title: [Epidemiological, clinical and evolving HIV-positive patients referred to the University Hospital of Point G, Bamako, Mali].
abstract: We conduct a longitudinal descriptive study in the department of infectious diseases to CHU of Point G during 18 months. It concerned adult patients referred from another care center. All the patients underwent systematic clinical examination and complementary exploration. Our sample was 352 HIV+ patients, with a mean age of 37.8 ± 9.8 years and a sex ratio (M/F)=0.94 shared among patients receiving ARV treatment (ART-s) and not (n-ART). Delay of reference was 5 ± 4.4 days. All patients benefited from clinical and paraclinical examinations. In both groups patients were mostly from level II. On admission, 132 cases were ART-s (38%). The main reasons for consultation were mainly fever [87.9%, p <0.05] and vomiting [17.4%, p =0.005] in the ART-s. Cough (p=0.9), and diarrhoea (p=0.5] were most noted in the n-TARV no statistically significant (no SS). Other reference reasons were similar in the 2 groups: headache (p=0.4), dyspnea (p=0.1). Selected diagnoses were dominated by tuberculosis (p=0.6) for n-ART no SS. Nontuberculosis infectious pneumonia (p=0.8) and cerebral toxoplasmosis (p=0.8) were comparable in the two groups. Severe systemic bacterial infections occurred more noted in the n-TARV (p=0.7). Malaria has been the main non-AIDS defining disease in the n-ART [-p=0.07] no SS. Patients were seen to late stage a corollary of a more collapsed of immunity in n-ART group [93.3%, p <0.05]. The fatality rate was similar in both groups (43.2%). Pathological factors were mainly tuberculosis (p=0.3) no SS. The factors involved significantly in TARV-s were non-tuberculosis bacterial pneumonia (p=0.001). The hospital mortality of HIV and AIDS is still important. Despite free ARVs and the large number of support center, the delay in diagnosis is a key as well as the lack of monitoring of patients factor.
authors.affiliation: CHU du Point G, BP 333, Point G, Bamako, Mali, amtraore_cmbko@yahoo.fr.
authors.forename: A M
authors.initials: AM
authors.lastname: Traoré
authors.forename: D K
authors.initials: DK
authors.lastname: Minta
authors.forename: M
authors.initials: M
authors.lastname: Fomba
authors.forename: H
authors.initials: H
authors.lastname: Cissé
authors.forename: K
authors.initials: K
authors.lastname: Diallo
authors.forename: I
authors.initials: I
authors.lastname: Coulibaly
authors.forename: A
authors.initials: A
authors.lastname: Soukho-Kaya
authors.forename: S A
authors.initials: SA
authors.lastname: Beye
authors.forename: T
authors.initials: T
authors.lastname: Cissé
authors.forename: M
authors.initials: M
authors.lastname: Dembélé
authors.forename: H A
authors.initials: HA
authors.lastname: Traoré
authors.forename: E
authors.initials: E
authors.lastname: Bissagnené
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis* / Q000453:epidemiology*; D006785:Hospitals, University; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008302:Mali / Q000453:epidemiology; D008875:Middle Aged; D012017:Referral and Consultation; D055815:Young Adult