High Prevalence of Late-Stage Disease in Newly Diagnosed Human Immunodeficiency Virus Patients in Sierra Leone

Author:

Yendewa George A123ORCID,Poveda Eva4,Lakoh Sulaiman5,Yendewa Sahr A5,Jiba Darlinda F5,Salgado-Barreira Angel6,Sahr Foday57,Salata Robert A12

Affiliation:

1. Department of Medicine, Case Western Reserve University, Cleveland, Ohio

2. Division of Infectious Diseases and HIV Medicine, University Hospitals Cleveland Medical Center, Ohio

3. Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

4. Group of Virology and Pathogenesis, Galicia Sur Health Research Institute (IIS Galicia Sur)-Complexo Hospitalario Universitario de Vigo, SERGAS-UVigo, Spain

5. College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown

6. Methodology and Statistics Unit, Galicia Sur Health Research Institute (IIS Galicia Sur)-Complexo Hospitalario Universitario de Vigo, SERGAS-UVigo, Spain

7. 34 Military Hospital, Republic of Sierra Leone Armed Forces, Freetown

Abstract

Abstract A high prevalence of late-stage disease (75.4%) and severe immunosuppression (23.3%) was observed in 155 newly diagnosed human immunodeficiency virus patients in Freetown, Sierra Leone during August to November 2017. Within the late-stage diagnosis group, a significantly high proportion of patients reported fever (84.2% vs 65.2%; P = .01), weight loss (82.2% vs 63.5%; P = .01), and malaise (89.7% vs 71.7%; P = .05). Fever was identified as the only independent predictor of late-stage disease in this study.

Funder

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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