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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
- Source :
- Journal of Health, Population, and Nutrition
- Publication Year :
- 2011
- Publisher :
- Springer Science and Business Media LLC, 2011.
-
Abstract
- 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Pediatrics
Tuberculosis
Adolescent
Health, Toxicology and Mutagenesis
Prevalence
HIV Infections
Cohort Studies
Young Adult
Age Distribution
Acquired immunodeficiency syndrome (AIDS)
Epidemiology
medicine
Humans
Sex Distribution
Young adult
Child
Aged
Retrospective Studies
Cause of death
Acquired Immunodeficiency Syndrome
Bangladesh
business.industry
Mortality rate
Public Health, Environmental and Occupational Health
Infant
HIV
Middle Aged
medicine.disease
Original Papers
Child, Preschool
Female
business
Hospital Units
Food Science
Cohort study
Subjects
Details
- ISSN :
- 16060997
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Journal of Health, Population and Nutrition
- Accession number :
- edsair.doi.dedup.....5f7f7784f7db33107de605b2b81e13bd