Le SIDA au Ghana (serveur d'exploration)

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Retinal Microvasculopathy Is Common in HIV/AIDS Patients: A Cross-Sectional Study at the Cape Coast Teaching Hospital, Ghana

Identifieur interne : 000152 ( Main/Exploration ); précédent : 000151; suivant : 000153

Retinal Microvasculopathy Is Common in HIV/AIDS Patients: A Cross-Sectional Study at the Cape Coast Teaching Hospital, Ghana

Auteurs : Emmanuel Kwasi Abu [Ghana] ; Samuel Abokyi [Ghana] ; Dorcas Obiri-Yeboah [Ghana] ; Richard Kobina Dadzie Ephraim [Ghana] ; Daniel Afedo [Ghana] ; Lawrence Duah Agyeman [Ghana] ; Samuel Bert Boadi-Kusi [Ghana]

Source :

RBID : PMC:5227161

Abstract

Purpose. The purpose of this study was to evaluate the ocular disorders in HIV positive patients attending the Cape Coast Teaching Hospital, Ghana. Methods. A cross-sectional study using systematic random sampling was conducted on 295 HIV positive patients. Data collection consisted of semistructured questionnaires, laboratory investigation, medical profile, and ophthalmic examination. Statistical association tests including χ2, independent t-test, and ANOVA were done. A p value ≤ 0.05 was considered statistically significant. Results. Of the 295 participants, 205 (69.5%) were on antiretroviral therapy while 90 (30.3%) were not on therapy. Majority of the participants (162, 54.9%) were in clinical stage two, followed by stages three (68, 23.1%), one (62, 21%), and four (3, 1%), respectively. The overall prevalence of ocular disorders was 5.8%. The most common HIV related ocular disorder was HIV retinal microvasculopathy (58.8%), followed by herpes zoster ophthalmicus and Toxoplasma retinochoroiditis, both representing 11.8% of ocular disorders seen. Cytomegalovirus retinitis, Bell's palsy, and optic neuritis were the least common (5.9%). CMV retinitis recorded the highest viral load of 1,474,676 copies/mL and mean CD4 count of 136 cells/mm3. The mean CD4 count for participants with HIV related ocular disorders was significantly lower compared to participants without disorders (t = 2.5, p = 0.012). Participants with ocular disorders also recorded significantly higher mean viral loads than those who did not have ocular disorders (t = 2.8, p = 0.006). Conclusion. Lower CD4 counts and high viral load copies were associated with the manifestation of HIV related ocular disorders.


Url:
DOI: 10.1155/2016/8614095
PubMed: 28127467
PubMed Central: 5227161


Affiliations:


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Le document en format XML

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<name sortKey="Afedo, Daniel" sort="Afedo, Daniel" uniqKey="Afedo D" first="Daniel" last="Afedo">Daniel Afedo</name>
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<nlm:aff id="I3">Department of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Department of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast</wicri:regionArea>
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<name sortKey="Boadi Kusi, Samuel Bert" sort="Boadi Kusi, Samuel Bert" uniqKey="Boadi Kusi S" first="Samuel Bert" last="Boadi-Kusi">Samuel Bert Boadi-Kusi</name>
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<nlm:aff id="I1">Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
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<div type="abstract" xml:lang="en">
<p>
<italic>Purpose</italic>
. The purpose of this study was to evaluate the ocular disorders in HIV positive patients attending the Cape Coast Teaching Hospital, Ghana.
<italic> Methods</italic>
. A cross-sectional study using systematic random sampling was conducted on 295 HIV positive patients. Data collection consisted of semistructured questionnaires, laboratory investigation, medical profile, and ophthalmic examination. Statistical association tests including
<italic>χ</italic>
<sup>2</sup>
, independent
<italic>t</italic>
-test, and ANOVA were done. A
<italic>p</italic>
value ≤ 0.05 was considered statistically significant.
<italic> Results</italic>
. Of the 295 participants, 205 (69.5%) were on antiretroviral therapy while 90 (30.3%) were not on therapy. Majority of the participants (162, 54.9%) were in clinical stage two, followed by stages three (68, 23.1%), one (62, 21%), and four (3, 1%), respectively. The overall prevalence of ocular disorders was 5.8%. The most common HIV related ocular disorder was HIV retinal microvasculopathy (58.8%), followed by herpes zoster ophthalmicus and
<italic> Toxoplasma</italic>
retinochoroiditis, both representing 11.8% of ocular disorders seen. Cytomegalovirus retinitis, Bell's palsy, and optic neuritis were the least common (5.9%). CMV retinitis recorded the highest viral load of 1,474,676 copies/mL and mean CD4 count of 136 cells/mm
<sup>3</sup>
. The mean CD4 count for participants with HIV related ocular disorders was significantly lower compared to participants without disorders (
<italic>t</italic>
= 2.5,
<italic>p</italic>
= 0.012). Participants with ocular disorders also recorded significantly higher mean viral loads than those who did not have ocular disorders (
<italic>t</italic>
= 2.8,
<italic>p</italic>
= 0.006).
<italic> Conclusion</italic>
. Lower CD4 counts and high viral load copies were associated with the manifestation of HIV related ocular disorders.</p>
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<name sortKey="Kestelyn, P G" uniqKey="Kestelyn P">P. G. Kestelyn</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Au Eong, K G" uniqKey="Au Eong K">K. G. Au Eong</name>
</author>
<author>
<name sortKey="Beatty, S" uniqKey="Beatty S">S. Beatty</name>
</author>
<author>
<name sortKey="Charles, S J" uniqKey="Charles S">S. J. Charles</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Deshpande, A K" uniqKey="Deshpande A">A. K. Deshpande</name>
</author>
<author>
<name sortKey="Patnaik, M M" uniqKey="Patnaik M">M. M. Patnaik</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
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<list>
<country>
<li>Ghana</li>
</country>
</list>
<tree>
<country name="Ghana">
<noRegion>
<name sortKey="Abu, Emmanuel Kwasi" sort="Abu, Emmanuel Kwasi" uniqKey="Abu E" first="Emmanuel Kwasi" last="Abu">Emmanuel Kwasi Abu</name>
</noRegion>
<name sortKey="Abokyi, Samuel" sort="Abokyi, Samuel" uniqKey="Abokyi S" first="Samuel" last="Abokyi">Samuel Abokyi</name>
<name sortKey="Afedo, Daniel" sort="Afedo, Daniel" uniqKey="Afedo D" first="Daniel" last="Afedo">Daniel Afedo</name>
<name sortKey="Agyeman, Lawrence Duah" sort="Agyeman, Lawrence Duah" uniqKey="Agyeman L" first="Lawrence Duah" last="Agyeman">Lawrence Duah Agyeman</name>
<name sortKey="Boadi Kusi, Samuel Bert" sort="Boadi Kusi, Samuel Bert" uniqKey="Boadi Kusi S" first="Samuel Bert" last="Boadi-Kusi">Samuel Bert Boadi-Kusi</name>
<name sortKey="Ephraim, Richard Kobina Dadzie" sort="Ephraim, Richard Kobina Dadzie" uniqKey="Ephraim R" first="Richard Kobina Dadzie" last="Ephraim">Richard Kobina Dadzie Ephraim</name>
<name sortKey="Obiri Yeboah, Dorcas" sort="Obiri Yeboah, Dorcas" uniqKey="Obiri Yeboah D" first="Dorcas" last="Obiri-Yeboah">Dorcas Obiri-Yeboah</name>
</country>
</tree>
</affiliations>
</record>

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