Epidemiological Factors and Liver Enzymes in Patients Co-Infected With HIV/AIDS in a Tertiary Teaching Hospital

Mabayoje, V, Akindele R, Akinleye C, Muhibi M, Owojuyigbe T, Fadiora S.  2013.  Epidemiological Factors and Liver Enzymes in Patients Co-Infected With HIV/AIDS in a Tertiary Teaching Hospital, 2013/12/05. 1:409-114.


Objective: HIV and HCV share routes of infection. Co-infection and its complications are therefore emerging as a major concern as patients on HAART have longer life expectancy. These complications have been well documented. It is necessary to determine in our environment what epidemiological factors are associated. This is expected to improve treatment protocols leading to increase quality of life and prolonged lifespan. Liver enzymes may be useful to monitor therapy. Materials and Methods: This is a prospective study. Seventy age and sex matched co-infected patients participated. Sera of the participants were subjected to anti-HCV antibody (IgG) screening using third generation ELISA kit from DIA.PRO, Italy. The epidemiological variables were determined and depicted using bar charts and tables. HIV was determined by detecting the antibodies using two different kits. Determine and Unigold. Results: There were 14 males and 56 females in the co-infected group. While there was a definite raise in Liver enzymes in the co-infected patients, only ALT was significantly raised in both sexes and not only the male sex. The majority of patients were above thirty years of age (mean 35.84). Among mono infected and co-infected patients age was the only statistically significant variable. Conclusion: It is vital to determine the HCV status of HIV positive patients at any point of entry into a particular health care facility. This would further improve the quality of life and life span of individuals as a result of improved treatment protocols. INTRODUCTION Human immunodeficiency virus(HIV) was first discovered by Gallo 1 . Hitherto it was described in homosexual men in California and New York in 1981 2 who presented with Pneumocystis Carinii Pneumonia (PCP). The prevalence in Africa and especially Nigeria and South Africa have become alarming over time. Sub-Saharan