Pattern and predictors of immunologic recovery in HIV infected patients.
Identifieur interne : 000218 ( PubMed/Corpus ); précédent : 000217; suivant : 000219Pattern and predictors of immunologic recovery in HIV infected patients.
Auteurs : Theophilus B. Kwofie ; Michael Owusu ; Mohamed Mutocheluh ; Samuel Blay Nguah ; Joseph Obeng-Baah ; Charlotte Hanson ; Albert DomprehSource :
- BMC research notes [ 1756-0500 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Anti-HIV Agents (therapeutic use), CD4 Lymphocyte Count (statistics & numerical data), Female, Ghana, HIV Infections (drug therapy), HIV Infections (immunology), HIV Infections (virology), HIV-1 (drug effects), HIV-1 (physiology), Host-Pathogen Interactions (drug effects), Humans, Male, Middle Aged, Multivariate Analysis, Predictive Value of Tests, Recovery of Function (drug effects), Recovery of Function (immunology), Time Factors, Treatment Outcome, Viral Load (drug effects).
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic : Ghana.
- drug effects : HIV-1, Host-Pathogen Interactions, Recovery of Function, Viral Load.
- drug therapy : HIV Infections.
- immunology : HIV Infections, Recovery of Function.
- physiology : HIV-1.
- statistics & numerical data : CD4 Lymphocyte Count.
- virology : HIV Infections.
- Adult, Female, Humans, Male, Middle Aged, Multivariate Analysis, Predictive Value of Tests, Time Factors, Treatment Outcome.
Abstract
Although anti-retroviral therapy has generally improved the survival of HIV infected patients in many developing countries including Ghana, specific socio-demographic factors could still influence outcome of treatment. This study was designed to identify patient-specific factors that could influence the immune recovery of absolute CD4 count in HIV infected patients.
DOI: 10.1186/s13104-015-1406-3
PubMed: 26341633
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pubmed:26341633Le document en format XML
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Kwofie</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. tbenkwofie@yahoo.com.</nlm:affiliation></affiliation></author><author><name sortKey="Owusu, Michael" sort="Owusu, Michael" uniqKey="Owusu M" first="Michael" last="Owusu">Michael Owusu</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana. owusumichael-gh@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Mutocheluh, Mohamed" sort="Mutocheluh, Mohamed" uniqKey="Mutocheluh M" first="Mohamed" last="Mutocheluh">Mohamed Mutocheluh</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. mutocheluh@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Nguah, Samuel Blay" sort="Nguah, Samuel Blay" uniqKey="Nguah S" first="Samuel Blay" last="Nguah">Samuel Blay Nguah</name><affiliation><nlm:affiliation>Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana. sbnguah@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Obeng Baah, Joseph" sort="Obeng Baah, Joseph" uniqKey="Obeng Baah J" first="Joseph" last="Obeng-Baah">Joseph Obeng-Baah</name><affiliation><nlm:affiliation>Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana. jbobeng@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Hanson, Charlotte" sort="Hanson, Charlotte" uniqKey="Hanson C" first="Charlotte" last="Hanson">Charlotte Hanson</name><affiliation><nlm:affiliation>Laboratory Department, Kumasi South Hospital, Kumasi, Ghana. shi_hansen@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Dompreh, Albert" sort="Dompreh, Albert" uniqKey="Dompreh A" first="Albert" last="Dompreh">Albert Dompreh</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana. adompreh@gmail.com.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26341633</idno><idno type="pmid">26341633</idno><idno type="doi">10.1186/s13104-015-1406-3</idno><idno type="wicri:Area/PubMed/Corpus">000218</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000218</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pattern and predictors of immunologic recovery in HIV infected patients.</title><author><name sortKey="Kwofie, Theophilus B" sort="Kwofie, Theophilus B" uniqKey="Kwofie T" first="Theophilus B" last="Kwofie">Theophilus B. Kwofie</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. tbenkwofie@yahoo.com.</nlm:affiliation></affiliation></author><author><name sortKey="Owusu, Michael" sort="Owusu, Michael" uniqKey="Owusu M" first="Michael" last="Owusu">Michael Owusu</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana. owusumichael-gh@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Mutocheluh, Mohamed" sort="Mutocheluh, Mohamed" uniqKey="Mutocheluh M" first="Mohamed" last="Mutocheluh">Mohamed Mutocheluh</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. mutocheluh@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Nguah, Samuel Blay" sort="Nguah, Samuel Blay" uniqKey="Nguah S" first="Samuel Blay" last="Nguah">Samuel Blay Nguah</name><affiliation><nlm:affiliation>Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana. sbnguah@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Obeng Baah, Joseph" sort="Obeng Baah, Joseph" uniqKey="Obeng Baah J" first="Joseph" last="Obeng-Baah">Joseph Obeng-Baah</name><affiliation><nlm:affiliation>Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana. jbobeng@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Hanson, Charlotte" sort="Hanson, Charlotte" uniqKey="Hanson C" first="Charlotte" last="Hanson">Charlotte Hanson</name><affiliation><nlm:affiliation>Laboratory Department, Kumasi South Hospital, Kumasi, Ghana. shi_hansen@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Dompreh, Albert" sort="Dompreh, Albert" uniqKey="Dompreh A" first="Albert" last="Dompreh">Albert Dompreh</name><affiliation><nlm:affiliation>Department of Clinical Microbiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana. adompreh@gmail.com.