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Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV

This paper describes the clinical features of a series of patients admitted to the specialist HIV/AIDS unit (Jagori) of the Dhaka Hospital, ICDDR, B (International Centre for Diarrhoeal Disease Research, Bangladesh) during May 2008–February 2010. Data were collected from a review of documents and el...

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Autores principales: Matin, Nashaba, Shahrin, Lubaba, Pervez, Mohammed Moshtaq, Banu, Sayera, Ahmed, Dilruba, Khatun, Mahmuda, Pietroni, Mark
Formato: Texto
Lenguaje:English
Publicado: International Centre for Diarrhoeal Disease Research, Bangladesh 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075050/
https://www.ncbi.nlm.nih.gov/pubmed/21528786
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author Matin, Nashaba
Shahrin, Lubaba
Pervez, Mohammed Moshtaq
Banu, Sayera
Ahmed, Dilruba
Khatun, Mahmuda
Pietroni, Mark
author_facet Matin, Nashaba
Shahrin, Lubaba
Pervez, Mohammed Moshtaq
Banu, Sayera
Ahmed, Dilruba
Khatun, Mahmuda
Pietroni, Mark
author_sort Matin, Nashaba
collection PubMed
description This paper describes the clinical features of a series of patients admitted to the specialist HIV/AIDS unit (Jagori) of the Dhaka Hospital, ICDDR, B (International Centre for Diarrhoeal Disease Research, Bangladesh) during May 2008–February 2010. Data were collected from a review of documents and electronic case-records and collation of laboratory results with respect to CD4 counts. One hundred and nine patients were admitted during this period. Their mean age was 33.4 years, and 62% were male. On admission, the mean CD4 count±standard deviation (SD) was 244±245 (range 2-1, 549). The death rate was 12%. The patients were classified as World Health Organization clinical stage 1: 23%, stage 2: 30%, stage 3: 23%, and stage 4: 24% during the admission. The commonest diagnosis recorded was tuberculosis (TB) (23%), which was also the commonest cause of death (38%). Even for those clinicians with limited experience of managing AIDS cases, the commonest problem encountered in this patient group was TB, reflecting the continued high burden of TB on health services in Bangladesh. Additional challenges to managing TB/HIV co-infection include atypical presentations in HIV-infected persons and the complex drug interaction with antiretroviral therapy.
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spelling pubmed-30750502011-04-20 Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV Matin, Nashaba Shahrin, Lubaba Pervez, Mohammed Moshtaq Banu, Sayera Ahmed, Dilruba Khatun, Mahmuda Pietroni, Mark J Health Popul Nutr Original Papers This paper describes the clinical features of a series of patients admitted to the specialist HIV/AIDS unit (Jagori) of the Dhaka Hospital, ICDDR, B (International Centre for Diarrhoeal Disease Research, Bangladesh) during May 2008–February 2010. Data were collected from a review of documents and electronic case-records and collation of laboratory results with respect to CD4 counts. One hundred and nine patients were admitted during this period. Their mean age was 33.4 years, and 62% were male. On admission, the mean CD4 count±standard deviation (SD) was 244±245 (range 2-1, 549). The death rate was 12%. The patients were classified as World Health Organization clinical stage 1: 23%, stage 2: 30%, stage 3: 23%, and stage 4: 24% during the admission. The commonest diagnosis recorded was tuberculosis (TB) (23%), which was also the commonest cause of death (38%). Even for those clinicians with limited experience of managing AIDS cases, the commonest problem encountered in this patient group was TB, reflecting the continued high burden of TB on health services in Bangladesh. Additional challenges to managing TB/HIV co-infection include atypical presentations in HIV-infected persons and the complex drug interaction with antiretroviral therapy. International Centre for Diarrhoeal Disease Research, Bangladesh 2011-02 /pmc/articles/PMC3075050/ /pubmed/21528786 Text en © INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Matin, Nashaba
Shahrin, Lubaba
Pervez, Mohammed Moshtaq
Banu, Sayera
Ahmed, Dilruba
Khatun, Mahmuda
Pietroni, Mark
Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV
title Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV
title_full Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV
title_fullStr Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV
title_full_unstemmed Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV
title_short Clinical Profile of HIV/AIDS-infected Patients Admitted to a New Specialist Unit in Dhaka, Bangladesh—A Low-prevalence Country for HIV
title_sort clinical profile of hiv/aids-infected patients admitted to a new specialist unit in dhaka, bangladesh—a low-prevalence country for hiv
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075050/
https://www.ncbi.nlm.nih.gov/pubmed/21528786
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