Magnitude of cytopenias among HIV-infected children in Bahir Dar, northwest Ethiopia: a comparison of HAART-naïve and HAART-experienced children
Identifieur interne : 000561 ( Main/Exploration ); précédent : 000560; suivant : 000562Magnitude of cytopenias among HIV-infected children in Bahir Dar, northwest Ethiopia: a comparison of HAART-naïve and HAART-experienced children
Auteurs : Yakob Gebregziabher Tsegay ; Agerie Tadele ; Zelalem Addis ; Agersew Alemu [Éthiopie] ; Mulugeta MelkuSource :
- HIV/AIDS (Auckland, N.Z.) [ 1179-1373 ] ; 2017.
Abstract
AIDS, caused by HIV, is a multisystem disease that affects hematopoiesis. The aim of this study was to assess cytopenias among HIV-infected children who had a follow-up at Felege Hiwot Referral Hospital, Bahir Dar, northwest Ethiopia.
An institution-based cross-sectional study was conducted between April and May 2013. Systematic random sampling method was used to select the study participants. Descriptive statistics, independent
A total of 224 children (112 highly active antiretroviral therapy [HAART]-naïve and 112 HAART-experienced) participated in the study. The magnitude of anemia, thrombocytopenia, neutropenia, leukopenia and pancytopenia among HAART-naïve HIV-infected children were 30.4%, 9.8%, 8%, 4.5% and 1.8%, respectively. The overall prevalence of anemia, neutropenia, thrombocytopenia, leukopenia and pancytopenia were 29.5%, 8.9%, 8%, 4.5% and 1.4%, respectively. Cluster of differentiation-4 percentage and mean corpuscular volume were significantly different between HAART-experienced and HAART-naïve children. Being of younger age and severely immunosuppressed were risk factors of anemia.
Anemia was the most common cytopenia, followed by neutropenia. Severe immunosuppression and younger age were significantly associated with anemia. Therefore, emphasis should be given for investigation and management of cytopenias in HIV-infected children, particularly for those who are immunosuppressed and of younger age.
Url:
DOI: 10.2147/HIV.S125958
PubMed: 28260948
PubMed Central: 5325102
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Magnitude of cytopenias among HIV-infected children in Bahir Dar, northwest Ethiopia: a comparison of HAART-naïve and HAART-experienced children</title><author><name sortKey="Tsegay, Yakob Gebregziabher" sort="Tsegay, Yakob Gebregziabher" uniqKey="Tsegay Y" first="Yakob Gebregziabher" last="Tsegay">Yakob Gebregziabher Tsegay</name><affiliation><nlm:aff id="af1-hiv-9-031">Bahir Dar Regional Health Research Laboratory Center, Bahir Dar</nlm:aff><wicri:noCountry code="subfield">Bahir Dar</wicri:noCountry></affiliation></author><author><name sortKey="Tadele, Agerie" sort="Tadele, Agerie" uniqKey="Tadele A" first="Agerie" last="Tadele">Agerie Tadele</name><affiliation><nlm:aff id="af2-hiv-9-031">Department of Hematology and Immunohematology</nlm:aff></affiliation></author><author><name sortKey="Addis, Zelalem" sort="Addis, Zelalem" uniqKey="Addis Z" first="Zelalem" last="Addis">Zelalem Addis</name><affiliation><nlm:aff id="af3-hiv-9-031">Department of Medical Microbiology</nlm:aff></affiliation></author><author><name sortKey="Alemu, Agersew" sort="Alemu, Agersew" uniqKey="Alemu A" first="Agersew" last="Alemu">Agersew Alemu</name><affiliation wicri:level="1"><nlm:aff id="af4-hiv-9-031">Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author><author><name sortKey="Melku, Mulugeta" sort="Melku, Mulugeta" uniqKey="Melku M" first="Mulugeta" last="Melku">Mulugeta Melku</name><affiliation><nlm:aff id="af2-hiv-9-031">Department of Hematology and Immunohematology</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28260948</idno><idno type="pmc">5325102</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325102</idno><idno type="RBID">PMC:5325102</idno><idno type="doi">10.2147/HIV.S125958</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002450</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002450</idno><idno type="wicri:Area/Pmc/Curation">002449</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002449</idno><idno type="wicri:Area/Pmc/Checkpoint">000159</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000159</idno><idno type="wicri:Area/Ncbi/Merge">003E59</idno><idno type="wicri:Area/Ncbi/Curation">003E59</idno><idno type="wicri:Area/Ncbi/Checkpoint">003E59</idno><idno type="wicri:Area/Main/Merge">000561</idno><idno type="wicri:Area/Main/Curation">000561</idno><idno type="wicri:Area/Main/Exploration">000561</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Magnitude of cytopenias among HIV-infected children in Bahir Dar, northwest Ethiopia: a comparison of HAART-naïve and HAART-experienced children</title><author><name sortKey="Tsegay, Yakob Gebregziabher" sort="Tsegay, Yakob Gebregziabher" uniqKey="Tsegay Y" first="Yakob Gebregziabher" last="Tsegay">Yakob Gebregziabher Tsegay</name><affiliation><nlm:aff id="af1-hiv-9-031">Bahir Dar Regional Health Research Laboratory Center, Bahir Dar</nlm:aff><wicri:noCountry code="subfield">Bahir Dar</wicri:noCountry></affiliation></author><author><name