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Factors affecting discrimination toward people with HIV/AIDS in Sarawak, Malaysia 影响马来西亚沙捞越对艾滋病毒/艾滋病患者歧视的因素
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/HIVAR.2019.85916
Mizanur Rahman, A. S. Lemin, Cliffton Akoi Pangarah
{"title":"Factors affecting discrimination toward people with HIV/AIDS in Sarawak, Malaysia","authors":"Mizanur Rahman, A. S. Lemin, Cliffton Akoi Pangarah","doi":"10.5114/HIVAR.2019.85916","DOIUrl":"https://doi.org/10.5114/HIVAR.2019.85916","url":null,"abstract":"Introduction: The issue of discrimination is related not only to people living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) (PLWH), but also the community around them. The study aimed to determine the perceived level of discrimination toward people with HIV/AIDS among the adult people in Sarawak, Malaysia and also to determine the factors associated with it. Material and methods: This was a community-based cross-sectional study conducted in rural areas of Sarawak. A total of 900 adults aged 18 years and above were selected by gender-stratified multistage cluster sampling technique. Data were collected by face-to-face interview using interviewer-guided questionnaires. Stepwise multiple linear regression analysis was performed using SPSS version 22.0 to identify the factors associated with HIV/AIDS-related discrimination towards PLWH. A p -value less than 0.05 was considered to be statistically significant. Results: The mean (SD) age for male and female respondents was 41.57 (13.45) and 38.99 (13.09) years respectively. The composite mean score for total discrimination was higher among female (mean = 2.66, SD = 0.6) than male (mean = 2.47, SD = 0.6) respondents. Domain-wise discrimination of HIV/AIDS found that isolation, verbal discrimination, loss of resources, loss of services and total discrimination were significantly high among the females ( p < 0.05) compared to males. Stepwise multiple linear regression analysis revealed that ethnicity, religion, knowledge on HIV, an acquaintance of HIV and household income appeared to be potential predictors for discrimination towards peoples living with HIV/AIDS ( p < 0.05). Conclusions: HIV/AIDS-related discrimination towards 0 coexisted among the community in Sarawak, and this called for a specific socio-culturally accepted intervention to eliminate the discrimination against people with HIV/AIDS.","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84109109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Percutaneous device closure of atrial septal defect in HIV-positive patient: a challenge for interventionist hiv阳性患者房间隔缺损经皮装置闭合:对介入医师的挑战
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.101755
Natraj Setty H.S., M. C. Yeriswamy, V. Patil, J. Kharge, T. Raghu, P.C. Raghavendra, R. Patil, B. Geetha, C. Manjunath
{"title":"Percutaneous device closure of atrial septal defect in HIV-positive patient: a challenge for interventionist","authors":"Natraj Setty H.S., M. C. Yeriswamy, V. Patil, J. Kharge, T. Raghu, P.C. Raghavendra, R. Patil, B. Geetha, C. Manjunath","doi":"10.5114/hivar.2020.101755","DOIUrl":"https://doi.org/10.5114/hivar.2020.101755","url":null,"abstract":"Atrial septal defect (ASD) is one of the most common congenital heart defects. Intracardiac repair via midline sternotomy or right thoracotomy and cardiopulmonary bypass have been considered the standard treatment for the closure of atrial septal defects, but transcatheter closure with Amplatzer septal occluder has recently become an alternative option. Transcatheter device closure of secundum ASD is a more than a decade old technology. This has become an alternative to surgical therapy, and has been regarded as generally safe and effective device closure. Device embolization is a potential complication of every attempted ASD closure, and the causative factors include undersized device, floppy rim, and operator-related technical issues, such as malposition during a “push-pull” maneuver. In this paper, we report a 32-year-old HIV positive female patient who presented with gradual onsite of dyspnea, NYHA class II, and successfully underwent a device closure of large atrial septal defect.","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80250921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Status and relationship between health control and illness perception with psychosocial adjustment in HIV/AIDS-infected women 艾滋病毒/艾滋病感染妇女的健康控制和疾病认知与心理社会适应的现状及其关系
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.99687
Shadi Harifi, Z. Mahmoodi, M. Qorbani, M. Mohraz
