CĂN NGUYÊN NHIỄM TRÙNG THƯỜNG GẶP Ở BỆNH NHÂN HIV/AIDS SỐT KÉO DÀI (1/2016 - 6/2019)

Abstract

Objective: The study was conducted to identify most common infectious etiologies of prolonged fever in HIV/AIDS patients in aiming to give clinicians the diagnosis suggestions.

Subjects and method: A cross - sectional descriptive study was conducted on 182 HIV/AIDS adult patients with prolonged fever by infectious etiologies admitted to National hospitalfor tropical diseases from January 2016 to June 2019.

Results: M. tuberculosis was the most common opportunistic infection (50.0%), followed by P. marnefei (31.3%) and Pneumocytis jiroveci (22.0%), Bacterial pneumonia (12.1%), CMV (11.0%), sepsis (11.0%), Toxoplasma (6.0%), Cryptococcus (2.7%) and MAC (1.1%). Among tuberculosis HIV infected patients, tuberculosis pneumonia took the highest prevalence (44.8%), followed by tuberculosis adenitis (38.5%), pleural tuberculosis (18.7%) and tuberculosis meningitis (5.5%). 51,1% of patients had single infetious etiologie, 40.1% had 02 coinfected etiologies and 8.8% had 03 concurrent etiologies. 46.2% patients manifested infection in 02 and more organs. 122/182 patients had respiratory infection, among that, tuberculosis took the highest percentage (36.1%), followed by PCP (32.8%), bacterial pneumonia (18.0%), mycosis (9.0%) and CMV (7.4%).

Conclusion: M. Tuberculosis and P. marnefei are the two leading infectious causes of prolonged fever in HIV - infected patients.