sortKey="Tadele, Agerie" sort="Tadele, Agerie" uniqKey="Tadele A" first="Agerie" last="Tadele">Agerie Tadele</name><affiliation><nlm:aff id="af2-hiv-9-031">Department of Hematology and Immunohematology</nlm:aff></affiliation></author><author><name sortKey="Addis, Zelalem" sort="Addis, Zelalem" uniqKey="Addis Z" first="Zelalem" last="Addis">Zelalem Addis</name><affiliation><nlm:aff id="af3-hiv-9-031">Department of Medical Microbiology</nlm:aff></affiliation></author><author><name sortKey="Alemu, Agersew" sort="Alemu, Agersew" uniqKey="Alemu A" first="Agersew" last="Alemu">Agersew Alemu</name><affiliation wicri:level="1"><nlm:aff id="af4-hiv-9-031">Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author><author><name sortKey="Melku, Mulugeta" sort="Melku, Mulugeta" uniqKey="Melku M" first="Mulugeta" last="Melku">Mulugeta Melku</name><affiliation><nlm:aff id="af2-hiv-9-031">Department of Hematology and Immunohematology</nlm:aff></affiliation></author></analytic><series><title level="j">HIV/AIDS (Auckland, N.Z.)</title><idno type="eISSN">1179-1373</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>AIDS, caused by HIV, is a multisystem disease that affects hematopoiesis. The aim of this study was to assess cytopenias among HIV-infected children who had a follow-up at Felege Hiwot Referral Hospital, Bahir Dar, northwest Ethiopia.</p></sec><sec><title>Methods</title><p>An institution-based cross-sectional study was conducted between April and May 2013. Systematic random sampling method was used to select the study participants. Descriptive statistics, independent <italic>t</italic>-test as well as chi-square and logistic regression were used for analysis. A <italic>p</italic>-value <0.05 was considered as statistically significant.</p></sec><sec><title>Results</title><p>A total of 224 children (112 highly active antiretroviral therapy [HAART]-naïve and 112 HAART-experienced) participated in the study. The magnitude of anemia, thrombocytopenia, neutropenia, leukopenia and pancytopenia among HAART-naïve HIV-infected children were 30.4%, 9.8%, 8%, 4.5% and 1.8%, respectively. The overall prevalence of anemia, neutropenia, thrombocytopenia, leukopenia and pancytopenia were 29.5%, 8.9%, 8%, 4.5% and 1.4%, respectively. Cluster of differentiation-4 percentage and mean corpuscular volume were significantly different between HAART-experienced and HAART-naïve children. Being of younger age and severely immunosuppressed were risk factors of anemia.</p></sec><sec><title>Conclusion</title><p>Anemia was the most common cytopenia, followed by neutropenia. Severe immunosuppression and younger age were significantly associated with anemia. 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Steel-Duncan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kibaru, Eg" uniqKey="Kibaru E">EG Kibaru</name></author><author><name sortKey="Nduati, R" uniqKey="Nduati R">R Nduati</name></author><author><name sortKey="Wamalwa, D" uniqKey="Wamalwa D">D Wamalwa</name></author><author><name sortKey="Kariuki, N" uniqKey="Kariuki N">N Kariuki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Musoke, Pm" uniqKey="Musoke P">PM Musoke</name></author><author><name sortKey="Mudiope, P" uniqKey="Mudiope P">P Mudiope</name></author><author><name sortKey="Barlow Mosha, Ln" uniqKey="Barlow Mosha L">LN Barlow-Mosha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Biressaw, S" uniqKey="Biressaw S">S Biressaw</name></author><author><name sortKey="Abegaz, We" uniqKey="Abegaz W">WE Abegaz</name></author><author><name sortKey="Abebe, M" uniqKey="Abebe M">M Abebe</name></author><author><name sortKey="Taye, Wa" uniqKey="Taye W">WA Taye</name></author><author><name sortKey="Belay, M" uniqKey="Belay M">M Belay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Biadgilign, S" uniqKey="Biadgilign S">S Biadgilign</name></author><author><name sortKey="Deribew, A" uniqKey="Deribew A">A Deribew</name></author><author><name sortKey="Amberbir, A" uniqKey="Amberbir A">A Amberbir</name></author><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eticha, T" uniqKey="Eticha T">T Eticha</name></author><author><name sortKey="Berhane, L" uniqKey="Berhane L">L Berhane</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Éthiopie</li></country></list><tree><noCountry><name sortKey="Addis, Zelalem" sort="Addis, Zelalem" uniqKey="Addis Z" first="Zelalem" last="Addis">Zelalem Addis</name><name sortKey="Melku, Mulugeta" sort="Melku, Mulugeta" uniqKey="Melku M" first="Mulugeta" last="Melku">Mulugeta Melku</name><name sortKey="Tadele, Agerie" sort="Tadele, Agerie" uniqKey="Tadele A" first="Agerie" last="Tadele">Agerie Tadele</name><name sortKey="Tsegay, Yakob Gebregziabher" sort="Tsegay, Yakob Gebregziabher" uniqKey="Tsegay Y" first="Yakob Gebregziabher" last="Tsegay">Yakob Gebregziabher Tsegay</name></noCountry><country name="Éthiopie"><noRegion><name sortKey="Alemu, Agersew" sort="Alemu, Agersew" uniqKey="Alemu A" first="Agersew" last="Alemu">Agersew Alemu</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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