Late presentation to HIV/AIDS care at the Douala general hospital, Cameroon: its associated factors, and consequences.

摘要: The introduction of anti-retroviral treatment (ART) has significantly reduced mortality and morbidity associated with HIV/AIDS. While at early stages the disease is related to a better prognosis, late presentation (LP) care harmful infected person, society more costly. We aimed describe HIV care, its factors consequences in patients followed up tertiary hospital Cameroon. retrospectively assessed patients’ files between 1996 2014 Douala general (DGH) centre. Late was defined as CD4+ T cell count< 350 cells/mm3 or advanced clinical (WHO 3/4) first for care. used logistic regression study occurrence opportunistic infections 3, 6 12 months after Of 1866 studied, mean age 40 (SD: 10) years, median count 147 (IQR: 63–270) cells/mm3, 58.2% were 3 4. prevalence 89.7% (95% CI: 88.2–91.0%) remained above 80% from 2014. Circumstances diagnosis: prevention mother child transmission program/blood donation (OR = 0.16, 95% CI 0.10–0.29), having positive partner 95%CI = 0.10–0.26), routine screening (OR = 0.13, 95%CI = 0.10–0.19) odds presenting compared suspicion. Students had lower people who an employment (OR = 0.50, 95%CI = 0.26–0.98). Calendar time OR = 1.64, CI = 1.08–2.48 ≥2010 vs. < 2005) increased presentation. Mortality higher presenters than presenters. very high DGH poor outcome. More sensitization campaigns should be carried out population diagnose earlier stage.