在刚果民主共和国金沙萨开始抗逆转录病毒治疗的人类免疫缺陷病毒感染者的机会性感染

T. K. Ntumba, B. Bongenya, L. O. Losenga, G. I. Booto, N. M. Dikati, Rosalie Djamba Dembo, S. M. Selenge, Jocelyn Ewuti Nonga, Candide About Kabamba, B. Kabengele, M. Sombo, G. Bumoko, E. Kamangu
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摘要

背景:机会性感染是艾滋病毒感染者(PLHIV)护理中的一个主要问题,发生在免疫抑制的情况下。目的:本研究的目的是确定在Dolutegravir时代在金沙萨开始抗逆转录病毒治疗(ART)的艾滋病毒感染者的机会性感染概况。方法:本研究是一项描述性横断面研究,旨在确定在金沙萨门诊治疗中心(OTC)开始抗逆转录病毒治疗的PLHIV患者中OIs的概况。这项研究包括了16个非处方药。患者入组期为2021年10月4日至2022年2月15日。本研究的人群是纳入时年龄超过18岁、感染HIV-1并在选定的非处方药中开始抗逆转录病毒治疗的患者。结果:119例患者符合纳入标准。56.3%的患者为女性。D0患者平均年龄39.87±12.36岁。最具代表性的年龄组是36至45岁,有37例患者(31.9%)。机会性感染以疟疾54例(45.4%)、肺结核(29.4%)和皮肤瘙痒(23.5%)为主。结论:在金沙萨开始抗逆转录病毒治疗的患者队列中,最常见的机会性感染是疟疾、结核病和皮肤瘙痒症。
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Opportunistic Infections in People Living with Human Immunodeficiency Virus Initiating Antiretroviral Therapy in Kinshasa, Democratic Republic of Congo
Background: Opportunistic infections, which are still a major problem in the care of People Living with HIV (PLHIV), occur in situations of immunosuppression. Objective: The objective of this study was to determine the profile of Opportunistic Infections in People Living with HIV starting Antiretroviral Treatment (ART) in Kinshasa during the Dolutegravir era. Methods: The present study is a descriptive cross-sectional study to determine the profile of OIs among PLHIV starting ART in Outpatient Treatment Centers (OTC) in Kinshasa. Sixteen OTCs had been included in the study. The patient inclusion period in the study was from October 04, 2021 to February 15, 2022. The population of the present study was patients over the age of 18 at inclusion, infected with HIV-1 and starting ART in a selected OTC. Results: 119 patients were included in this study respecting the inclusion criteria. 56.3% of patients included are women. The mean age on D0 is 39.87 ± 12.36 years. The most represented age group is that of 36 to 45 years with 37 patients (31.9%). The Opportunistic Infections most found in these PLHIV are: Malaria with 54 cases (45.4%), Tuberculosis (29.4%) and Cutaneous pruritus (23.5%). Conclusion: In this cohort of patients starting ARV treatment in Kinshasa, the most common opportunistic infections are Malaria, Tuberculosis and Cutaneous Pruritus.
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