Volume : 6, Issue : 5, May - 2017

Pulmonary complications in HIV/AIDS patients.

Matilda Gjergji, Jul Bushati

Abstract :

Introduction: Pulmonary complications are very common during the course of Acquired Immunodeficiency Syndrome. (AIDS). Aim of the study: The main study goal is to assess the patterns of respiratory complications in the HIV/AIDS patients. Materials and methods: In the study are enrolled 77(83.1%male HIV/AIDS)patients with pulmonary complications,with the mean age of the subjects was 46.4±10.2,  ,and known as HIV seropositive patients from  5.1 ±2.4. years .Data are elaborated by SPSS17. Results: By occupational,29(37.7%)  were unemployed,22(28.6%),  employed,5 (6.5%), farmeres,7(9.1%)  office-beares,14(18.2%).  the others,regard to the count of CD4 cellules, 6(7.8%)  from 300-399 cel/ml,15(19.5%)  with 200-300 cel/ml,28 (36.4%) patients from 100-199 cel/ml, and 28(36.4%) <100cel/ml. In all of the patients(77) with HIV/AIDS are found 84 pulmonary manifestations, respectively bacterial pneumonia(first episode)in 12 (14.3%) cases,recurent bacterial pneumonia-9(10.6%),pneumocystis carinii pneumonia(PCP) 33(39,3%) cases, tuberculosis 27(32.2%),, divided in 23(27.4%)  -cases as pulmonary tuberculosis and 4(4.8%)  as generalised tuberculosis. Kaposy Syndrome- 2(2.4%),COPD -1(1.2%).cases. In the end of the study september 2015,13 patients died,12 of them had CD4 count level lower than CD4<199/ml. We found a positive correlations between ages and mortality (p=.003) ,the pattern of pulmonary complications with  CD4+ count level.P<0.0001. Conclusions: In our study,the most common respiratory complications and with high mortality rate,are opportunistic infections from pneumocystis carinii pneumonia( PCP) and tuberculosis( TB).The  level of CD4+ count is a useful indicator for developing respiratory infections and complications in HIV/AIDS patients.  <o:p></o:p>