Pattern of HIV/AIDS in HAART Era in the Emergency Department of Tikur Anbessa Specialized Hospital and St. Pauls Hospital
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Date
2019-08
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Addis Abeba University
Abstract
Background: HIV/AIDS is one of the most destructive diseases mankind has ever faced. It
brings with it profound social, economic and public health consequences. It has become one of
the world’s most serious health and development challenges. The aim of this study was to define
the profile of attendances of HIV positive patients who presented to Emergency department.
Method: Cross sectional study was employed on adult PLHIV visiting emergency department
(ED) at tertiary hospital in Ethiopia from February 1 to April 30 2019. Data analysis was
performed by SPSS version 25 software. Descriptive statistics and Chi-square were utilized.
Result: There were a total of 87 patients. The mean age is 38.21(±10.5) years majority of them
are between the age of 35 and 44 years. and male to female ratio almost 1:1. 10.3% were newly
diagnosed. 50.6% had comorbidities. Only 79.3% were taking HAART, and 58.6% were WHO
clinical Stage IV. 57.7% had visited ED for HIV infection related problems and TB CNS
toxoplasmosis and esophageal candidiasis are the most common opportunistic infections. There
is significant association between blood pressure and death; sex and occupation with advanced
stage of the disease.
Conclusion: The findings revealed that middle age groups are at high risk reflecting important
economic and social impacts. As a third of the PLHIV visited ED for HIV non related issues to
facilitate early HIV diagnosis and early initiation of HAART, all stakeholders in the region
facilitate HIV testing. More attention should be given for middle age group of PLHIV. HIV
guideline should include treatment of associated comorbidities.
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Keywords
Comorbidities, HIV, Mortality, PLHIV