[Epidemiological, Clinical And Therapeutic Profile Of Hiv-Infected Patients On Antiretroviral Treatment In Kisangani, Democratic Republic Of Congo].

Le Mali medical Pub Date : 2023-01-01
Ossinga Bassandja, Issa Yakusu, Berry Bongenya, Erick Kamangu, Teke Apalata
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Abstract

Material and method: This was a cross-sectional and descriptive study with retrospective collection conducted from 1 January 2020 to 31 December 2021 in Kisangani on HIV-infected patients. Sociodemographic, clinical and therapeutic data of patients were recorded and analyzed.

Results: A total of 124 patients were identified, 71% of whom were females. The majority were aged 26-35, female and unemployed. Provider-initiated testing and counselling was the most common circumstance of discovery of HIV diagnosis (56.4%). Weight loss (48.4%), fever (40.3%) and cough (37.9%) were the main clinical manifestations found in patients. At the time of the discovery of HIV infection, the majority of patients were in category C at stage III of the disease according to the 1993 CDC classification. The most frequently encountered antecedents were sexually transmitted infections (22.6%) and tuberculosis (14.5%). HIV infection mainly affects young adults, females, married, unemployed, urban residents, secondary school and who consult health facilities at the advanced stage of the disease.

Conclusion: Public awareness (targeting especially youth) and early use of screening could improve this situation.

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[刚果民主共和国基桑加尼接受抗逆转录病毒治疗的艾滋病毒感染者的流行病学、临床和治疗概况]。
材料和方法:这是一项横断面描述性研究,于 2020 年 1 月 1 日至 2021 年 12 月 31 日在基桑加尼对艾滋病毒感染者进行了回顾性收集。研究记录并分析了患者的社会人口学、临床和治疗数据:结果:共发现 124 名患者,其中 71% 为女性。大多数患者年龄在 26-35 岁之间,女性,失业。由服务提供者发起的检测和咨询是发现艾滋病毒诊断的最常见情况(56.4%)。体重减轻(48.4%)、发烧(40.3%)和咳嗽(37.9%)是患者的主要临床表现。在发现感染艾滋病毒时,根据 1993 年疾病预防控制中心的分类,大多数患者处于疾病第三阶段的 C 类。最常见的前驱症状是性传播感染(22.6%)和肺结核(14.5%)。感染艾滋病毒的主要是青壮年、女性、已婚、失业、城市居民、中学生,他们在疾病晚期才到医疗机构就诊:结论:提高公众意识(尤其是针对年轻人)和尽早进行筛查可以改善这一状况。
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