{"title":"Status and relationship between health control and illness perception with psychosocial adjustment in HIV/AIDS-infected women","authors":"Shadi Harifi, Z. Mahmoodi, M. Qorbani, M. Mohraz","doi":"10.5114/hivar.2020.99687","DOIUrl":"https://doi.org/10.5114/hivar.2020.99687","url":null,"abstract":"Introduction: Acquired immune deficiency syndrome (AIDS) is one of the major challenges and health threats worldwide. The purpose of this study was to determine a relationship between health control and perception of illness with psychosocial adjustment in human immunodeficiency virus (HIV)/AIDS-infected women. Material and methods: This descriptive analytical study was performed on 240 female patients in 2019 from Iranian research center for HIV/AIDS at the Tehran Imam Khomeini Hospital. Eligible individuals were included in the study, and information were collected using three questionnaires, including psychosocial adjustment to illness, health locus of control, illness perception, and a demographic checklist. Data were analyzed using SPSS 16 software. Results: According to the results of multiple linear regression test, the predictive variables determined 13.7% of criterion variables. Among the predictors, illness perception was the most positive predictor ( B = 0.220) and the number of sexual partners was the most negative predictor ( B = 0.148). In other words, by increasing a score to the illness perception, psychosocial adjustment increased to 13.9%, and with one person added to the number of sexual partners, 14.8% of psychosocial adjustment decreased. Conclusions: According to the findings, illness perception is positively associated with psychosocial adjustment of patients. Illness perception can affect motivation, which leads to health promoting behaviors. On the other hand, the increase of sexual partners number has a negative relationship with the psychosocial adjustment of patients and confirms the importance and role of spouse support in promoting health.","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77833930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peer support and access to information as predictors of HIV testing among indirect female sex workers in Bali, Indonesia 同伴支持和信息获取作为印度尼西亚巴厘岛间接女性性工作者艾滋病毒检测的预测因素
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.97952
P. Pradnyani, P. Januraga, M. Mahmudah, A. Wibowo
{"title":"Peer support and access to information as predictors of HIV testing among indirect female sex workers in Bali, Indonesia","authors":"P. Pradnyani, P. Januraga, M. Mahmudah, A. Wibowo","doi":"10.5114/hivar.2020.97952","DOIUrl":"https://doi.org/10.5114/hivar.2020.97952","url":null,"abstract":"Introduction: Human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) epidemic in most Asian countries is concentrated among at-risk populations, such as female sex workers (FSWs). In Indonesia, Bali’s FSWs have a high-rate of HIV infection. This study investigates the predictors of HIV testing among indirect female sex workers (IFSWs) in Denpasar, Bali. Material and methods: The researchers conducted an analysis of secondary data from a survey performed among IFSWs in Denpasar Bali in 2017. There were 200 IFSWs participating in the survey using random cluster sampling. The dependent variables examined in this study was HIV testing, while the independent variables included: 1) respondent’s demographics (age, education level, marital status, work location, and length of work), 2) peer support, and 3) access to information about HIV prevention. The association between independent and dependent variables were analyzed using multiple logistic regression models. Results: The results showed that 70.0% of IFSWs in Denpasar have accessed HIV testing in the last 6 months and received their test results. Also, 56.5% of the study’s respondents reported a lack of peer support in relation to HIV/AIDS, and 63.5% reported having adequate access to information about HIV testing. The logistic multiple regression results revealed that two factors were significant predictors of HIV testing among IFSWs, such as adequate access to information about HIV testing and prevention (OR = 2.21; 95% CI: 1.15-4.30), and peer support (OR = 2.29; 95% CI: 1.21-4.34). Conclusions: Efforts to improve the provision of information about HIV testing and prevention as well as peer support related to HIV/AIDS are required to increase the numbers of IFSWs accessing HIV testing.","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78509424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Rare case of Streptococcal enteritis in HIV patient 罕见的HIV患者链球菌性肠炎一例
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.101796
C. Kotsogianni, Zois I. Panos
