CD4+ cells recovery in HIV positive patients with severe immunosuppression at HAART initiation at Centre Medico-Social Cor-Unum, Kigali
Pan Afr. med. j
; 26(14)2017.
Article
in English
| AIM
| ID: biblio-1268466
Responsible library:
CG1.1
RESUMO
Introduction:
up to 30% of HIV infected patients who are receiving HAART do not exhibit a marked increase in the CD4+ T cell count. There is still a concern that immune recovery may not be complete once CD4+ T cells have decreased below 200 cells/µl. The objective is to assess CD4+ cell recovery in HIV+ patients with CD4 count below 200 cells/µl) at HAART initiation.Methods:
this was a retrospective cohort study among 110 HIV+ patients with initial CD4 count < 200 cells/µl. Baseline Age, sex, CD4 count and viral load were extracted from the patient's database. After12 months of HAART; CD4 count was done using flow cytometry and viremia by COBAS AmpliPrep/COBAS TaqMan HIV-1 test v 2.0 technology.Results:
the mean age of the respondents was 35 years; males being 57% and females were 43%. The mean CD4 count before HAART was 110.18 cells/µl whereas at 12 months of HAART; this was 305.01 cells/µl. Though some patients did not achieve a CD4 count of more than 200 cells/µl or a drop in viral load; there was a significant recovery of CD4+ cells (P value=0.000) and viremia following HAART (P value=0.001). Participants aged 18-30 years were likely to have less than 200 cells/µl CD4 count (46.4%) [OR=4.33; 95%CI 1.29-14.59; P=0.018] than participants aged above 40 years (16.7%).Conclusion:
HAART was associated with viremia suppression but many patients failed to achieve a CD4 count >200 cells/µl. HAART before severe immunosuppression is a key factor for immune restoration among HIV+ patients
Full text:
Available
Index:
AIM (Africa)
Main subject:
Rwanda
/
Viremia
/
HIV Seropositivity
/
Immunosuppression Therapy
/
Antiretroviral Therapy, Highly Active
Type of study:
Observational study
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
Pan Afr. med. j
Year:
2017
Type:
Article
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