Trends in Clinical Characteristics and Short-Term Outcome of HIV-Infected Patients at a Tertiary Care Hospital in South India

J Int Assoc Provid AIDS Care. 2018 Jan-Dec:17:2325958218795886. doi: 10.1177/2325958218795886.

Abstract

Background: Limited information is available on changing trends in HIV positive patients treated with first-line antiretroviral therapy from India.

Methods: The clinical characteristics and short-term outcome were compared between a retrospective group enrolled between January 2006 and March 2007 (06-07 group-100 patients) and a prospective group enrolled between February 2011 and March 2012 (10-12 group-85 patients).

Results: Median age was 36 and 38 years in 06-07 and 10-12 groups, respectively. Median baseline CD4 count was 146 cells/mL3 in the 10-12 group, and it was not significantly different from that of 06-07 group. Tuberculosis was diagnosed 3 times more commonly in the 10-12 group. The retention proportion at the end of 10 months was 68% in the 10-12 group when compared to that of 59% in the 06-07 group.

Conclusion: There was a trend toward improved outcome over the period of time, but the attrition rate remained high.

Keywords: HIV; antiretroviral therapy; resource limited setting; short-term outcome; time trends.

MeSH terms

  • Adult
  • Anti-HIV Agents / adverse effects
  • Anti-HIV Agents / therapeutic use
  • Anti-Retroviral Agents / therapeutic use*
  • Antiretroviral Therapy, Highly Active
  • CD4 Lymphocyte Count
  • Female
  • HIV
  • HIV Infections / complications
  • HIV Infections / drug therapy*
  • HIV Infections / epidemiology*
  • HIV Infections / mortality
  • Health Resources
  • Humans
  • India / epidemiology
  • Male
  • Middle Aged
  • Retrospective Studies
  • Tertiary Care Centers / statistics & numerical data
  • Treatment Outcome
  • Tuberculosis / diagnosis
  • Tuberculosis / epidemiology
  • Tuberculosis / virology

Substances

  • Anti-HIV Agents
  • Anti-Retroviral Agents