{"title":"Rare case of Streptococcal enteritis in HIV patient","authors":"C. Kotsogianni, Zois I. Panos","doi":"10.5114/hivar.2020.101796","DOIUrl":"https://doi.org/10.5114/hivar.2020.101796","url":null,"abstract":"Only a small number of cases of Streptococcus pneumoniae bacteremia with gastrointestinal tract involvement have been reported in the literature, even in immunocompromised patients. This case report describes an immunosuppressed forty-year old human immunodeficiency virus (HIV)-positive patient with S. pneumoniae bacteremia presenting as acute enteritis. The patient suffered from fever, severe watery diarrhea, and acute abdomen. Laboratory tests showed elevation of inflammatory markers and acute kidney injury. Stool examination was positive for fecal leucocytes, while radiology studies were indicative of respiratory involvement. The patient was rehydrated and initially treated with IV ciproflocaxin and metronidazole, but after positive blood culture result for S. pneumoniae, the treatment was changed to IV ceftriaxone. The patient responded to the treatment and was discharged on 7th day with oral moxifloxacin prescribed. Ten days after finishing the treatment, there was a lower respiratory tract recurrence with negative blood cultures for S. pneumoniae, which responded to meropenem without another recurrence until today. In the last 26 years (1993-2019), a few cases have been described, two of which in HIV-positive patients. To our knowledge, this is the first case of concurrent severe S. pneumoniae pneumonia and enteritis without any complaints from the respiratory system in a severely immunosuppressed patient. HIV AIDS Rev 2020; 19, 4: 284-288 DOI: https://doi.org/10.5114/hivar.2020.101796","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71090595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tuberculosis and tuberculosis-associated immune reconstitution inflammatory syndrome in HIV: immunological review of manifestation and immunopathogenesis 艾滋病病毒结核和结核相关免疫重建炎症综合征:表现和免疫发病机制的免疫学综述
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.96486
Chaitenya Verma, Bharati Swami, V. Upadhyay, Aayushi Singh, Vandana Anang, Shakuntala Surender Kumar Saraswati, A. Rana
{"title":"Tuberculosis and tuberculosis-associated immune reconstitution inflammatory syndrome in HIV: immunological review of manifestation and immunopathogenesis","authors":"Chaitenya Verma, Bharati Swami, V. Upadhyay, Aayushi Singh, Vandana Anang, Shakuntala Surender Kumar Saraswati, A. Rana","doi":"10.5114/hivar.2020.96486","DOIUrl":"https://doi.org/10.5114/hivar.2020.96486","url":null,"abstract":"Tuberculosis (TB) is the most common opportunistic infection that makes human immunodeficiency virus (HIV) infection more complicated. TB-immune reconstitution inflammatory syndrome (TB-IRIS) mainly refers to an excessive immune response among HIV-infected patients. In HIV-infected patients, IRIS occurs after initiation of antiretroviral therapy (ART), irrespective of increased CD4 count and effective suppression of HIV viremia; IRIS may occur at any stage in the progression of immunodeficiency and manifests with weakened immune system. IRIS is associated with various inflammatory processes as the outcome of immunological reaction against a variety of opportunistic infections (OIs). Currently, there is no reliable biological marker available for diagnosis of TB-IRIS. In accordance with current clinical case definition, deterioration of clinical and radiological symptoms of pre-existing TB infection in HIV patients is called “paradoxical TB-IRIS”. The appearance of a previously undiagnosed or new TB infection during ART treatment is called “unmasking TB-IRIS”. IRIS is a challenging complication for researchers and medical practitioners, as the incidence of IRIS is between 3-40% in patients initiated on ART. The variation in incidence probably reflects the differences in case definitions, patients’ population studied, and individual resource-limited settings. The immune pathogenesis of IRIS is poorly understood, and epidemiology partially defined. The complication for clinicians remains challenging in terms of diagnosis and treatment as well as patients’ suffering, even though, the mortality is typically low. HIV AIDS Rev 2020; 19, 2: 67-73 DOI: https://doi.org/10.5114/hivar.2020.96486","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82451400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should cryptococcal antigen screening be considered as a routine procedure in antiretroviral therapy naïve severely immunocompromised HIV-seropositives – a prevalence study from Eastern India to support recent 2018 WHO guidelines 隐球菌抗原筛查是否应被视为抗逆转录病毒治疗的常规程序naïve严重免疫功能低下的艾滋病毒血清阳性——一项来自东印度的流行病学研究,以支持最近的2018年世卫组织指南
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.96382
Nivedita Dutta, R. De, A. Bhowmik, Sanjay Bhandary, D. Modak, S. Guha
{"title":"Should cryptococcal antigen screening be considered as a routine procedure in antiretroviral therapy naïve severely immunocompromised HIV-seropositives – a prevalence study from Eastern India to support recent 2018 WHO guidelines","authors":"Nivedita Dutta, R. De, A. Bhowmik, Sanjay Bhandary, D. Modak, S. Guha","doi":"10.5114/hivar.2020.96382","DOIUrl":"https://doi.org/10.5114/hivar.2020.96382","url":null,"abstract":"Introduction: Cryptococcal meningitis, a leading opportunistic infection, causes significant morbidity and mortality in people with advanced human immunodeficiency virus (HIV). It accounts for an estimated 15% of acquired immune deficiency syndrome-related deaths globally. As recommended by the World Health Organization (WHO) 2018 guidelines, this invasive disease is preventable by routine cryptococcal