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC research notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anti-HIV Agents (therapeutic use)</term><term>CD4 Lymphocyte Count (statistics & numerical data)</term><term>Female</term><term>Ghana</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (immunology)</term><term>HIV Infections (virology)</term><term>HIV-1 (drug effects)</term><term>HIV-1 (physiology)</term><term>Host-Pathogen Interactions (drug effects)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Predictive Value of Tests</term><term>Recovery of Function (drug effects)</term><term>Recovery of Function (immunology)</term><term>Time Factors</term><term>Treatment Outcome</term><term>Viral Load (drug effects)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-HIV Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>HIV-1</term><term>Host-Pathogen Interactions</term><term>Recovery of Function</term><term>Viral Load</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>HIV Infections</term><term>Recovery of Function</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>HIV-1</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>CD4 Lymphocyte Count</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Predictive Value of Tests</term><term>Time Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although anti-retroviral therapy has generally improved the survival of HIV infected patients in many developing countries including Ghana, specific socio-demographic factors could still influence outcome of treatment. This study was designed to identify patient-specific factors that could influence the immune recovery of absolute CD4 count in HIV infected patients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26341633</PMID><DateCreated><Year>2015</Year><Month>09</Month><Day>05</Day></DateCreated><DateCompleted><Year>2016</Year><Month>06</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1756-0500</ISSN><JournalIssue CitedMedium="Internet"><Volume>8</Volume><PubDate><Year>2015</Year><Month>Sep</Month><Day>04</Day></PubDate></JournalIssue><Title>BMC research notes</Title><ISOAbbreviation>BMC Res Notes</ISOAbbreviation></Journal><ArticleTitle>Pattern and predictors of immunologic recovery in HIV infected patients.</ArticleTitle><Pagination><MedlinePgn>413</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13104-015-1406-3</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Although anti-retroviral therapy has generally improved the survival of HIV infected patients in many developing countries including Ghana, specific socio-demographic factors could still influence outcome of treatment. This study was designed to identify patient-specific factors that could influence the immune recovery of absolute CD4 count in HIV infected patients.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">Hospital records were extracted from two health facilities in Ghana. The impact of socio-demographic factors type of ART and baseline category of CD4 counts were assessed at six monthly interval using robust linear mixed models.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 214 follow up records were reviewed at Komfo Anokye Teaching Hospital (KATH) and the Kumasi South Hospital (KSH). One hundred (46.7%) were from KATH and 114 (53.3%) were from KSH. There was a general increase in the level of CD4 counts with time, however this increase significantly slowed down with subsequent reviews (p < 0.001). On the average the rate of CD4 count recovery slowed down by 43.6 cells/µl for every 6 months of follow up (SE = 7.69; p < 0.001). Similarly the recovery of CD4 counts in subjects with an initial high baseline CD4 counts decreased by 192.6 cells/µl (SD error = 42.3, p value ≤0.001). All other variables were not significantly associated with recovery of CD4 counts.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our study has demonstrated the well-known phenomenon of CD4 counts increasing after administration of ARTs. CD4 counts increased more rapidly in those with relatively lower initial counts, catching up with those with high CD4 count by 2 years post treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kwofie</LastName><ForeName>Theophilus B</ForeName><Initials>TB</Initials><AffiliationInfo><Affiliation>Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. tbenkwofie@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Owusu</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical Microbiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana. owusumichael-gh@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mutocheluh</LastName><ForeName>Mohamed</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. mutocheluh@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguah</LastName><ForeName>Samuel Blay</ForeName><Initials>SB</Initials><AffiliationInfo><Affiliation>Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana. sbnguah@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Obeng-Baah</LastName><ForeName>Joseph</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana. jbobeng@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanson</LastName><ForeName>Charlotte</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Laboratory Department, Kumasi South Hospital, Kumasi, Ghana. shi_hansen@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dompreh</LastName><ForeName>Albert</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Clinical Microbiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana. adompreh@gmail.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>09</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Res Notes</MedlineTA><NlmUniqueID>101462768</NlmUniqueID><ISSNLinking>1756-0500</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>AIDS. 2005 Mar 24;19(6):577-83</RefSource><PMID Version="1">15802976</PMID></CommentsCorrections><CommentsCorrections 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