DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20192514

Incidence of HIV infection in eastern Uttar Pradesh: HIV counseling and testing services record based retrospective study

Amresh Kumar Singh, Vivek Gaur, Ankur Kumar, Jayesh Pandey, Vandana Upadhyay

Abstract


Background: India has approximately 2.4 million of people living with HIV and out of these two thirds live in rural areas. This study may yield significant data to understand epidemiology of HIV/AIDS in this region that would help in designing techniques for effective implementation to prevent this infection.

Methods: The present study was a comprehensive retrospective hospital-based investigation of the HIV infection in eastern Uttar Pradesh, India based on a large number of clinical samples at HCTS centre, representing different geographic regions and has been functional since 2002, conducting HIV tests, counselling of patients as well as maintains proper records.

Results: A total of 444 HIV positive clients were registered in this retrospective study. The male and female ratio among all positive clients was 1.67:1 and the most common age group for both the genders was 35-49 years. Among 444 HIV positive clients, HIV-TB co-infection found in 72 (16.21%) cases. Out of 444 clients, 177 (40%) and 167 (38%) found extremely immunocompromised with low CD4 cells count in range between of 0-100 cells/mm3 and >100-350 cells/mm3 respectively. Mortality was seen in 72 (16%) out of 444 HIV positive clients.

Conclusions: There is an urgent need of information, education about this disease and by providing suitable occupation or to make them aware, which will markedly help in preventing the spread of HIV pandemic in this geographical region.


Keywords


CD4, Human Immuno deficiency virus, HIV counseling and testing services, HIV-TB co-infection, Pandemic

Full Text:

PDF

References


Dutt R, Choudhuri S, Goswami S. Profile of HIV positive clients: an ICTC record based retrospective study. Int J Community Med Public Health. 2017;4:3018-21.

Perkins JM, Khan KT, Subramanian SV. Patterns and distribution of hiv among adult men and women in India. PLoS One. 2009;4(5):e5648.

Bachani D, Sogarwal R. National response to HIV/AIDS in India. Indian J Community Med. 2010;35:469-72.

National HIV Counselling and Testing Services (HCTS) Guidelines, 2016. Available at: https://www.aidsdatahub.org/national-hiv-counselling-and-testing-services-hcts-guidelines-2016-national-aids-control.

Alvarez-Uria G, Midde M, Naik PK. Socio-demographic risk factors associated with HIV infection in patients seeking medical advice in a rural hospital of India. J Public Health Res. 2012;1(1):79-82.

Laboratory manual for technicians. National AIDS Control Organization Ministry of Health and Family Welfare, 2007. Available at: https://docplayer.net/27014606-Laboratory-manual-for-technicians-ictcs-pptctcs-blood-banks-phcs-march-2007.html.

National AIDS Control Organisaiton. National Guidelines for HIV Testing, 2015. Available at: http://www.naco.gov.in/sites/default/files/National_Guidelines_for_HIV_Testing_21Apr2016.pdf.

Chennaveerappa PK, Halesha BR, Vittal BG, Jayashree N. A study on the sociodemographic profile of the attendees at the integrated counselling and testing centre of a medical college in South India. J Clin Diagn Res. 2011;5:430-33.

Vaseem BN, Madhusudan S, Bhardwaj AK, Rathore M, Kasyap A. A study on socio-demographic profile and risk factors present in HIV infected patients attending ART centre in tertiary care hospital in Rajasthan, India. National J Community Med. 2012;3(2):339-43.

Jha AK, Chadha S, Uppal B, Bhalla P, Jugal K, Dewan R. Socio-demographic and immunological profile of HIV patients attending ART clinic in a tertiary care hospital in North India. J HIV Clin Scientific Res. 2014;1(1):007-10.

Cain PK, Anekthananon T, Burapat C, Akksilp S, Mankhatitham W, Srinak C, et al. Causes of death in hiv-infected persons who have tuberculosis Thailand. Emerg Infect Dis. 2009;15(2): 258-64.

Torti C, Prosperi M, Motta D, Digiambenedetto S, Maggiolo F, Paraninfo G, et al. Factors influencing the normalization of CD4+ T-cell count, percentage and CD4+/CD8+ T-cell ratio in HIV-infected patients on long-term suppressive antiretroviral therapy. Clin Microbiol Infect. 2012;18(5):449-58.

Jha P, Kumar R, Khera A, Bhattacharya M, Arora P, Gajalakshmi V, et al. HIV mortality and infection in India: estimates from nationally representative mortality survey of 1.1 million homes. BMJ. 2010;340:c621.

HIV and AIDS in India. Global information and education on HIV and AIDS, 2017. Available at: https://www.avert.org/professionals/hiv-around-world/asia-pacific/india.