The Journal of Practical Medicine >
Characteristics of opportunistic infections in HIV⁃infected individuals with suboptimal immune reconstruction in Guangxi
Received date: 2023-06-20
Online published: 2024-01-08
Objective To explore the characteristics of opportunistic infections (OIs) in HIV?infected individuals with suboptimal immune reconstitution after ART treatment so as to provide a reference for preventing and managing HIV infections. Methods The clinical data including opportunistic infections specifically were acquired from 112 HIV?infected individuals with suboptimal immune reconstitution from the outpatient department of Wuming Hospital, Guangxi Medical University. The impact of baseline CD4+T lymphocyte counts on the incidence, type, and mixed infection rates of the opportunistic infections were analyzed. Results The opportunistic infection rate among the 112 HIV?infected individuals with suboptimal immune reconstitution was 42.86%, among which fungal infections were the most commonly seen. The opportunistic infection rate of the patients with a baseline of CD4+T lymphocyte counts ≤ 50/μL was significantly higher than that of the patients with a baseline of CD4+T lymphocyte counts > 50/μL, and there was no significant difference in the type of opportunistic infections as well as the rate of mixed infections. Conclusion HIV?infected people with suboptimal immune reconstitution in Guangxi are susceptible to HIV OIs. Among them, the group with a baseline CD4+ T lymphocyte counts ≤ 50/μL has a higher rate of OIs, mainly fungal infections.
Lei JI , Tiantian LI , Jianlin WU , Xianli XU , Chunlan ZHANG , Xiaojie LAO , Xinyin MEI , Yangni LU , Maowei. CHEN . Characteristics of opportunistic infections in HIV⁃infected individuals with suboptimal immune reconstruction in Guangxi[J]. The Journal of Practical Medicine, 2023 , 39(23) : 3082 -3086 . DOI: 10.3969/j.issn.1006-5725.2023.23.010
| 1 | LU Y, TANG S, QIN Y, et al. Changes of HIV burden globally and in China over three decades: a secondary analysis of global HIV statistics[J]. China Med J, 2022, 135(22):2690-2698. |
| 2 | 祁慧,黄亚雄,周国强,等.不同抗逆转录病毒治疗方案对HIV/AIDS患者CK-MB、CK的影响[J].实用医学杂志, 2023,39(8):958-962. |
| 3 | XIAO Q, YU F, YAN L, et al. Alterations in circulating markers in HIV/AIDS patients with poor immune reconstitution: novel insights from microbial translocation and innate immunity[J]. Front Immunol, 2022, 13: 1026070. |
| 4 | LIU X, LIN L, LU L, et al. Comparative transcriptional analysis identified characteristic genes and patterns in HIV-Infected immunological non-responders[J]. Front Immunol, 2022, 13:807890. |
| 5 | LI H, TANG Y, WANG Y,et al. Single-cell sequencing resolves the landscape of immune cells and regulatory mechanisms in HIV-infected immune non-responders[J]. Cell Death Dis, 2022, 13(10): 849. |
| 6 | 叶韦玮,吴霜,陈永薪,等. 不同基线CD4+T细胞水平抗逆转录病毒治疗HIV/AIDS患者合并机会性感染的临床特点[J]. 中华医院感染学杂志, 2020, 30,30(15):2296-2300. |
| 7 | YOUNG J, PSICHOGIOU M, MEYER L, et al. CD4 cell count and the risk of AIDS or death in HIV-infected adults on combination antiretroviral therapy with a suppressed viral load: a longitudinal cohort study from COHERE[J]. PLoS Med, 2012, 9(3): e1001194. |
| 8 | 丁佩佩,何纲,陈晓华,等. 不同CD4+ 水平HIV阳性患者抗病毒治疗的机会性感染分析[J]. 中国热带医学, 2016, 16(3):252-254. |
| 9 | LAO X, MEI X, ZOU J, al et, Pyroptosis associated with immune reconstruction failure in HIV-1-infected patients receiving antiretroviral therapy: a cross-sectional study[J]. BMC Infect Dis, 2022, 22(1): 867. |
| 10 | CHEN L, LIU C, KANG S, et al. Determinants of suboptimal immune recovery among a Chinese Yi ethnicity population with sustained HIV suppression[J]. BMC Infect Dis, 2022, 22(1): 137. |
