Clinical Medicine Research

| Peer-Reviewed |

The Time Gap between Repeated Re-Happening Opportunistic Infections among People Living with HIV/AIDS Commencing Antiretroviral Treatment

Received: 4 January 2015    Accepted: 21 January 2015    Published: 2 February 2015
Views:       Downloads:

Share This Article

Abstract

Introduction: According to 2011 Ethiopian demographic health survey, the national and Amhara Regional state administration adult HIV prevalence was 1.5 % and 2.2% respectively. The major causes of morbidity and mortality of PLWHA (people living with HIV/AIDS) patients are OIs (opportunistic infections) that would occur in up to 40% of PLWHA. OIs are repeatedly happening in HIV (Human Immunodeficiency Virus) infected patients though there is no prior local evidence on time gap of repetition. Therefore the current study is aimed to determine time gap between repeated re-happening OIs and its associated factors among PLWHA who are initiated ART (Anti-Retroviral Treatment). Method: Institution based retrospective cohort study was conducted among 364 systematically selected PLWHA commencing ART. Time-gap was estimated using Kaplan-meier survival and actuarial life table. Hazard rate was calculated using Cox proportional-hazard model. Result: during follow up OIs were re-diagnosed in about three quarter (76.9%) of participants. In each week the probability of getting the re-happened OI was 1.1 per 100 persons. The median duration of staying free of OI re-happening was 66 weeks. In multivariate analysis using logistic regression, educational status, marital status, Prophylaxisis exposure, ART and Prophylaxisis drug adherence, hemoglobin and CD4 level were significantly associated with time gap of relapse. Thus organizations working on HIV/AIDS should further work to enhance time gap of relapse.

DOI 10.11648/j.cmr.20150401.13
Published in Clinical Medicine Research (Volume 4, Issue 1, January 2015)
Page(s) 11-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV/AIDS, Re-Happening, ART, PLWHA, Ethiopia

