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  • Open Access

Opportunistic infections in HIV positive patients in Bahrain in 4 years study 2009-2013

  • Nermin Saeed1,
  • Eman Farid1 and
  • Afaf E Jamsheer1
BMC Infectious Diseases201414(Suppl 2):P54

https://doi.org/10.1186/1471-2334-14-S2-P54

Published: 23 May 2014

Keywords

TuberculosisHerpes SimplexMycobacterium TuberculosisOpportunistic InfectionArab World

Objectives

This study aimed to examine the prevalence of opportunistic infections in HIV-infected patients in Bahrain and related them to the absolute CD4 count, CD4% and CD4/CD8 ratio.

Methods

The research was a retrospective, cohort study using laboratory records from a major hospital in Bahrain, from January 2009 to May 2013. Opportunistic infections (OIs) and absolute CD4 count, CD4% and CD4/CD8 ratio were recorded for every patient.

Results

CD4% and absolute CD4 count in HIV patients with associated infections was significantly lower than in those without associated infections (P< 0.001) but there was no significant difference in CD4/CD8 Ratio between the two groups. Infection with Staphylococcus aureus was the commonest encountered infections and present in 9.8% % of total AIDS patients and 28.7% of AIDS patient group who had OIs; followed by yeast infections (9.2% and 27.2% respectively). Mycobacterium tuberculosis was present in 3.6% of total AIDS patients and 10.6% of the group with OIs while Mycobacterium Other Than Tuberculosis (MOTT) was present in 2.5% and 7.5% respectively. Pneumocystis jirovecii pneumonia (PCP) was observed in 5.1% and 15.1% respectively. The least bacterial infections observed were Streptococcus penumoniae, Streptococcus melleri, Stenotrophomonas maltophilia, & Citrobacter species. Herpes simplex II (HSV-II) was the commonest OIs observed while Cytomegalovirus antigenemia was only present in 2% and 6% respectively.

Conclusion

Studying the pattern of OIs in HIV-infected patients in Bahrain is of paramount importance due to scarcity of data in the Arab worlds. This help to improve physician's awareness to improve care of AIDS patients.

Authors’ Affiliations

(1)
SMC, Pathology Department, Microbiology Section, Muharaq, Bahrain

Copyright

© Saeed et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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