommendation by the World Health Organisation (WHO) that all malnourished children should have mandatory HIV screening.

scholarly journals Evolution of Tuberculosis/Human Immunodeficiency Virus Services among Different Integrated Models in Myanmar: A Health Services Review

2018 ◽  
Vol 4 (1) ◽  
pp. 2 ◽  
Author(s):  
Myo Kyi ◽  
Si Aung ◽  
Edward McNeil ◽  
Virasakdi Chongsuvivatwong
Keyword(s):  
Human Immunodeficiency Virus ◽  
Integrated Services ◽  
Program Review ◽  
Hiv Positive ◽  
Aggregated Data ◽  
Hiv Services ◽  
Significant Difference ◽  
Immunodeficiency Virus ◽  
Different Types ◽  
The Government

Myanmar is one of the highly affected countries by tuberculosis (TB) and human immunodeficiency virus (HIV) co-infection. We aimed to review the coverage of TB/HIV integrated services as well as to document the performance of this integrated services. A retrospective program review was conducted using the aggregated data of the National TB Programme (NTP) from 2005 to 2016. In Myanmar, TB/HIV services were initiated in seven townships in 2005. Townships were slowly expanded until 2013. After that, the momentum was increased by increasing the government budget allocation for NTP. In 2016, the whole country was eventually covered by TB/HIV services in different types of integration. Antiretroviral therapy (ART) coverage among HIV-positive TB patients remained low and it was the only significant difference among the three types of integration. Barriers of low ART coverage need to be investigated to reduce the burden of TB/HIV.

scholarly journals Safety and Effectiveness of Isoniazid Preventive Therapy in Pregnant Women Living with Human Immunodeficiency Virus on Antiretroviral Therapy: An Observational Study Using Linked Population Data

2020 ◽  
Vol 71 (8) ◽  
pp. e351-e358 ◽  
Author(s):  
Emma Kalk ◽  
Alexa Heekes ◽  
Ushma Mehta ◽  
Renee de Waal ◽  
Nisha Jacob ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Antiretroviral Therapy ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Absolute Risk ◽  
First Trimester ◽  
Preventive Therapy ◽  
Cd4 Count ◽  
Isoniazid Preventive Therapy ◽  
Immunodeficiency Virus

Abstract Background Isoniazid preventive therapy (IPT) is widely used to protect against tuberculosis (TB) in people living with human immunodeficiency virus (HIV). Data on the safety and efficacy of IPT in pregnant women living with HIV (PWLHIV) are mixed. We used an individual-level, population-wide health database to examine associations between antenatal IPT exposure and adverse pregnancy outcomes, maternal TB, all-cause mortality, and liver injury during pregnancy through 12 months postpartum. Methods We used linked routine electronic health data generated in the public sector of the Western Cape, South Africa, to define a cohort of PWLHIV on antiretroviral therapy. Pregnancy outcomes were assessed using logistic regression; for maternal outcomes we applied a proportional hazards model with time-updated IPT exposure. Results Of 43 971 PWLHIV, 16.6% received IPT. Women who received IPT were less likely to experience poor pregnancy outcomes (adjusted odds ratio [aOR], 0.83 [95% confidence interval {CI}, .78–.87]); this association strengthened with IPT started after the first trimester compared with none (aOR, 0.71 [95% CI, .65–.79]) or with first-trimester exposure (aOR, 0.64 [95% CI, .55–.75]). IPT reduced the risk of TB by approximately 30% (aHR, 0.71 [95% CI, .63–.81]; absolute risk difference, 1518/100 000 women). The effect was modified by CD4 cell count with protection conferred if CD4 count was ≤350 cells/μL (aHR, 0.51 [95% CI, .41–.63]) vs 0.93 [95% CI, .76–1.13] for CD4 count &gt;350 cells/µL). Conclusions This analysis of programmatic data is reassuring regarding the safety of antenatal IPT, with the greatest benefits against TB disease observed in women with CD4 count ≤350 cells/μL.

scholarly journals Studies on Some Cytokines, CD4, Hepcidin, Iron, and Some Haematological Parameters of Patients with Pulmonary Tuberculosis and Human Immunodeficiency Virus in Southeast, Nigeria

2020 ◽  
pp. 149-159
Author(s):  
Obeagu, Emmanuel Ifeanyi ◽  
Obeagu, Getrude Uzoma ◽  
Esimai, Bessie Nonyelum ◽  
Amaeze Augustine Amaeze ◽  
Amaeze, Florence Ngozi ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Pulmonary Tuberculosis ◽  
Iron Status ◽  
Tertiary Hospital ◽  
Haematological Parameters ◽  
Full Blood Count ◽  
Duration Of Treatment ◽  
Significant Difference ◽  
Immunodeficiency Virus ◽  
Ifn Γ

