title: [Assessment of the medical care of HIV-infected patients in a voluntary and anonymous screening center in Senegal].
abstract: The purpose of this study was to conduct a cohort analysis six years after the introduction of medical care for HIV-infected patients in the first voluntary and anonymous screening center in Senegal. This paper provides a retrospective descriptive study of the medical records of HIV-infected patients followed between 2004 and 2009. The center provided care to 389 patients over the course of the six-year period. The median age of patients was 36 years [17- 69 years], with a sex-ratio (F/M) of 2.5. Access to care was mainly by voluntary screening (313 cases). Two thirds (65%) of patients were either asymptomatic or pauci-symptomatic (WHO Stage I/II). Prurigo (20%) and sexually transmitted infections (19%) were the main diseases diagnosed among patients. 66.6% of patients had a CD4+ cell count ? 200/mm3. By the end of 2009, two hundred and thirty-five patients were still being followed. The rate of patients lost to follow-up was 29%, while the lethality rate was 6%. The assessment of the activities of the voluntary, anonymous and free screening center shows the importance of screening centers in the fight to promote knowledge about HIV infection.
authors.affiliation: Clinique des Maladies Infectieuses Ibrahima Diop Mar, CHU de Fann-Dakar, Dakar, Senegal.
authors.forename: Louise
authors.initials: L
authors.lastname: Fortes Déguénonvo
authors.forename: Sylvie Audrey
authors.initials: SA
authors.lastname: Diop
authors.forename: Arnaud
authors.initials: A
authors.lastname: Vedogbeton
authors.forename: Céline
authors.initials: C
authors.lastname: Dieng
authors.forename: Jérôme
authors.initials: J
authors.lastname: Sarr
authors.forename: Paul
authors.initials: P
authors.lastname: Sagna
authors.forename: Bernard Marcel
authors.initials: BM
authors.lastname: Diop
authors.forename: Papa Salif
authors.initials: PS
authors.lastname: Sow
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D006801:Humans; D059012:Lost to Follow-Up; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents