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Pak J Biol Sci ; 17(12): 1219-24, 2014 Dec.
Article in English | MEDLINE | ID: mdl-26027168

ABSTRACT

Although, HIV-2 is generally less pathogenic than HIV-1 and its progression towards AIDS occurs less frequently. HIV-2 remains an important cause of disease in West Africa. This study aimed to evaluate HIV-1 and HIV-2 prevalence among pregnant women and to describe the demographic and clinical profile of patients with HIV-2 infection from 2003-2013 at St Camille and General Lamizana Military Medical Centers. A retrospective investigation was conducted using 12,287 medical records from patients screened for HIV. To respond to the lack of data available regarding HIV-2 treatment and also to address the approach to clinical, biological as well as therapeutic monitoring, 62 HIV-2 infected patients' medical records were studied. Seroprevalence of 10.6 and 0.14% were obtained, respectively for HIV-1 and HIV-2 among 12,287 women screened during the study period. From the sixty two (62) HIV-2 patients, the average age was 49.2 years (sex ratio was 0.65). The weight loss and diarrhea were the major clinical manifestations observed, respectively 54.8 and 25.8%. Fungi and herpes zoster (shingles) infections were reported as major opportunistic infections. Also, nearly half of the patients had more than 60 kg, less than 2% were in WHO stage IV and about 2/3 had a CD4 count bellow 250 cells mm(-3). AZT-3TC-IDV/LPV/R was the most prescribed combination. The gain in weight gain the Body Mass Index (BMI) improvement and the non-significant increase of the rate of CD4 between 1st (M1) and 24th month (M24) were observed after treatment with antiviral.


Subject(s)
Anti-HIV Agents/therapeutic use , Drug Monitoring , HIV Infections/drug therapy , HIV-2/drug effects , Hospitals, Military , Immunocompromised Host , Adult , Burkina Faso/epidemiology , CD4 Lymphocyte Count , Disease Progression , Drug Monitoring/methods , Drug Therapy, Combination , Female , Follow-Up Studies , HIV Infections/diagnosis , HIV Infections/epidemiology , HIV Infections/immunology , HIV Infections/transmission , HIV Infections/virology , HIV Seroprevalence , HIV-1/drug effects , HIV-1/immunology , HIV-1/pathogenicity , HIV-2/immunology , HIV-2/pathogenicity , Humans , Male , Middle Aged , Opportunistic Infections/epidemiology , Opportunistic Infections/immunology , Opportunistic Infections/virology , Pregnancy , Prevalence , Retrospective Studies , Time Factors , Treatment Outcome , Weight Gain/drug effects
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