The research was done to evaluate the levels of IFN-γ, IL-6, IL- 10, iron status, hepcidin and haematological parameters of patients with pulmonary tuberculosis and human immunodeficiency virus in a tertiary hospital, Southeast, Nigeria. Four hundred (400) subjects aged 18-60 years were selected for this study. The participants comprised of PTB (200 subjects) and HIV (200 subjects). Whole blood of 7ml was collected from each participant; 4.5ml of blood was added to plain tubes for assay of cytokines, hepcidin and iron and 2.5ml for FBC, CD4 count and HIV screening. The cytokines and hepcidin were determined using Melsin ELISA Kits and Teco Diagnostics kits used for iron. Full blood count was determined by automation using Mindray BC-5300. The study revealed significant difference in IFN-γ (P=0.000), IL-6 (P=0.000) IL-10 (P=0.001), hepcidin (P=0.016), TIBC (P=0.005), %TSA  (P=0.001), WBC (P=0.000), Neutrophils (P=0.000), Lymphocytes (P=0.000), Monocytes (,P=0.000), RBC (P=0.000), Haemoglobin (P=0.000), PCV (P=0.000), MCV (P=0.000), MCH (P=0.000), MCHC (P=0.000), Platelets (P=0.000), ESR (P=0.000)  and no significant difference in CD4 (P=0.605), Iron (P=0.787),Eosinophils (P=0.724), Basophil (P=0.869) when compared between  control and HIV subjects respectively. There were changes in the cytokines, hepcidin, TIBC, %TSA and haematological parameters studied in the subjects. There were increase in the levels of cytokines studied in patients with Pulmonary TB and HIV. The cytokines and hepcidin can be used as adjuncts to prognostic and diagnostic indicators as their levels decreased with increased duration of treatment of the patients.

scholarly journals Otorhinolaryngologic Manifestations of Human Immunodeficiency Virus Infection in Manila, the Philippines

2015 ◽  
Vol 30 (2) ◽  
pp. 8-12
Author(s):  
Anna Carlissa P. Arriola ◽  
Antonio H. Chua ◽  
Rosario Jessica F. Tactacan-Abrenica
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Infection ◽  
Antiretroviral Treatment ◽  
Cervical Lymphadenopathy ◽  
The Philippines ◽  
Cd4 Count ◽  
Inverse Association ◽  
Keywords Hiv ◽  
Significant Difference ◽  
Immunodeficiency Virus

Objective: To determine the prevalence of otorhinolaryngologic (ENT) manifestations in people living with Human Immunodeficiency Virus (HIV) infection seen in our institutions, and to determine the association of these manifestations with age, sex, CD4 count and antiretroviral treatment. Methods: Study Design: Cross-Sectional Study Setting: Two Tertiary Government Hospitals Subjects: Adult patients (>19 years old) confirmed to be HIV- infected  were seen at Jose R. Reyes Memorial Medical Center and San Lazaro Hospital from February to July 2014. A data sheet regarding ENT manifestations was filled upon examination. Age, sex, CD4 count and antiretroviral treatment data were recorded. Independent samples t-test was used to determine age association with manifestations. Fischer’s exact test was used to determine association of sex and manifestations. Chi-square test of independence was used to determine association of CD4 count and antiretroviral treatment with manifestations. Association was considered statistically significant if p< 0.05. Results: Three hundred one patients participated with 287 males (95.3%) and 14 females (4.7%). The mean age was 31.7 ± 8. One hundred ninety seven (65.4%) had ENT manifestations. The most common areas of manifestations came from the oral cavity-oropharyngeal area (n=104, 37%), nasal cavity-nasopharyngeal area (n=73, 26%) and ear (n=43, 15%). The most frequent manifestations were cervical lymphadenopathy, aphthous stomatitis and acute rhinitis. There was no significant difference in the age (p=0.31) and sex (p=0.15) of patients with and without manifestations. However, there was a direct association of manifestations with low CD4 count (p<0.001) and inverse association with antiretroviral treatment (p=0.036). Conclusion: Our findings emphasize the importance of screening for ENT manifestations, regular CD4 monitoring and enrollment to antiretroviral therapy in persons with HIV. Baseline otorhinolaryngologic examination upon HIV diagnosis and prior to initiating treatment should be followed by regular surveillance. Conversely, physicians should also be aware that patients with ENT manifestation may have HIV infection. Keywords:   HIV, Otorhinolaryngologic diseases, CD4 Lymphocyte Count, Anti-Retroviral Agents, Stomatitis, Rhinitis  

scholarly journals Outcomes of Reflex Cryptococcal Antigen (CrAg) Screening in Human Immunodeficiency Virus (HIV)-Positive Patients With CD4 Counts of 100–200 Cells/µL in Botswana

2020 ◽  
Author(s):  
Mark W Tenforde ◽  
Thandi Milton ◽  
Ikanyeng Rulaganyang ◽  
Charles Muthoga ◽  
Leabaneng Tawe ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Fold Increase ◽  
Cd4 Count ◽  
Hiv Positive ◽  
Cd4 Counts ◽  
Cryptococcal Antigen ◽  
Immunodeficiency Virus

