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Neuropathic Pain In HIV / AIDS Patients On Antiretroviral Therapy And Followed As Outpatients In Bamako, Mali | OMICS International | Abstract
ISSN: 2167-0846

Journal of Pain & Relief
Open Access

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Research Article

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.

Abstract

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.

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