Factors associated with poor CD4 and viral load outcomes in patients with HIV/AIDS

Ahmed, Syed, Sulaiman, Syed Azhar Syed, Hassali, Mohammad Azmi , Syed, Shahzad Hasan, Shan, Lau Hui and Lee, Christopher K.C. (2016) Factors associated with poor CD4 and viral load outcomes in patients with HIV/AIDS. Journal of Medical Virology, 88 (5). pp. 790-797. ISSN 0146-6615

Full content URL: https://doi.org/10.1002/jmv.24389

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Item Type:Article
Item Status:Live Archive


Suboptimal viral suppression and CD4 response to antiretroviral treatment (HAART) is known to cause poor outcomes with the increase cost of treatment. We aimed to assess factors associated with such control among HIV/AIDS patients in Malaysia. Four hundred and six HIV/AIDS patients, using Antiretroviral Therapy (ART) for at least the past three months, treated as outpatients at medication therapy adherence clinics (MTAC) were recruited. CD4 cell counts, viral load readings along with co‐variants such as socio‐demographic factors, adverse drug reactions, comorbidities, and medication record were obtained. Statistical Package for Social Sciences (SPSS®) version 18 and STATA IC® version 12 were used for data analysis. CD4 counts were found highest among those within the age category 41–50 years (390.43 ± 272.28), female (402.64 ± 276.14), other ethnicities (400.20 ± 278.04), and participants with no formal education (414.87 ± 290.90). Patients experiencing adverse effects had a 2.28 (95%CI:1.25–4.18) fold greater risk of poor CD4 control, while patients with comorbidities had 2.46 (95%CI:1.02–5.91) fold greater risk of mild viral suppression. Adverse drug reactions, co‐morbidities were found to be significantly associated with poor immunological and virological outcomes in HIV/AIDS patients. However, a comprehensive evaluation is needed to better understand other confounders

Keywords:HIV, AIDS, CD4 outcomes, viral suppression, factors associated, anti?retroviral therapy
Subjects:C Biological Sciences > C540 Virology
Divisions:College of Science > School of Pharmacy
ID Code:42960
Deposited On:13 Nov 2020 15:40

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