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对2008年至2013年间接受抗逆转录病毒治疗前的艾滋病毒/艾滋病感染者中避免再次发生机会性感染的无感染持续时间的评估。

Assessment of duration of staying free from acquiring rehappening opportunistic infections among pre-ART people living with HIV/AIDS between 2008 and 2013.

作者信息

Bizuayehu Habtamu Mellie, Abyu Direslgne Misker, Aweke Amlaku Mulat

机构信息

Department of Public Health, College of Medicine and Health Science, Debre Markos University, 269 Debre Markos, Ethiopia.

Department of Public Health, College of Health Science, Arba Minch University, Arba Minch, Ethiopia.

出版信息

Biomed Res Int. 2015;2015:146306. doi: 10.1155/2015/146306. Epub 2015 Jan 18.

Abstract

Introduction. In regional state of the study area, HIV (Human Immunodeficiency Virus) prevalence is 2.2% and opportunistic infections (OIs) occurred in 88.9% of pre-ART (Antiretroviral Therapy) people living with HIV/AIDS (PLWHA). Even though OIs are prevalent in the study area, duration of staying free from acquiring rehappening opportunistic infections and its determinant factors are not studied. Method. The study was conducted in randomly selected 341 adult Pre-ART PLWHA who are included in chronic HIV care. OI free duration was estimated using the actuarial life table and Kaplan Meier survival. Cox proportional-hazard model was used to calculate hazard rate. Result. OIs were rediagnosed in three quarters (75.37%) participants. In each week the probability of getting new recurrence OI was about 15.04 per 1000 person weeks. The median duration of not acquiring OI recurrence was 54 weeks. After adjustment, variables associated with recurrence were employment status, marital status, exposure for prophylaxis and adherence to it, CD4 count, and hemoglobin value. Conclusion. Giving prophylaxis and counseling to adhere it, rise in CD4 and hemoglobin level, and enhancing job opportunities should be given for PLWHA who are on chronic HIV care while continuing the care.

摘要

引言。在研究区域的地区状况中,艾滋病毒(人类免疫缺陷病毒)感染率为2.2%,88.9%的接受抗逆转录病毒治疗前的艾滋病毒/艾滋病感染者(PLWHA)发生了机会性感染。尽管机会性感染在研究区域很普遍,但未发生再次出现的机会性感染的持续时间及其决定因素尚未得到研究。方法。该研究对随机选取的341名纳入慢性艾滋病毒护理的成年抗逆转录病毒治疗前PLWHA进行。使用精算生命表和Kaplan Meier生存法估计无机会性感染持续时间。采用Cox比例风险模型计算风险率。结果。四分之三(75.37%)的参与者被重新诊断出患有机会性感染。每周每1000人周发生新的机会性感染复发的概率约为15.04。未发生机会性感染复发的中位持续时间为54周。调整后,与复发相关的变量包括就业状况、婚姻状况、预防暴露及其依从性、CD4计数和血红蛋白值。结论。对于接受慢性艾滋病毒护理的PLWHA,在继续护理的同时,应给予预防措施并提供坚持预防的咨询,提高CD4和血红蛋白水平,并增加就业机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b7/4313723/f47191684d6a/BMRI2015-146306.001.jpg

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