A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Viveki, P R
- Socio-demographic and Clinical Profile of HIV/AIDS Cases Expired in a Tertiary Care Centre in North Karnataka, India
Authors
1 Department of Skin, STD & Leprosy, Belgaum Institute of Medical Sciences, Belgaum, Karnataka, IN
2 Belgaum Institute of Medical Sciences, Belgaum - 590001, Karnataka, IN
3 Dept of Anatomy, Belgaum Institute of Medical Sciences, Belgaum, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 238-243Abstract
Background: Globally, HIV/ AIDS continue to be a major public health priority as it is one of the major financial burdens on health care system worldwide.
Objectives: To explore the general clinical profile, CD4 status & frequency of opportunistic infections & non-infectious opportunistic diseases among expired HIV/AIDS cases.
Method: The present retrospective record based case study was conducted in BIMS Hospital - a tertiary care center in North Karnataka during January to February, 2011 after going through the records of all HIV/AIDS cases expired in the hospital, from January 2008 to December 2010. The collected data was analyzed using SPSS version 17.
Results: Of 361 cases expired during their hospital stay in the study period, majority (64.8%) were males and 213 (59.0%) were belonging to the age group of 26 to 40 years. Mean hemoglobin level was found to be 7.69 (± 2.21) gm%. Among those cases whose CD4+ T lymphocyte status was known (38.8%), more than 3/4th (77.1%) were having less than 200 cells /μL. Common signs and symptoms recorded were weight loss (99.4%), weakness (97.2%), cough (61.5%), fever (60.4%), altered sensorium (32.4%), general wasting syndrome (67.6%), pallor (91.7%), candidiasis (38.2%), etc. Common opportunistic infections/ diseases recorded were Tuberculosis (61.5%), Septicemia (13.6%), Pneumocystis carinii pneumonia (6.9 %) etc.
Conclusions: TB remains the commonest opportunistic infection among HIV positive cases. Findings in the present study might help hospital / health managers understand the major predictors of HIV related mortality.
Keywords
HIV/AIDS cases, Opportunistic Infections, Antiretroviral TherapyReferences
- WHO/UNAIDS. AIDS Epidemic Update. 2009. Available from http://www.unaids.org/en/ HIV-data
- NACO News, behind the numbers. News letter of National AIDS Control Organization, Ministry of Health & Family Welfare, Govt. of India. 2007; 3: 4
- Nirmala R, Joyce BS, Anita S et al. Mortality among HIV – Infected Patients in Resource Limited Settings: A Case Controlled Analysis of Inpatients at a Community Care Centre. American Journal of Infectious Diseases. 2009; 5(3):226–231.
- Isidore S, Souleymanou M, Schoneberger AM et al. Determinants of survival in AIDS patients on antiretroviral therapy in a rural centre in the Far- North Province, Cameroon.Tropical Medicine and International Health. 2009; 14(1):36–43.
- Teja VD, Sudha T and Lakshmi V. Causes and pattern of mortality in HIV infected hospitalized patients in a tertiary care hospital: A fourteen year study. Indian Journal of Medical Sciences. 2007; 61:555-556
- Asgeir J, Ezra N, Bernard JN et al. Predictors of mortality in HIV- infected patients starting antiretroviral therapy in a rural hospital in Tanzania. BMC Infectious Diseases. 2008; 8:52. Available from http://www. biomedcentral. com /1471-2334/8/52
- Sackoff JE, Hanna DB, Pfeiffer MR and Torian LV. Causes of Death among Persons with AIDS in the Era of Highly Active Antiretroviral Therapy: New York City. Annals of Internal Medicine. 2006; 145(6): 397-406
- Manjar JK, Kamath RR, Mandalia S, Shah K and Maniar A. HIV and Tuberculosis: Partners in crime. Indian Journal of Dermatology, Venerology and Leprosy 2006; 72:276-282.
- Singh A, Bairy I and Shivanda PG. Spectrum of opportunistic infections in AIDS cases. Indian Journal of Medical Sciences. 2003; 57:16-21.
- Sharma SK, Mohan A and Kadhiravan T. HIV – TB co-infection: Epidemiology, diagnosis and management. Indian Journal of Medical Research. 2005; 121:550-567.
- Kumarsamy N, Solomon S, Flanigan TP et al. Natural history of human immunodeficiency virus disease in southern India. Clinical Journal of Infectious Diseases. 2003; 36:79-85.
- Susan YC, Buehler JW, Loren L et al. Causes of Death among Persons Reported with AIDS. American Journal of Public Health. 1993; 83(10):1429-1432.
- Saraceni V, King BS, Cavalcante SC et al. Tuberculosis as primary cause of death among AIDS cases in Rio de Janeiro, Brazil. International Journal of Tuberculosis and Lung Diseases. 2008; 12 (7): 769-72
- Mzileni M O, Longo-Mbenza BC. Mortality and causes of death in HIV positive patients receiving antiretroviral therapy at Tshepang Clinic in Doctor George Mukhari Hospital. Polskie Archiwum Medycyny Wewnetrznej. 2008; 118(10): 548-554.
- Nissapatorn V, Lee C, Quek KF et al. Toxoplasmosis in HIV/AIDS patients: A current situation. Japanese Journal of Infectious Diseases. 2004; 57:160-165.
