Neuropathic Pain In HIV / AIDS Patients On Antiretroviral Therapy And Followed As Outpatients In Bamako, Mali
|Maiga Y1*, Diakite S1, Cissoko Y2, Diallo F3, Kaïoulou HA4, Maiga A5, Toloba Y6, Maiga MY7, Carmant L8 andTraore HA4|
|1Department of Neurology, CHU Gabriel Touré Bamako Mali 267|
|2Department of Medicine, Regional Hospital Gao, Mali|
|3USAC V, Common reference center neighborhood MALI, Bamako, Mali|
|4Department of Internal Medicine University Hospital Point G 1805 Mali Bamako|
|5Molecular Epidemiology Unit of HIV resistance to ARV SEREFO, FMPOS, University of Technical Sciences and Technologies of Bamako - USTTB, BP 1805, Bamako, Mali|
|6Pneumo-phtisiology Service Point G Hospital, Bamako, Mali|
|7Department of Medecine, CHU Gabriel Touré Bamako Mali 267|
|8Department of Paediatrics, Sainte Justine Hospital (CHU Sainte-Justine), University of Montreal, 3175 Cote Sainte-Catherine, Suite 5421, Montreal, QC, H3T 1C5, Canada|
|Corresponding Author :||Dr. Youssoufa Maiga, MD
Neurologist, Practitioner Gabriel Touré teaching Hospital, Bamako, Mali
Tel: 00223 66 90 17 18
E-mail: [email protected]
|Received January 20, 2014; Accepted March 31, 2014; Published April 02, 2014|
|Citation: Maiga Y, Diakite S, Cissoko Y, Diallo F, Kaïoulou HA, et al. (2014) Neuropathic Pain in HIV / AIDS Patients on Antiretroviral Therapy and Followed as Outpatients in Bamako, Mali. J Pain Relief S3:004. doi: 10.4172/2167-0846.S3-004|
|Copyright: © 2014 Maiga Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Introduction: Neuropathic pains induced by HIV/AIDS are frequent and able to negatively impact the life quality of patients and their observance of the treatment.
Objective: We aimed to study the HIV-associated neuropathic pain in infected outdoor patients, followed-up in Bamako (MALI).
Method: We conducted a traversal, prospective, descriptive and analytical study on a cohort of 600 patients. The diagnosis of neuropathic pain was made in patients presenting a sensitive, distal and symmetric neuropathy of legs (DN4 positive). Evaluation was conducted with a simple verbal scale (SVS); the impact on the quality of life was conducted with the following scales: HAD and the short survey on pains; scale of improvement (follow-up).
Results: In this study of 120 patients, 20% had a positive DN4. The age group of [25 to 59] years was the most represented with extremes age of 18 and 75 years and modal age class 36-45 years. Females were predominant. The clinical signs were mainly burns, heaviness, and intense pains. The majority of patients reported moderate to intense pains. These pains had a negative impact on their quality of life (sleep, usual work, walk, humor) as well as treatment observance.
Conclusion: Despite the efforts of international community to make available HAART, without intervention, neurological pains have the possibility to become a real public health problem. In order to reach the pinnacle of universal access to care for HIV/AIDS infected patients, the impact of treatments on patient well-being must be further elucidated.