AEGiS-15IAC: Spectrum and Outcome of Clinical Diseases In Adults Living With AIDS At The Ogun State University Teaching Hospital. - A

AEGiS-15IAC: Spectrum and Outcome of Clinical Diseases In Adults Living With AIDS At The Ogun State University Teaching Hospital. - A - Ten Year Review.

15th International AIDS Conference

Bangkok, Thailand - July 11-16, 2004

Spectrum and Outcome of Clinical Diseases In Adults Living With AIDS At The Ogun State University Teaching Hospital. - A - Ten Year Review.

Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. B10088)

Ogun SA, Adelowo OO, Familoni OB, Adefuye OB, Alebiosu C, Jaiyesinmi AE, Fakoya EA, Odusan B, Odusoga OL, Ola OO
Ogun State university teaching hospital Sagamu, Sagamu, Nigeria

BACKGROUND: The HIV epidemics continue to spread and there is dearth of information on the incidence / prevalence, natural history, pattern and progression of the disease in resource poor settings. It is with this background that this retrospective study was carried out to evaluate the changing frequency of HIV / AIDS amongst medical admissions as well as the spectrum and outcome of clinical diseases among these patients.

METHODS: Records of patients with AIDS admitted on the medical wards of a tertiary hospital in Nigeria, during the period 1992 to 2002 were retrieved and reviewed. Relevant information were obtained as well as the outcome within 6 months of diagnosis. Treatment was symptomatic in all patients and where appropriate, specific treatment was administered for indicator diseases. Highly Active Anti-retroviral Therapy (HAART) was not used.

RESULTS: PLWA constituted 4.2 % (206) of all medical admissions. The frequency increased from 0% in 1992 to 7.6 % in 2001, and dropped to 5% by the year 2002. Seventy patients (34%) died within 6 months of diagnosis.

CONCLUSION: This study has demonstrated an increasing frequency of HIV/AIDS amongst our medical in-patients from none in 1992 to 7.6% in 2001, and thereafter, a decline in 2002. We suspect that this decline could be a reflection of the health education on HIV, its increasing awareness and the widespread utilisation of effective control measures. Furthermore, the administration of highly active anti retroviral therapy (HAART) to a segment of PLWHA in sagamu by the community medicine department could be contributory. A community based study would be needed to assess the efficacy or otherwise of these current control measures. The advent of saliva and urine tests for HIV detection would ease specimen collection and increase compliance and participation at the community level.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Hospitals, Teaching, Hospitals, University, Antiretroviral Therapy, Highly Active, HIV Infections, Hospitals, State, HIV, Incidence, Prevalence, Universities, HIV Seropositivity, Anti-HIV Agents, Retrospective Studies, HIV-1, Nigeria, Adult, Humans, education

040711
B10088