antigen (CrAg) screening of all advanced HIV patients followed by pre-emptive antifungal therapy. An estimate of disease prevalence in antiretroviral treatment (ART)-naïve HIV-positive adult Indian population is essential to include this in routine screening strategy. We estimated CrAg prevalence as a guiding resource in a public health approach. Material and methods: The study design was longitudinal. ART naïve HIV-seropositive patients with CD4 count ≤ 100 cells/μl, attending ART center at the School of Tropical Medicine, Kolkata, India were screened for CrAg using both latex agglutination and lateral flow assay kits. A total of 390 subjects were enrolled into the study, and evaluated for association of CrAg with age, sex, CD4, presence of opportunistic infections, WHO HIV staging, and clinical symptoms. Results: Of 390 subjects tested, the median CD4 count was 42 cells/μl in CrAg-positive and 46 in CrAg-negative patients. Median (IQR) age of all participants was 40 (range, 34-46) years. CrAg positivity was 12.56%, comparatively higher in those with CD4 ≤ 50 cells/μl. Asymptomatic patients had CrAg positivity of 4.6%. Statistically significant association was noted with male sex ( p = 0.03), triad symptoms of fever, headache, vomiting ( p = 0.013), and altered mental status ( p = 0.033). Conclusions: This study aims to estimate CrAg prevalence in India to justify the need for routine screening and pre-emptive treatment in advanced HIV infection. Incorporating this screening would definitely reduce the risk of cryptococcus meningitis-induced mortality and morbidity, as recommended by the WHO guidelines.","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89167952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The effect of educational program based on the theory of planned behavior on HIV prevention skills 基于计划行为理论的教育方案对艾滋病预防技能的影响
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.99689
E. Ashrafi, P. Kasmaei, F. Mehrabian, S. Omidi, I. Zareban, M. Karimy, K. Haryalchi, Hossein Izadi Rad, N. R. Tonekaboni
{"title":"The effect of educational program based on the theory of planned behavior on HIV prevention skills","authors":"E. Ashrafi, P. Kasmaei, F. Mehrabian, S. Omidi, I. Zareban, M. Karimy, K. Haryalchi, Hossein Izadi Rad, N. R. Tonekaboni","doi":"10.5114/hivar.2020.99689","DOIUrl":"https://doi.org/10.5114/hivar.2020.99689","url":null,"abstract":"Introduction: The prevalence of acquired immune deficiency syndrome (AIDS) is dramatically ex-panding in the world and the only way to deal with it is through health education. This study sought to determine the effect of educational intervention based on the theory of planned behavior (TPB) on AIDS preventive behaviors in nursing and midwifery students. Material and methods: This was a quasi-experimental study conducted in 2016, and included 104 nursing and midwifery students from Guilan University of Medical Sciences. A questionnaire consisted of sections with demographic characteristics, awareness, behaviors, and constructs of the theory of planned behavior, and was provided to every participant. The questionnaire content validity rate was 0.8, content validity index was equal to 0.82, and Cronbach’s a coefficient test was 0.9. After collecting data in both groups, educational intervention was conducted within the framework of the theory of planned behavior in the intervention group. Data was collected before the intervention and three months later and was analyzed with SPSS statistics version 21. Results: There was no significant difference between the two groups in terms of demographic variables ( p > 0.05). Additionally, no significant differences were noted between the intervention and control groups before the educational intervention in terms of awareness, attitude, subjective norms, perceived behavioral control, behavioral intention, and preventive behaviors ( p > 0.05). However, after the implementation of educational program, these variables significantly increased in the intervention group ( p < 0.05). Conclusions: The TPB was effective in teaching students in the field of AIDS prevention skills. There-fore, it is recommended to use the theory of planned behavior for human immunodeficiency virus prevention behaviors. eligible for the study. Of these 186 eligible students, 146 students completed the written informed consent (partici ­ pation rate, 78.49%). In the next stage, 104 students were recruited, and the educational program was implemented in the intervention group. There were 3 and 2 classes at the faculties of nursing and midwifery in Rasht and Langrood, respectively. Therefore, 2 classes of Rasht were selected randomly. In the Langrood, census method was applied. The participants were randomly selected and classified by a random generator number into a control and an intervention","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81648616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Individual, health facility-related, and psychosocial determinants of retention in chronic HIV care among HIV-positive young people in Mukono Municipality, Uganda 乌干达穆科诺市艾滋病毒阳性青年继续接受慢性艾滋病毒治疗的个人、卫生设施相关和社会心理决定因素
