Prevalence and factors associated with cryptococcal antigenemia in HIV-infected patients in Cotonou/Benin

Determine the prevalence of cryptococcal antigenemia and associated factors in HIV-infected patients in Cotonou in order to introduce systematic screening in national guidelines. This is a cross-sectional, descriptive and analytical study conducted from June to September 2015 in four outpatient trea...

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Veröffentlicht in:Journal de mycologie médicale 2016-12, Vol.26 (4), p.391-397
Hauptverfasser: Ogouyèmi-Hounto, A, Zannou, D M, Ayihounton, G, Ahouada, C, Azon-Kouanou, A, Acakpo, J, Sissinto Savi de Tove, Y, Kinde Gazard, D
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Zusammenfassung:Determine the prevalence of cryptococcal antigenemia and associated factors in HIV-infected patients in Cotonou in order to introduce systematic screening in national guidelines. This is a cross-sectional, descriptive and analytical study conducted from June to September 2015 in four outpatient treatment centers with adult patients infected with HIV, receiving or not antiretroviral treatment with a number of CD4≤200cell/μL and who have given their informed consent to participate in the study. For each enrolled patient, after signing the informed consent form, it was made a clinical examination and administration of a questionnaire to collect general information, treatment and biological data. Then a blood sample for counting CD4 lymphocytes and the search of cryptococcal antigenemia were done. In total, 355 patients were included in the study with a mean age of 40±10.2years. The overall prevalence of cryptococcal antigenemia is 1.7%. All patient with cryptococcal antigenemia have a CD4 count below 100cells/μL with a majority having CD4 count below 50cells/μL. Body mass index
ISSN:1773-0449
DOI:10.1016/j.mycmed.2016.08.007