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ISSN: 2329-8790

Journal of Hematology & Thromboembolic Diseases
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Research Article

Profile of People Living with HIV in Intensive Medical Care in Togo: Epidemiological and Evolutionary Aspects

Djibril MA1, Ouedraogo SM2*, Balaka A1, Tchamdja T1, Djagadou K1 and Agbetra A1
1Intensive medical care, University Hospital Sylvanus Olympio, Lome, Togo
2Department of Internal Medicine, University Hospital SouroSanou (CHU SS), Burkina Faso
Corresponding Author : Ouedraogo SM
Department of Internal Medicine
Immunology and Hematology University Hospital Professor
Mail box 676, Teaching Higher
Institute of the Health Sciences of
the Polytechnic University of Bobo - Dioulasso
Burkina Faso
Tel: 00226 70207076
E-mail: [email protected]
Received February 19, 2015; Accepted March 10, 2015; Published March 22, 2015
Citation: Djibril MA, Ouedraogo SM, Balaka A, Tchamdja T, Djagadou K, et al. (2015) Profile of People Living with HIV in Intensive Medical Care in Togo: Epidemiological and Evolutionary Aspects. J Hematol Thrombo Dis 3:201. doi: 10.4172/2329-8790.1000201
Copyright: ©2015 Djibril MA, 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.
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Abstract

Aim: To describe both the epidemiology and prognosis of people living with HIV (PLHIV) hospitalized in intensive care. Methodology: It is a prospective cross-sectional study conducted at the CHU Sylvanus Olympio, Lomé over a period of 12 months on known HIV infected patients or patients newly diagnosed on admission, from both sexes, aged over 15 years, hospitalized during the period between January 1st and December 31st, 2011. We studied the socio-demographic parameters, the reason for hospitalization, the infections and affections found and and their evolution. Results: During our study period 124 patients (46 men and 78 women) ère selected out of 1130, i.e. a rate of 10.9%, witz a sex ratio of 0.6. The average age of our patients was 41 ± 15.5 years, ranging from 20 years to 69 years. On admission, 41% (51 patients) ère aware of their HIV-positive status, witz 30% on antiretroviral treatment. The reasons for admission ère dominâtes by altered consciousness, repetitive seizures, severe dehydration, severe anemia witz impaired general condition and paroxysmal dyspnées witz respective rates of 48.4%, 22, 6%, 12% 32% and 4.3%. The clinicat manifestations ère dominâtes by hémi corporal sensoriel motor deficit (56.7%), fever (53%) and coma (48.4%). Biologically, 83.6% had a CD4 rate below 200 elements per mm3. Anemia was severe in 32 % out of the 87% of cases of anemia. This anemia is associated witz a lymphopenia or neutropenia or thrombocytopenia in respectively 63.3%, 57.1% and 20% of cases. Creatinine and blood urea ère elevated in 20% of cases. Infections and diseases found ère dominâtes by cerebral abscesses (40%), severe anemia (32%), gastroenteritis (12%) and meningitis (11.2%). Brain abscess ère represented by toxoplasmosis in 90% of cases. Meningitis was bacterial in 5 cases (pneumococcus), fungal (Cryptococcus) in 3 cases. Overall mortality was 43% witz a higher lethality for meningitis and severe anemia.

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