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.96386
Phillip Kasibante, Jemimah Kiboss, C. Atuhairwe, I. Taremwa
{"title":"Individual, health facility-related, and psychosocial determinants of retention in chronic HIV care among HIV-positive young people in Mukono Municipality, Uganda","authors":"Phillip Kasibante, Jemimah Kiboss, C. Atuhairwe, I. Taremwa","doi":"10.5114/hivar.2020.96386","DOIUrl":"https://doi.org/10.5114/hivar.2020.96386","url":null,"abstract":"Introduction: Retention in care is a known determinant of successful treatment outcome and serves as a measure of abating the emergence of resistant strains of human immunodeficiency virus (HIV). We report on the individual, health facility-related, and psychosocial determinants of retention in chronic HIV care among young HIV-infected patients in Mukono Municipality, in Uganda. Material and methods: A cross sectional study included 118 participants, aged 15 to 24 years and health workers, and it was conducted between May and September 2017. Data were obtained using a questionnaire, an abstraction tool, and key informant interviews. Logistic regression analysis was used to establish predictor variables, with a p ≤ 0.05. Results: Slightly half, 53.4% of the HIV patients were retained in care for 24 months. Participants with CD4 cell counts above 500 cells/µl at the initiation of treatment were 3 times more likely to be lost to follow-up (odd, 3 : 1). The availability of peer support services ( p = 0.026), no extra support from parents/ friends ( p = 0.02), stigma and associated blame on others ( p = 0.04) showed statistical correlation to the retention in HIV chronic care. On the other hand, peer support services attendance ( p = 0.091) and attitude of health providers ( p = 0.762) did not show statistical significance in the retention of care of HIV patients. Conclusions: The study reports a low retention in HIV care among people aged 15 to 24 years, and this was positively associated with individual, health facility-related, and psychosocial factors, which require intensive efforts to abate such barriers.","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91181081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical outcomes and complications of fiberoptic bronchoscopy in HIV-infected patients hiv感染患者纤维支气管镜检查的临床结果及并发症
IF 0.2
HIV & AIDS Review Pub Date : 2020-01-01 DOI: 10.5114/hivar.2020.99682
M. Marjani, Mahta Moinpour, A. Kiani, M. Sadr, H. Emami, Roya Sepehrnia, A. Moniri, P. Tabarsi, D. Mansouri
{"title":"Clinical outcomes and complications of fiberoptic bronchoscopy in HIV-infected patients","authors":"M. Marjani, Mahta Moinpour, A. Kiani, M. Sadr, H. Emami, Roya Sepehrnia, A. Moniri, P. Tabarsi, D. Mansouri","doi":"10.5114/hivar.2020.99682","DOIUrl":"https://doi.org/10.5114/hivar.2020.99682","url":null,"abstract":"Introduction: Respiratory diseases, including infectious and non-infectious complications are common among patients with human immunodeficiency virus (HIV) infection. We aimed to determine the performance of fiberoptic bronchoscopy (FOB), bronchoalveolar lavage, and transbronchial lung biopsy in HIV-infected patients. Material and methods: The current retrospective study was performed in Masih Daneshvari Hospital, Tehran, Iran, from January 2003 to March 2017. Patients with HIV infection and 836 episodes of respiratory manifestations were selected. Indications, outcomes as well as results and complications of bronchoscopy were extracted. Performance of bronchoscopy to determine definite etiology and its ability to rule out other differential diagnoses were evaluated. Results: The indications of FOB were found in 289 subjects (34.6%) with respiratory diseases, of whom only 220 patients had undergone the procedure. Bronchoscopy confirming a final diagnosis was found in 87 (39.5%) patients and a diagnostic benefit was noted for minimum 66.7% of the subjects. Diagnostic ability of bronchoscopy was higher in patients suspected of pneumocystis jiroveci pneumonia (PJP), tuberculosis (TB), cytomegalovirus (CMV) pneumonitis, and in cases with ground-glass opacity and diffuse lung infiltrates (p-value: 0.003 and 0.035, respectively), and lower for subjects demonstrating reticulonodular infiltrations and right middle and lower lobes involvement (p-value: 0.008, 0.005, and 0.045, respectively). Procedure-related complications were reported in five subjects. Conclusions: FOB is a significantly advantageous and safe procedure in HIV-infected patients. Its diagnostic yield is higher in patients with ground-glass opacity and diffuse infiltration in chest computed tomography scan. HIV AIDS Rev 2020; 19, 3: 172-179 DOI: https://doi.org/10.5114/hivar.2020.99682","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79084523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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