Type | Journal Article - Medical Science |
Title | Respiratory dysfunction among adults living with HIV taking anti retroviral treatment and pre-anti retroviral treatment at university of Gondar hospital HIV care clinic, North West, Ethiopia |
Author(s) | |
Volume | 6 |
Issue | 19 |
Publication (Day/Month/Year) | 2014 |
Page numbers | 34-39 |
Abstract | Among adults living with HIV, greater proportion of mortality and morbidity is attributed to co - morbid like cardio vascular disease (CVD), diabetes and renal disease with little or no emphasis on respiratory dysfunctions. Now, it is well known that HIV affects all body systems extensively the respiratory system; eventually compromising quality of life through pul monary complications and also one major cause of morbidity and mortality in patients with HIV infection. Our aim was to determine the magnitude and associated factors of respiratory dysfunction among pre ART and ART users living with HIV in Gondar University hospital HIV care clinic. Institutional based cross - sectional study design was conducted and a total of 332 adults were recruited from patients attending University of Gondar Hospital HIV care clinic. Data was collected using pre - tested and standardized questionnaire for respiratory symptoms, medical chart review was done for the clinical characteristics. Respiratory function was measured using spirometry. Bivariate and multivariate logistic regression was employed for statistical analysis. Respiratory dysfunction was 34.9% for ART users and 21.1% for pre ART group. Smoking, recent CD4 count and MUAC were found to be a ssociated with respiratory dysfunction in both groups. Other factors like previous history of pulmonary TB and mid upper arm circumference wer e significant only in the pre ART group. In summary a significant proportion of people with HIV both who were on ART and pre ART HIV care follow up were found to be affected by respiratory dysfunctions. Hence, there is an imperative need to screen respi ratory dysfunction collaboratively with the new chest clinic and make it an integral component of HIV care. |
» | Ethiopia - Demographic and Health Survey 2011 |