EPIDEMIOLOGICAL CHARACTERISTICS IN PATIENTS WITH COINFECTION HIV/HBV IN SOME DISTRICS IN HO CHI MINH CITY
Main Article Content
Abstract
Background: HBV co-infection with HIV is quite common. People with HBV/HIV co-infection may have more liver damage, more severe disease progression. Research into the therapeutic effects of HIV/HBV coinfection is urgently needed.
Research objectives: To evaluate the results of first-line ART treatment of HIV/HBV co-infected patients in some districts in Ho Chi Minh City.
Subjects and methods: 69 HIV/AIDS patients aged 18 years or older with HBV co-infection, were being treated at some outpatient clinics (OPCs) in 4 districts of Ho Chi Minh City.
Results: Clinical and subclinical characteristics of HIV/HBV coinfected patients: Age of disease 31.2 ± 8.9 years old. Male patients 95.7%, female patients 4.3%. 81.2% of HIV/HBV coinfected patients had no clinical symptoms. 5.8% of patients had symptoms of pharyn’s fungus, weight loss 4.3%, the average CD4 count at hospital was 347.58 ± 225.47 cells/mm3 The mean HBV DNA load was 4.46 ± 1.84 log10 (copies/ml). The mean AST was 37.36 ± 21.11 U/L; Mean ALT (39.19 ± 20.82 U/L). After 12 months of treatment, CD4 < 200 (cells/mm3) from 23.2% before treatment decreased to 10.1% after 6 months and 7.9% after 12 months. After 12 months, 89.5% of patients had HIV RNA loads below the inhibitory threshold. 84.2% and 76.3% had AST and ALT returned to normal values, the proportion of HBV DNA undetectable was 86.8%.
Conclusions: After 12 months, 89.5% of patients had HIV RNA loads below the inhibitory threshold. 84.2% and 76.3% had enzyme AST and ALT returned to normal values, the proportion of HBV DNA undetectable was 86.8%.
Article Details
Keywords
HIV, HBV, HIV/HBV co-infection, ARV treatment
References
2. Bộ Y tế (2019). Hướng dẫn điều trị và chăm sóc viêm gan B (Ban hành kèm theo Quyết định số 3310/QĐ-BYT ngày 29/7/2019 của Bộ Y tế.
3. Bộ Y tế (2019). Hướng dẫn điều trị và chăm sóc HIV-AIDS (Ban hành kèm theo Quyết định số 5456/QĐ-BYT ngày 20/11/2019 của Bộ Y tế.
4. Trần Minh Hoàng, Phạm Thị Tám (2017). Đặc điểm các dấu ấn viêm gan siêu vi B trên bệnh nhân nhiễm HIV điều trị ARV phác đồ tenofovir - lamivudin - efaviren, Y học TP. Hồ Chí Minh, 21,1, tr.30-36.
5. Kanxay Vernavong (2011). Nghiên cứu tình trạng đồng nhiễm HBV, HCV ở người nhiễm HIV/AIDS tại Bệnh viện Bệnh nhiệt đới Trung ương, Luận văn Thạc sĩ, Trường Đại học Y Hà Nội.
6. Khổng Minh Quang (2010). Đánh giá kết quả điều trị ARV ở bệnh nhân HIV/AIDS tại Phòng Khám ngoại trú Bệnh viện Bệnh Nhiệt đới Trung ương, Luận văn Thạc sĩ, Trường Đại học Y Hà Nội.
7. Đoàn Thu Trà (2016). Xác định tính kháng thuốc của HIV ở bệnh nhân thất bại với phác đồ bậc 1 và đánh giá hiệu quả điều trị của phác đồ thuốc kháng vi rút bậc 2 trên bệnh nhân HIV/AIDS, Luận án Tiến sĩ Y học, Trường Đại học Y Hà Nội.
8. Matthews, P. C., Beloukas, A., Malik, A., Carlson, J. M., et al. (2015). Prevalence and Characteristics of Hepatitis B Virus (HBV) Coinfection among HIV-Positive Women in South Africa and Botswana. PLoS ONE, 10(7), e0134037.
9. Nguyen, C. H., Ishizaki, A., Chung, P. T. T., Hoang, H. T., (2011). Prevalence of HBV infection among different HIV-risk groups in Hai Phong, Vietnam. Journal of Medical Virology, 83(3), 399-404.
10. Quan, V. M., Go, V. F., Nam, L. V., Bergenstrom, A., Thuoc, N. P. (2008). Risks for HIV, HBV, and HCV infections among male injection drug users in northern Vietnam: a case-control study. AIDS Care.
11. Rusine, J., Ondoa, P., Asiimwe-Kateera, B., Boer, K. R., et al (2013). High Seroprevalence of HBV and HCV Infection in HIV-Infected Adults in Kigali, Rwanda. PLoS ONE, 8(5), e63303.
12. Thio C. L., Smeaton L., Saulynas M., Hwang H., Saravan S.,et al (2013). Characterization of HIV-HBV coinfection in a multinational HIV-infected cohort. AIDS, 27(2), 191-201.
13. Wandeler G., Musukuma K., Zürcher S., Vinikoor M. J., Llenas-García, et al (2016). Hepatitis B Infection, Viral Load and Resistance in HIV-Infected Patients in Mozambique and Zambia. PLoS ONE, 11(3), e0152043.
14. Weldemhret L., Epidemiology and Challenges of HBV/HIV Co-Infection Amongst HIV-Infected Patients in Endemic Areas: Review, HIV/AIDS - Research and Palliative Care, 221, 13, 485-90.
15. Wu, S., Yan, P., Yang, T., Wang, Z., & Yan, Y. (2016). Epidemiological profile and risk factors of HIV and HBV/HCV co-infection in Fujian Province, southeastern China. Journal of Medical Virology, 89(3), 443-449