Experience of a Unit of Support of People Living With HIV in Neurology Department of Chu Cocody Abidjan
AKA-ANGHUI DIARRA Evelyne, TANOH Christian, YAPO EHOUNOUD Constance, AMON TANOH Murielle, BENE Yao Roger, KOUASSI KOUAME Léonard, BOA YAPO Félix
Summary
Introduction
Neurological manifestations during HIV infection are frequent, varied and remain a common concern in
neurological practice in Abidjan. We undertook to describe the profile of patients followed in the support unit of
HIV.
Context
The prevalence within the Ivorian population was 4.7%, according to the EIS 2005 (Survey of AIDS indicators)
(3). According to UNAIDS / WHO estimates the prevalence was 3.4% for 2009 (10). Despite this significant
decline in prevalence, Côte d'Ivoire remains one of the most affected countries in the West African sub-region.
Methodology
We conducted a retrospective study including all HIV positive patients, hospitalized in the service with complete
immunologic tests from 2006 to 2010.
Results
In total 485 HIV patients were included, of which 60% were female. The average age of the study population was
39.5 years. Opportunistic infections were dominated by cerebral toxoplasmosis (36.5%). The average rate of CD4
was 171.9 cells / mm3. The majority of patients had HIV1 (93.8%) and 55.7% of patients received triple therapy
associating combination D4T + 3TC + EFV. We noted 16.3% of hospital mortality.
Conclusion
The second clinical tables to HIV infection affect the young subjects with a severe immunosuppressant.
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