CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, Nigeria

Background. CD4 count measures the degree of immunosuppression in HIV-positive patients. It is also used in deciding when to commence therapy, in staging the disease, and in determining treatment failure. Using the CD4 count, this study aimed at determining the percentage of HIV-positives who requir...

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Main Authors: Akinsegun Akinbami, Adedoyin Dosunmu, Adewumi Adediran, Sarah Ajibola, Olajumoke Oshinaike, Kikelomo Wright, Olanrewaju Arogundade
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2012/352753
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author Akinsegun Akinbami
Adedoyin Dosunmu
Adewumi Adediran
Sarah Ajibola
Olajumoke Oshinaike
Kikelomo Wright
Olanrewaju Arogundade
author_facet Akinsegun Akinbami
Adedoyin Dosunmu
Adewumi Adediran
Sarah Ajibola
Olajumoke Oshinaike
Kikelomo Wright
Olanrewaju Arogundade
author_sort Akinsegun Akinbami
collection DOAJ
description Background. CD4 count measures the degree of immunosuppression in HIV-positive patients. It is also used in deciding when to commence therapy, in staging the disease, and in determining treatment failure. Using the CD4 count, this study aimed at determining the percentage of HIV-positives who require antiretroviral therapy at enrollment in an HIV treatment and care centre. Methods. The Baseline CD4 count, age and gender of 4,042 HAART-naïve patients, who registered between December 2006 and June 2010, at Lagos State University Teaching Hospital, Ikeja, were retrospectively studied. Data were analyzed using SPSS version 16.0 (Statistical Package for Social Sciences, Inc., Chicago, Ill). Results. Patients consisted of 2507 (62%) female and 1535 (38%) males. The mean age of males was years and that of females years. Overall, the mean CD4 count was of  cells/mm3. The mean CD4 count of males was  cells/mm3 and that of females cells/mm3. A total of 72.3% males, 64.3% females and 67.4% overall registered patients had CD4 count <350 cells/mm3, while only 15.1% males , 20.3% females, and 18.3% overall registered patients had CD4 count >500 cells/mm3 at registration. Conclusion. Females account for more than half of registered patients in HIV clinic and have a relatively higher CD4 count than males. About three-quarter of HIV positives require antiretroviral therapy at registration.
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spelling doaj-art-fd8eb2babf34435daefd18fd617172d92025-02-03T07:24:58ZengWileyAIDS Research and Treatment2090-12402090-12592012-01-01201210.1155/2012/352753352753CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, NigeriaAkinsegun Akinbami0Adedoyin Dosunmu1Adewumi Adediran2Sarah Ajibola3Olajumoke Oshinaike4Kikelomo Wright5Olanrewaju Arogundade6Department of Haematology and Blood Transfusion, College of Medicine, Lagos State University, Ikeja, PMB 21266, Lagos, NigeriaDepartment of Haematology and Blood Transfusion, College of Medicine, Lagos State University, Ikeja, PMB 21266, Lagos, NigeriaDepartment of Haematology and Blood Transfusion, Faculty of Clinical Sciences, College of Medicine, University of Lagos, PMB 12003, Idiaraba, Lagos, NigeriaDepartment of Haematology and Blood Transfusion, Lagos University Teaching Hospital, PMB 12003, Idiaraba, Lagos, NigeriaDepartment of Medicine, College of Medicine, Lagos State University, Ikeja, PMB 1266, Lagos, NigeriaDepartment of Community Health and Primary Health Care, College of Medicine, Lagos State University, Ikeja, PMB 21266, Lagos, NigeriaDepartment of Haematology and Blood Transfusion, College of Medicine, Lagos State University, Ikeja, PMB 21266, Lagos, NigeriaBackground. CD4 count measures the degree of immunosuppression in HIV-positive patients. It is also used in deciding when to commence therapy, in staging the disease, and in determining treatment failure. Using the CD4 count, this study aimed at determining the percentage of HIV-positives who require antiretroviral therapy at enrollment in an HIV treatment and care centre. Methods. The Baseline CD4 count, age and gender of 4,042 HAART-naïve patients, who registered between December 2006 and June 2010, at Lagos State University Teaching Hospital, Ikeja, were retrospectively studied. Data were analyzed using SPSS version 16.0 (Statistical Package for Social Sciences, Inc., Chicago, Ill). Results. Patients consisted of 2507 (62%) female and 1535 (38%) males. The mean age of males was years and that of females years. Overall, the mean CD4 count was of  cells/mm3. The mean CD4 count of males was  cells/mm3 and that of females cells/mm3. A total of 72.3% males, 64.3% females and 67.4% overall registered patients had CD4 count <350 cells/mm3, while only 15.1% males , 20.3% females, and 18.3% overall registered patients had CD4 count >500 cells/mm3 at registration. Conclusion. Females account for more than half of registered patients in HIV clinic and have a relatively higher CD4 count than males. About three-quarter of HIV positives require antiretroviral therapy at registration.http://dx.doi.org/10.1155/2012/352753
spellingShingle Akinsegun Akinbami
Adedoyin Dosunmu
Adewumi Adediran
Sarah Ajibola
Olajumoke Oshinaike
Kikelomo Wright
Olanrewaju Arogundade
CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, Nigeria
AIDS Research and Treatment
title CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, Nigeria
title_full CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, Nigeria
title_fullStr CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, Nigeria
title_full_unstemmed CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, Nigeria
title_short CD4 Count Pattern and Demographic Distribution of Treatment-Naïve HIV Patients in Lagos, Nigeria
title_sort cd4 count pattern and demographic distribution of treatment naive hiv patients in lagos nigeria
url http://dx.doi.org/10.1155/2012/352753
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