Abstract Increasing the CD4-count threshold for cryptococcal antigen (CrAg) screening from ≤100 to ≤200 cells/µL resulted in a 3-fold increase in numbers screened. CrAg-prevalence was 3.5% at CD4 101–200 and 6.2% ≤100 cells/µL. Six-month mortality was 21.4% (9/42) in CrAg-positive CD4 ≤100 cells/µL and 3.2% (1/31) in CrAg-positive CD4 101–200 cells/µL.

scholarly journals Assessment of Clinical and Radiological Parameters in Spinal Tuberculosis: Comparison between Human Immunodeficiency Virus-Positive and Human Immunodeficiency Virus-Negative Patients

2020 ◽  
Vol 14 (6) ◽  
pp. 857-863
Author(s):  
Shrikant Shrikrishnarao Sagane ◽  
Vishal Supda Patil ◽  
Girish Dnyaneshwar Bartakke ◽  
Kaustubh Yeshwant Kale
Keyword(s):  
Human Immunodeficiency Virus ◽  
Cobb Angle ◽  
Vertebral Body ◽  
Epidural Space ◽  
Spinal Tuberculosis ◽  
Hiv Positive ◽  
Radiological Parameters ◽  
Significant Difference ◽  
Immunodeficiency Virus ◽  
Hiv Negative

Study Design: Prospective comparative study.Purppse: A prospective comparative analysis of 30 patients with spinal tuberculosis (15 human immunodeficiency viruses [HIV] positive and 15 HIV negative). We compared the clinical and radiological parameters of the two groups.Overview of Literature: With the increasing incidence of HIV and tuberculosis co-infection, spinal tuberculosis is increasing globally, especially in developing countries. The diagnosis of spinal tuberculosis presents a challenge due to nonspecific constitutional symptoms and late presentation.Methods: A prospective study was conducted of 30 patients with spinal tuberculosis (15 HIV positive and 15 HIV negative) from August 2014–July 2016 for assessment of clinical and radiological parameters. Neurological assessment was done by classification of tuberculous paraplegia, and the amount of kyphosis was assessed by Cobb angle on a plain radiograph. Abscess size in anterior epidural space, the number of vertebral bodies involved and collapsed, and skip lesions were noted on magnetic resonance imaging. Results: In the prospective analysis of 30 patients, HIV positive (n=15) and HIV negative (n=15), there was no significant difference in neurological grading between the two groups. The amount of vertebral body destruction and degree of kyphosis was significantly greater in HIV-negative patients as compared with HIV-positive patients. There was a significant difference in Cobb angle between the two groups. The amount of anterior epidural space abscess formation was greater in HIV-positive patients as compared with HIVnegative patients.Conclusions: HIV-negative patients had greater vertebral body destruction and resultant kyphosis as compared with HIV-positive patients, who had greater anterior epidural abscess formation.

scholarly journals Incidence of Active Tuberculosis Among Human Immunodeficiency Virus (HIV)-Positive Patients and Evaluation of Their Responses to Usual Anti-Tuberculosis Medications in Shiraz, South West of Iran

2015 ◽  
Vol 4 (2) ◽  
pp. 115-20
Author(s):  
Mohammad Ali Davarpanah ◽  
Seyed Mohammad Hoseini
Keyword(s):  
Human Immunodeficiency Virus ◽  
Complex Disease ◽  
Opportunistic Infections ◽  
International Health ◽  
The Body ◽  
Cd4 Count ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Study Results ◽  
Immunodeficiency Virus

Background: Human Immunodeficiency Virus (HIV) makes infected cases prone to opportunistic infections like Tuberculosis (TB) due to impaired immunity of the body, especially Multi Drug Resistant (MDR) ones which are a major concern. With HIV outbreak starting late in the 20th century, the international health community is observing a huge rise in the incidence of this complex disease. Herein, we estimated the incidence of TB among HIV-positive individuals and their responses to anti-tuberculosis medications in Shiraz, Southwest of Iran. Materials and Methods: 840 HIV-positive patients were included in this cross-sectional study. During the first examination CD4+ count and PPD test was obtained, patients were checked for other symptoms too. Patients, if diagnosed with TB, received proper medication. If therapy failed, second-line therapy was prescribed for them. Type of resistance was studied and recorded. Patients continued their routine anti-viral therapy during the study. Results: Of 840 participants, 29 were diagnosed with Active TB (3.4%), 76% of them were diagnosed with PCR and culture and other with acid fast. Males were the majority of TB positives (82.8%). Most patients suffering from TB had CD4+ count lower than 200 (55.1%); 17.2% of the cases were MDR-TB. Conclusion: Low CD4+ count makes the patient vulnerable to TB. It is necessary to maintain patient’s immunity in order to treat and prevent tuberculosis; so, anti-viral therapies still play important roles in preventing TB in HIV-positive patients.[GMJ.2015;4(2):115-20]

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