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Pak J Biol Sci ; 17(12): 1219-24, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26027168

RESUMO

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.


Assuntos
Fármacos Anti-HIV/uso terapêutico , Monitoramento de Medicamentos , Infecções por HIV/tratamento farmacológico , HIV-2/efeitos dos fármacos , Hospitais Militares , Hospedeiro Imunocomprometido , Adulto , Burkina Faso/epidemiologia , Contagem de Linfócito CD4 , Progressão da Doença , Monitoramento de Medicamentos/métodos , Quimioterapia Combinada , Feminino , Seguimentos , Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Infecções por HIV/imunologia , Infecções por HIV/transmissão , Infecções por HIV/virologia , Soroprevalência de HIV , HIV-1/efeitos dos fármacos , HIV-1/imunologia , HIV-1/patogenicidade , HIV-2/imunologia , HIV-2/patogenicidade , Humanos , Masculino , Pessoa de Meia-Idade , Infecções Oportunistas/epidemiologia , Infecções Oportunistas/imunologia , Infecções Oportunistas/virologia , Gravidez , Prevalência , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Aumento de Peso/efeitos dos fármacos
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