Indian Journal of Public Health Research & Development

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Socio-demographic and Clinical Profile of HIV/AIDS Cases Expired in a Tertiary Care Centre in North Karnataka, India


Affiliations
1 Department of Skin, STD & Leprosy, Belgaum Institute of Medical Sciences, Belgaum, Karnataka, India
2 Belgaum Institute of Medical Sciences, Belgaum - 590001, Karnataka, India
3 Dept of Anatomy, Belgaum Institute of Medical Sciences, Belgaum, India
     

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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 Therapy
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  • Socio-demographic and Clinical Profile of HIV/AIDS Cases Expired in a Tertiary Care Centre in North Karnataka, India

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Authors

J J Nayak
Department of Skin, STD & Leprosy, Belgaum Institute of Medical Sciences, Belgaum, Karnataka, India
R G Viveki
Belgaum Institute of Medical Sciences, Belgaum - 590001, Karnataka, India
P R Viveki
Dept of Anatomy, Belgaum Institute of Medical Sciences, Belgaum, India

Abstract


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 Therapy

References