Prevalence and clinical characteristics of CMV coinfection among HIV infected individuals in Guinea-Bissau: a cross-sectional study

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Helene L Grønborg, Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau., GloHAU, Center for Global Health, Department of Public Health, Aarhus University, Aarhus
  • ,
  • Sanne Jespersen
  • Johanne H Egedal
  • Faustino G Correia, National HIV Programme, Ministry of Health, Bissau, Guinea-Bissau.
  • ,
  • Candida Medina, National HIV Programme, Ministry of Health, Bissau, Guinea-Bissau.
  • ,
  • Henrik Krarup, Section of Molecular Diagnostics, Department of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark.
  • ,
  • Bo L Hønge
  • Christian Wejse
  • Lars Jørgen Østergaard (Medlem af forfattersamarbejde)
  • Bissau HIV cohort study group
OBJECTIVES:
To describe the prevalence of CMV in a cohort of HIV infected individuals in Guinea-Bissau, West Africa and to evaluate differences in patients' clinical characteristics associated with their CMV status.
METHODS:
Newly diagnosed HIV infected adults were invited to participate in this cross-sectional study, from May until December 2015. Enrolled patients were interviewed and underwent a full physical examination focusing on CMV disease manifestations. Blood samples were analysed for CMV serology, QuantiFERON-CMV response and CMV DNA. Mortality follow-up were registered for one year after inclusion.
RESULTS:
In total, 180 patients were enrolled. Anti-CMV IgG positivity was found in 100% (138/138) and 2.8% (4/138) were anti-CMV IgM positive. A positive QuantiFERON-CMV response was found in 85.7% (60/70) of the patients and 60.6% (83/137) had CMV viraemia. QuantiFERON-CMV response and detectable CMV DNA were associated with lower CD4 cell count, older age and upper gastrointestinal complaints. During one year of follow-up, the IRR for death among CMV DNA positive patients was 1.5 (P = 0.5).
CONCLUSIONS:
CMV coinfection was detected among all enrolled patients and CMV viraemia was highly prevalent. Only age and upper gastrointestinal complaints were associated with the patients' CMV status.
OriginalsprogEngelsk
TidsskriftTropical Medicine & International Health
Vol/bind23
Nummer8
ISSN1360-2276
DOI
StatusUdgivet - 31 aug. 2018

Se relationer på Aarhus Universitet Citationsformater

ID: 130778515