Causes of Death of Patients Living with HIV in the Section of Infectious Diseases at the University Hospital of Brazzaville

Abstract

Goal The purpose of the study is to describe the distribution of the causes of death of HIV-infected patients in the Infectious Diseases section at Brazzaville University Hospital. Method To carry out this study, we rely on retrospective and descriptive study on the causes of death of patients living with HIV admitted to the service between February 1 and July 31, 2017. It comes out from analysis that the deceased were 40.2 ± 11.22 years old on average, mostly female (65.9%); 94% had been infected heterosexually, 53% were socio-economically vulnerable. The diagnosis of HIV infection was made within 46.1 ± 28.7 days on average and 25.6% had not received antiretroviral therapy. One hundred and thirty-three deaths have been reported. The leading causes of death were: AIDS (80.5%), bacterial infection (9.0%), cirrhosis (3.0%), cardiovascular disease (1.5%), liver injury (0.8%) and other causes (5.5%). For patients who died of AIDS, the most common pathologies involved were tuberculosis (48.6%), cryptococcosis (23.4%), toxoplasmosis (14.0%), isosporosis (8.4%), Histoplasmosis (1.9%), Leuco progressive multifocal encephalopathy (1.9%) and others (1.9%). Conclusion there are socio-economic precariousness and the late detection of this affection. This is to say the interest of early detection and adequate and free care of opportunistic infections.