| 11 | WONDIFRAW E B, TEFERA B D, ZELEKE M, et al. Incidence and predictors of common opportunistic infection among HIV-infected children attending antiretroviral treatment clinic at Northeast Ethiopia, public hospitals 2022: a multicenter retrospective follow-up study[J]. Ann Med Surg (Lond), 2022, 84: 104910. |
| 12 | DAGNAW T K, CHERIE N, TADESE F, et al. Incidence and predictors of opportunistic infections among adult HIV infected patients on anti-retroviral therapy at dessie comprehensive specialized hospital, Ethiopia: a retrospective follow-up study[J]. HIV AIDS (Auckl), 2022, 14: 195-206. |
| 13 | SUTINI S, RAHAYU S R, SAEFURROHIM M Z, et al. Prevalence and determinants of opportunistic infections in HIV patients: a cross-sectional study in the city of Semarang[J]. Ethiop J Health Sci, 2022, 32(4): 809-816. |
| 14 | TILAHUN M, GEBRETSADIK D, SEID A, et al. Bacteriology of community-acquired pneumonia, antimicrobial susceptibility pattern and associated risk factors among HIV patients, Northeast Ethiopia: cross-sectional study[J]. SAGE Open Med, 2023, 11: 1-14. |
| 15 | XIE Z, LAI J, PENG R, et al. Clinical characteristics of HIV-associated Talaromyces marneffei infection of intestine in southern China[J]. Int J Infect Dis, 2022, 120: 48-50. |
| 16 | AZENE Z, ALEBEL A, DEMANT D, et al. Effects of undernutrition on opportunistic infections among adults living with HIV on ART in Northwest Ethiopia: Using inverse-probability weighting[J]. PLoS One, 2022, 17(3): e0264843. |
| 17 | MANUZAK J, DEMBELU M, KOTE M, et al. Incidence and predictors of reoccurrence of opportunistic infection among adult HIV/AIDS patients attending ART clinic at public health facilities in Arba Minch town, southern Ethiopia: a retrospective cohort study[J]. PLoS One, 2021, 16(12): e0261454. |
| 18 | XIE B, HUANG W, HU Y, et al. Anemia and opportunistic infections in hospitalized people living with HIV: a retrospective study[J]. BMC Infect Dis, 2022, 22(1): 912. |
| 19 | MENG S, TANG Q, XIE Z, et al. Spectrum and mortality of opportunistic infections among HIV/AIDS patients in southwestern China[J].Eur J Clin Microbiol Infect Dis, 2023, 42(1): 113-120. |
| 20 | 邓勇,李朝亮,曾桃,等, 萍乡地区艾滋病病人合并机会性感染情况分析 [J].中国艾滋病性病, 2020, 26(8): 884-885. |
| 21 | CHEN X, CAO Y, CHEN M, al et, HIV-infected patients rarely develop invasive fungal diseases under good immune reconstitution after ART regardless high prevalence of pathogenic filamentous fungi carriage in nasopharynx/oropharynx[J]. Front Microbiol, 2022,13: 968532. |
| 22 | DEMBELU M, WOSENELEH T. Prevalence of and factors associated with reoccurrence of opportunistic infections among adult HIV/AIDS patients attending the ART clinic at public health facilities in Arba Minch Town, Southern Ethiopia[J]. HIV AIDS (Auckl), 2021, 13: 867-876. |
| 23 | YEN Y F, CHEN M, JEN I A, et al. Short- and Long-term risks of highly active antiretroviral treatment with incident opportunistic infections among people living with HIV/AIDS[J]. Sci Rep, 2019, 9(1): 3476. |
| 24 | WOLDEGEORGIS B Z, DIRO C W, YOHANNES B, et al. Incidence and predictors of opportunistic infections in adolescents and adults after the initiation of antiretroviral therapy: A 10-year retrospective cohort study in Ethiopia[J]. Front Public Health, 2022, 10:1064859. |
| 25 | HALIU G T, HAGOS M H, GEMECHU K, et al. Predictors of opportunistic infections among HIV-infected patients on antiretroviral therapy: a cross-sectional study[J]. Clin Nurs Res, 2023,32(7): 1057-1065. |
| 26 | WOLDEGEORGIS B Z, ZEKARIAS Z, ADEM B G, et al. Prevalence and determinants of opportunistic infections among HIV-infected adults receiving antiretroviral therapy in Ethiopia: A systematic review and meta-analysis[J]. Front Med (Lausanne), 2023, 10: 1087086. |
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