Literature DB >> 23066413

The evolution of haematological and biochemical indices in HIV patients during a six-month treatment period.

J Mgogwe1, H Semvua, R Msangi, C Mataro, D Kajeguka, J Chilongola.   

Abstract

OBJECTIVE: To assess haematological and biochemical parameters in Human Immunodeficiency Virus (HIV) patients under going antiretroviral therapy.
METHODS: We enrolled HIV patients from, 18-65 years, who were under first line antiretroviral therapy and followed them for six months from February 2010 for changes in haematological and biochemical parameters. Profiles for ALAT, creatinine, amylase, cholesterol, CD4+ and total lymphocytes, haemoglobin, and monocytes were studied every three months.
RESULTS: There was an increase of both, CD4+ lymphocyte counts from 233.57 cells/mm(3) to 336.45 cells/mm(3) and total lymphocytes from 45 to 46.6 10(3) cells /µl, after six months. The haemoglobin level dropped from 8.8 g/L to 7.52 g/L. We observed an increase in ALAT from 40.27 to 47.42 U/L, amylase from 178.9 to 193.97 U/L, and cholesterol from 5.88 to 8.40 mmol/L. Creatinine levels decreased from 117.4 to 115.0 µmol/L.
CONCLUSION: The use of ARVs boosts CD4+ and total lymphocyte counts. Prolonged use of antiretroviral drugs (ARVs) is associated with variable degrees of liver and pancreatic damage, hypercholesteremia, and anaemia in some patients. Since many of these side effects are multi-factorial, management of HIV patients should take into consideration such side effects in making treatment decisions based on periodic evaluation of these parameters.

Entities:  

Keywords:  ARV; HIV; anemia

Mesh:

Substances:

Year:  2012        PMID: 23066413      PMCID: PMC3462512     

Source DB:  PubMed          Journal:  Afr Health Sci        ISSN: 1680-6905            Impact factor:   0.927


  17 in total

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Review 10.  Therapeutic drug monitoring of antiretrovirals for people with HIV.

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5.  Covariate random effects on the CD4 count variation during HIV disease progression in women.

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6.  Changes in the haematological parameters of HIV-1 infected children at 6 and 12 months of antiretroviral therapy in a large clinic cohort, North-Central Nigeria.

Authors:  Augustine O Ebonyi; Stephen Oguche; Martha O Ochoga; Oche O Agbaji; Joseph A Anejo-Okopi; Isaac O Abah; Prosper I Okonkwo; John A Idoko
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  6 in total

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