References
[1] U.S. global health policy fact sheet, the global HIV/AIDS epidemic November 2011.
[2] Global HIV/AIDS response - epidemic update and health sector progress towards universal access - Progress report 2011.
[3] Together we will end AIDS. Geneva, Joint United Nations Programme on HIV/AIDS. 2012.
[4] UNAIDS World AIDS day report, regional fact sheet 2012.
[5] Edward J.M., Jean B.N., Iain B., James O., Amir A. et al. Adherence to antiretroviral therapy in Sub-Saharan Africa and North America: A meta-analysis. JAMA. 2006; 296(6):679-690.
[6] Central Statistical Agency (CSA), Ethiopia demographic and health survey 2011; final draft report, Addis Ababa Ethiopia, ICF International Calverton, Maryland, USA. March 2012.
[7] Annual performance report of multi-sectoralHIV/ AIDS response, federal HIV/AIDS prevention and control office 2002 E.C. (2009/2010).
[8] Mariam Z.T., Abebe G., Mulu A.Opportunistic and other intestinal parasitic infections in AIDS patients, HIV seropositive healthy carriers and HIV sero-negative individuals in southwest Ethiopia. Dec 2008; 5(3):169-73.
[9] Gallant J.M., Chaisson R. Prophylaxis for opportunistic infections in patients with HIV infection. Ann Intern Med 1994; 120:932-44.
[10] SK Sharma, Tamilarasu K., Amit B., Tarun G.,Indrish B., et al. Spectrum of clinical disease in a series of 135 hospitalized HIV-infected patients from north India. BMC Infectious Diseases 22 November 2004; 4:52.
[11] Tesfaye B., Yilma M. and Amanuel A. The pattern and predictors of mortality of HIV/AIDS patients with neurologic manifestation inEthiopia: a retrospective study. AIDS Research and Therapy 2012; 9:11
[12] Yitayih W., Dagnachew M. and Yeshambel B. Prevalence of Pulmonary tuberculosis and immunological profile of HIV co-infected patients in Northwest Ethiopia. BMC Research Notes 2012; 5:331.
[13] Seboxa T., Alemu S., Assefa A., Asefa A., Diro E. Cryptococcal meningitis in patients with acquired immunudeficiency syndrome in prehaart era at Gondar College of Medical Sciences Hospital north-west Ethiopia. Ethiop Med J. 2010 Jul;48(3):237-41.
[14] Shimelis A., Berhanu E., Girmay M., Zelalem A. and Techalew S. Intestinal parasitic infections in relation to HIV/AIDS status, diarrhea and CD4 T-cell count. BMC Infectious Diseases 2009; 9:155
[15] Surendra K.S., Sahajal D., Parag B.,Tamilarasu K., Sanjay R.,et al. a study of TB associated immune reconstitution inflammatory syndrome using the consensus case definition. Indian J Med Res 131, June 2010, pp 804-808
[16] N. Kumarasamy, B.Devaleenol. Factors associated with mortality among HIV-infected patients in the era of highly active antiretroviral therapy in southern India. Journal of Infectious Diseases 2010; 14:e127-e31.
[17] Andrea A., Dora L., Antonella C., Patrizia L. Simona B., et al. Prevalence, associated factors, and prognostic determinants of AIDS-Related toxoplasmic encephalitis in the era of advanced highly active antiretroviral therapy, Italy. Clinical Infectious Diseases 2004; 39:1681–91.
[18] Pate P., Bush T., Mayer K.H., Desai S., Henry K., et al. Prevalence and risk factors associated with herpes simplex virus-2 infection in a contemporary cohort of HIV-infected persons in the United States. Sex Transm Dis. 2012 Feb; 39(2):154-60.
[19] Manosuthi W., Chaovavanich A., Tansuphaswadikul S., Prasithsirikul W., Inthong Y., et al. Incidence and risk factors of major opportunistic infections after initiation of antiretroviral therapy among advanced HIV-infected patients in a resource-limited setting. Epub 2007 Nov; 55(5):464-9.
[20] Bruno L., Matthias E., V'eronique E., Rainer W., Bernard H.,et al. AIDS-related opportunistic illness occurring after initiation of potent antiretroviral therapy, the Swiss HIV cohort study. JAMA December 15, 1999; 282(23):222o-2226.
[21] Elena L., Yazdan Y., Sylvie D.B.,Bingxia W., Lindsey L., et al. the independent effect of highly active antiretroviral therapy on severe opportunistic disease incidence and mortality in HIV infected adults in Côte d’Ivoire France. AntivirTher 2007; 12(4):543-51.
[22] Matthias E., Margaret M., Geneviève C., Andrew N.P., Bruno L.et al. Prognosis of HIV-1-infected patients starting highly active antiretroviral therapy: a collaborative analysis of prospective studies. Lancet 2002; 360:119-29.
[23] CD4 cell count and the risk of AIDS or death in HIV infected adults on combination antiretroviral therapy with a suppressed viral load: a longitudinal cohort study from COHERE. PLoS Medicine March 2012; 9(3):e1001194.
[24] Antimicrobial therapy for the treatment of opportunistic infections in HIV/AIDS patients: a critical appraisal. HIV/AIDS - Research and Palliative Care 2011; 319:33.
[25] Powderly J. Clinical Evidence HIV: primary and secondary prophylaxis for opportunistic infections. Clinical Evidence 2010; 06:908.
[26] James D.C., David M., Richard D., Frank K., Willy W., et al. HIV-Infected Ugandan adults taking antiretroviral therapy with CD4 Counts .200 Cells/lLwho discontinue cotrimoxazole prophylaxis have increased risk of malaria and diarrhea. Clinical Infectious Diseases 2012; 54(8):1204-11.
[27] Wafaa M.E., Roberta L.H.,Teresa M.Y., Janice W., Donald A., et al. A randomized trial of daily and thrice-weekly trimethoprim-sulfamethoxazole for the Prevention of Pneumocystis carinii Pneumonia in Human Immunodeficiency Virus-Infected Persons. Clinica Infectious Disease 29 October 1999; 29:775–83.
[28] P.G. Sow KTMC, A.T. Dia, I. Traore. Predictors of ART adherence among HIV infected individuals in Dakar, Senegal. Journal of Medicine and Medical Science April 2012; 3(4):212-6.
Cite This Article
  • APA Style

    Habtamu Mellie Bizuayehu. (2015). The Time Gap between Repeated Re-Happening Opportunistic Infections among People Living with HIV/AIDS Commencing Antiretroviral Treatment. Clinical Medicine Research, 4(1), 11-16. https://doi.org/10.11648/j.cmr.20150401.13