- Diego S, Silvia B, Antonella Z et al. Elevated risks of death for diabetes mellitus and cardiovascular diseases in Italian AIDS cases. AIDS Research and Therapy. 2010; 7:11
- University of Bristol (2010, April 29). Causes of death in AIDS patients. ScienceDaily. Retrieved on November 14, 2010 Available from: http:// www.sciencedaily.com/releases/2010/04/ 100428101441.htm
- Sara SD, Valeska A, Martins MO and Torgal J. Predictors of Mortality in HIV associated hospitalizations in Portugal: a hierarchial Survival model. BMC Health Services Research. 2009; 9:125.
- Epidemiological Profile of HIV Positive Cases Attending ICTC of a Teaching Hospital in North Karnataka
Authors
1 Dept. of Community Medicine, Belgaum Institute of Medical Sciences, Belgaum, Karnataka, IN
2 Department of Skin, STD & Leprosy, Belgaum Institute of Medical Sciences, Belgaum, Karnataka, IN
3 JN Medical College, Belgaum, Karnataka, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 4 (2013), Pagination: 244-248Abstract
Background: HIV/AIDS (Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome) continues to be a major threat to the community. Integrated Counselling and Testing Centre (ICTC) provides a key entry point in HIV prevention and care.
Objectives:
1. To study socio-demographic profile and risk behaviour pattern of HIV positive ICTC visitors.
2. To know the common sources of referral to ICTC.
3. To know HIV status of spouse / partner.
Study design: A cross-sectional record based study.
Methodology: The present record based cross-sectional study was conducted in November and December 2010 by going through the records of HIV positive cases who visited the ICTC of BIMS Hospital, Belgaum, Karnataka, from January 2007 to December 2009.
Results: The study included all 3,447 HIV positive cases with 43.1% females. 2,532 (73.4%) study subjects belonged to 15-49 years. 1537 (78.3%) males and 1244 ( 83.8%) females were married. 869 (25.2%) subjects had visited the ICTC voluntarily. 1367 (39.7%) were referred by doctors from government and private health care facilities. 1242 (36.1%) subjects did not disclose their risk behaviour pattern. Majority of the responded subjects (74.3%) had heterosexual partners. In 74.2% couples, both partners were HIV infected.
Conclusion: The present study revealed high prevalence of HIV positivity in the visitors of ICTC Belgaum. People have begun using ICTC facilities which reflects greater awareness and change in the attitude towards HIV in the community.
Keywords
ICTC, HIV Positive, Risk Behavior, CounselingReferences
- WHO/UNAIDS. AIDS Epidemic Update, Dec. 2009. Available from http://www.unaids.org/ en/HIV-data.
- NACO News, behind the numbers. News letter of National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India 2007; 3: 4.
- Sharma R. Profile of attendee for voluntary counseling and testing in the ICTC, Ahmadabad. Indian Journal of Sexually Transmitted Diseases and AIDS 2009; 30 (1): 31-36.
- Asgeir Johannessen, Ezra Naman, Bernard J Ngowi et al. Predictors of mortality in HIVinfected patients starting antiretroviral therapy in a rural hospital in Tanzania. BMC Infectious Diseases 2008; 8:52. Available from: http:// www.biomedcentral.com/1471-2334/8/52
- Valdserri RO et al. A study of clients returning for counseling after HIV testing: Implications for improving rates of return. Public Health Rep. 1993; 108: 12-18.
- K. Park. AIDS. Park’s Text Book of Preventive and Social Medicine, 20th edition, ISBN 978-81-906079- 4-0.Published by M/S Banarasidas Bhanot Publishers, Jabalpur, India 2009:298-309.
- Statistical Review of Belgaum District, Published by District Statistics Department, Belgaum 2006- 2007: 5-11.
- Megha Gupta. Profile of clients tested HIV positive in a Voluntary Counselling and Testing Centre of a District Hospital, Udupi. Indian Journal of Community Medicine 2009; 34: 223 – 226.
- Joarder GK, Sarkar A, Chatterjee C et al. Profile of attendees in the VCTC of North Bengal Medical College in Darjeeling District of West Bengal. Indian Journal of Community Medicine 2006; 31: 237-240
- Darbastwar M, Kangule D, Kokiwar P. Profile of hiv positive attendees at integrated counseling and testing centre of medical teaching institute in Andhra Pradesh, india. International Journal of Biological and Medical Research 2011; 2 (4): 862 – 864.
- Sharma A, Bhalla P, Kashyap B et al. Sociodemographic profile of the attendees of voluntary counseling and testing center of a tertiary care hospital. Indian Journal of Sexually Transmitted Diseases and AIDS 2009; 30 (2): 123 – 124.
- Jayarama S, Shenoy S, Unnikrishnan B, et al. Profiles of attendees in voluntary counseling and testing centers of a medical college hospital in Coastal Karnataka. Indian Journal of Community Medicine 2008; 33 (1): 43 – 46.
- Studies on HIV/AIDS. Voluntary Counselling and Testing Centre, Chennai. National Institute of Epidemiology 2004-2005. Available from: http://www.google.com.
- Chakravarty J. et al. Study on clinicoepidemiological profile of HIV patients in Eastern India. Journal of Association of Physicians in India, 2006; 54: 854-857.