CLINICAL SYNDROME IN HIV/AIDS RESULTING IN HOSPITALIZATION BASED ON THE CD4 COUNT

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MOHAMMADNEZHAD E.; JALALMANESH SH.A.M.; MAHMOUDI MAHMOUD

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Journal: JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES Year:2010 | Volume:19 | Issue:74 Page(s): 70-77

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Title

CLINICAL SYNDROME IN HIV/AIDS RESULTING IN HOSPITALIZATION BASED ON THE CD4 COUNT

Author(s)

MOHAMMADNEZHAD E. | JALALMANESH SH.A.M. | MAHMOUDI MAHMOUD | Issue Writer Certificate

Keywords

HIVQ2

AIDSQ2

CD4 LYMPHOCYTE COUNTQ3

PNEUMONIAQ3

TUBERCLOSISQ3

Abstract

Background and purpose: The CD4 LYMPHOCYTE COUNT is the strongest index indicating the severity of immunodeficiency, prediction of incidence, diagnosis, and making a decision to start anti retroviral treatment and follow up of therapeutic response. This study was conducted to establish the clinical syndrome resulting in admission of patients with HIV infection based on the CD4 count.Materials and methods: This cross-sectional descriptive study was performed on 71 HIV patients admitted at least for onece to Imam Khomeini Hospital, Tehran during 2008 and 2009. HIV infection was confirmed by positive ELISA and Western blot. The obtained data were analyzed using SPSS software, version 16.Results: From a total of 71 patients, 8.5% were female and 91.5% were male. The mean age of the subjects was 35 ± 8.1 years. 74.6% were addicted and 38% had a prison history. The average CD4 count was 202.9 ± 20.09 /ML. 21.1% of the patients received anti-retroviral medication. 49.3% of HIV patients had hepatitis C and 18.6% had hepatitis B simultaneously. Patient with PCP, toxoplasma and TB had the least CD4 count, with an average of 75.85, 94.66 and 143.95 /ML respectively. Patients with empyema, esophagititis and abscess of femur had the highest CD4 average count of 698, 536 and 349.5 ML, respectively. There was a significant correlation between PNEUMONIA and CD4<200/ML (P=0.001) and also, between prison history and TB (P<0.001), and between TB and CD4<200/ML (P=0.012).Conclusion: The prevalence of Pneumocystic PNEUMONIA, Toxoplasmosis and TB syndrome may be higher in patients with CD4<200/ML and the incidence of pulmonary TB were greater in patients eith prison history.

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APA: Copy

MOHAMMADNEZHAD, E., JALALMANESH, SH.A.M., & MAHMOUDI, MAHMOUD. (2010). CLINICAL SYNDROME IN HIV/AIDS RESULTING IN HOSPITALIZATION BASED ON THE CD4 COUNT. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 19(74), 70-77. SID. https://sid.ir/paper/44380/en

Vancouver: Copy

MOHAMMADNEZHAD E., JALALMANESH SH.A.M., MAHMOUDI MAHMOUD. CLINICAL SYNDROME IN HIV/AIDS RESULTING IN HOSPITALIZATION BASED ON THE CD4 COUNT. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2010;19(74):70-77. Available from: https://sid.ir/paper/44380/en

IEEE: Copy

E. MOHAMMADNEZHAD, SH.A.M. JALALMANESH, and MAHMOUD MAHMOUDI, “CLINICAL SYNDROME IN HIV/AIDS RESULTING IN HOSPITALIZATION BASED ON THE CD4 COUNT,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 19, no. 74, pp. 70–77, 2010, [Online]. Available: https://sid.ir/paper/44380/en

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