    Copy | Download

    ACS Style

    Habtamu Mellie Bizuayehu. The Time Gap between Repeated Re-Happening Opportunistic Infections among People Living with HIV/AIDS Commencing Antiretroviral Treatment. Clin. Med. Res. 2015, 4(1), 11-16. doi: 10.11648/j.cmr.20150401.13

    Copy | Download

    AMA Style

    Habtamu Mellie Bizuayehu. The Time Gap between Repeated Re-Happening Opportunistic Infections among People Living with HIV/AIDS Commencing Antiretroviral Treatment. Clin Med Res. 2015;4(1):11-16. doi: 10.11648/j.cmr.20150401.13

    Copy | Download

  • @article{10.11648/j.cmr.20150401.13,
      author = {Habtamu Mellie Bizuayehu},
      title = {The Time Gap between Repeated Re-Happening Opportunistic Infections among People Living with HIV/AIDS Commencing Antiretroviral Treatment},
      journal = {Clinical Medicine Research},
      volume = {4},
      number = {1},
      pages = {11-16},
      doi = {10.11648/j.cmr.20150401.13},
      url = {https://doi.org/10.11648/j.cmr.20150401.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20150401.13},
      abstract = {Introduction: According to 2011 Ethiopian demographic health survey, the national and Amhara Regional state administration adult HIV prevalence was 1.5 % and 2.2% respectively. The major causes of morbidity and mortality of PLWHA (people living with HIV/AIDS) patients are OIs (opportunistic infections) that would occur in up to 40% of PLWHA. OIs are repeatedly happening in HIV (Human Immunodeficiency Virus) infected patients though there is no prior local evidence on time gap of repetition. Therefore the current study is aimed to determine time gap between repeated re-happening OIs and its associated factors among PLWHA who are initiated ART (Anti-Retroviral Treatment). Method: Institution based retrospective cohort study was conducted among 364 systematically selected PLWHA commencing ART. Time-gap was estimated using Kaplan-meier survival and actuarial life table. Hazard rate was calculated using Cox proportional-hazard model. Result: during follow up OIs were re-diagnosed in about three quarter (76.9%) of participants. In each week the probability of getting the re-happened OI was 1.1 per 100 persons. The median duration of staying free of OI re-happening was 66 weeks. In multivariate analysis using logistic regression, educational status, marital status, Prophylaxisis exposure, ART and Prophylaxisis drug adherence, hemoglobin and CD4 level were significantly associated with time gap of relapse. Thus organizations working on HIV/AIDS should further work to enhance time gap of relapse.},
     year = {2015}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - The Time Gap between Repeated Re-Happening Opportunistic Infections among People Living with HIV/AIDS Commencing Antiretroviral Treatment
    AU  - Habtamu Mellie Bizuayehu
    Y1  - 2015/02/02
    PY  - 2015
    N1  - https://doi.org/10.11648/j.cmr.20150401.13
    DO  - 10.11648/j.cmr.20150401.13
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 11
    EP  - 16
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20150401.13
    AB  - Introduction: According to 2011 Ethiopian demographic health survey, the national and Amhara Regional state administration adult HIV prevalence was 1.5 % and 2.2% respectively. The major causes of morbidity and mortality of PLWHA (people living with HIV/AIDS) patients are OIs (opportunistic infections) that would occur in up to 40% of PLWHA. OIs are repeatedly happening in HIV (Human Immunodeficiency Virus) infected patients though there is no prior local evidence on time gap of repetition. Therefore the current study is aimed to determine time gap between repeated re-happening OIs and its associated factors among PLWHA who are initiated ART (Anti-Retroviral Treatment). Method: Institution based retrospective cohort study was conducted among 364 systematically selected PLWHA commencing ART. Time-gap was estimated using Kaplan-meier survival and actuarial life table. Hazard rate was calculated using Cox proportional-hazard model. Result: during follow up OIs were re-diagnosed in about three quarter (76.9%) of participants. In each week the probability of getting the re-happened OI was 1.1 per 100 persons. The median duration of staying free of OI re-happening was 66 weeks. In multivariate analysis using logistic regression, educational status, marital status, Prophylaxisis exposure, ART and Prophylaxisis drug adherence, hemoglobin and CD4 level were significantly associated with time gap of relapse. Thus organizations working on HIV/AIDS should further work to enhance time gap of relapse.
    VL  - 4
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Debre Markos University, College of medicine and health science, public health department, Debre Markos, Ethiopia

  • Sections