American Journal of Infectious Diseases and Microbiology
ISSN (Print): 2328-4056 ISSN (Online): 2328-4064 Website: http://www.sciepub.com/journal/ajidm Editor-in-chief: Maysaa El Sayed Zaki
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American Journal of Infectious Diseases and Microbiology. 2020, 8(1), 20-23
DOI: 10.12691/ajidm-8-1-3
Open AccessArticle

Opportunistic Infections in Patients Living with HIV at Brazzaville University Hospital: Prevalence and Associated Factors

Ossibi Ibara BR1, 2, , Bemba ELP1, 3, Okemba Okombi FH1, 3, Mouloungui M1, Adoua Doukaga T1, 2, Angonga Pabota E2, Ekat M2 and Ellenga-Mbolla BF1, 4

1Faculty of Health Sciences, Marien NGOUABI University, Brazzaville-Congo

2Department of Infectious Diseases, University Hospital, Brazzaville-Congo

3Pneumology Department, University Hospital, Brazzaville-Congo

4Department of Cardiology, Brazzaville-Congo University Hospital

Pub. Date: January 30, 2020

Cite this paper:
Ossibi Ibara BR, Bemba ELP, Okemba Okombi FH, Mouloungui M, Adoua Doukaga T, Angonga Pabota E, Ekat M and Ellenga-Mbolla BF. Opportunistic Infections in Patients Living with HIV at Brazzaville University Hospital: Prevalence and Associated Factors. American Journal of Infectious Diseases and Microbiology. 2020; 8(1):20-23. doi: 10.12691/ajidm-8-1-3

Abstract

Objectives: To determine the prevalence of opportunistic infections in the Infectious Diseases Department and to look for associated factors. Patients and Methods: A descriptive and analytical retrospective study of patients living with HIV, diagnosed in pre- or per-hospitalization, receiving or not receiving highly active antiretroviral therapy, in which an opportunistic infection related to AIDS has been documented. Results: A total of 548 patients included (22.7% of admissions) of average age of 39.9±11.2 years (17-82 years), mostly female (n-339; 61.9%), singles (n-403;73.5%), with a primary education level (n-218;39.8%). The majority (n=403; 73,5%) came from an urban area, with a primary education level (n-218;39.8%), residing in cities (n-403;73).77 Patients working in the informal sector were overwhelmingly represented (n-357;65.1) followed by the unemployed (n-51; 9.3%). The average consultation time was 29 ±3.5 (6-42) days. Type 1 HIV was the most found (419; 78.1%) and Lower CD4< 200/mm3 in 93 patients. The most common opportunistic infections found were Tuberculosis (n-231;42.2%), Toxoplasmosis (n-85;15.5%) and Neuromeningeal Cryptococcosis (n-58; 10.6%). Only 381 patients were on ARTV (69.5%), first-line (n-124; 74.3%). The average length of hospital stay was 20.4-11.8 (5-60) days. The overall lethality was 68%. Conclusion: Opportunistic infections remain common at the Brazzaville University Hospital in an HIV-depressed population1. Tuberculosis affects lethality, which is high as a result of therapeutic non-compliance. This is to say the importance of early HIV testing and management to minimize the emergence of opportunistic diseases in this area.

Keywords:
opportunist HIV prevalence associated factors CHU Brazzaville

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