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Ossibi Ibara BR, Bemba ELP, Okemba-Okombi FH, Adoua Doukaga Tatia, Sékangué Obili G, Angonga, Ellenga >Mbolla BF and Ikama MS. Causes of death of patients living with HIV in the section of Infectious diseases at the University Hospital of Brazzaville. Annals of Reviews and Research 2018; 4(1)555630.

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Article

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

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


American Journal of Infectious Diseases and Microbiology. 2020, Vol. 8 No. 1, 20-23
DOI: 10.12691/ajidm-8-1-3
Copyright © 2020 Science and Education Publishing

Cite this paper:
Ossibi Ibara BR, Bemba ELP, Okemba Okombi FH, Mouloungui M, Adoua Doukaga T, Angonga Pabota E, Ekat M, 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.

Correspondence to: Ossibi  Ibara BR, Faculty of Health Sciences, Marien NGOUABI University, Brazzaville-Congo. Email: ossibiibara@gmail.com

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.

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