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Iatreia

Print version ISSN 0121-0793

Abstract

VILLEGAS-ARBELAEZ, Esteban; BOTERO-GARCES, Jorge Humberto  and  ALZATE-ANGEL, Juan Carlos. Sociodemographic and clinical characteristics based on their cd4:cd8 ratio. of HIV infected persons who consulted at Corporación para Investigaciones Biológicas of Medellín, Colombia. Iatreia [online]. 2020, vol.33, n.4, pp.333-340. ISSN 0121-0793.  https://doi.org/10.17533/udea.iatreia.60.

Introduction:

Human Immunodeficiency Virus type 1 (HIV-1+) patients with a CD4:CD8 ratio < 1 presents a higher risk of morbidity and mortality due to not-associated AIDS events. The aim was to explore, in the selected population, sociodemographic and clinical variables, based on that ratio, because it is more informative than LT CD4+ and LT CD8+ by themselves.

Materials and Methods:

Observational, in HIV-1 infected patients attended at Biological Research Corporation. In 227 patients, age differences, LT CD4+ count, viral load, number and type of treatments were evaluated. The patients were divided in group A with a CD4:CD8 ratio equal or above to 1, and B bellow 1.

Results:

The study includes 71% of male and 29% of female. 22,5% were from group A and 77,5% from B. The mean of age was 42,8 years old in A and 45,3 years old in B (p=0,176). 100% of individuals from group A receive treatment, meanwhile 97,7% in B. Mean of LT CD4+ count was 772,4 cell/μL in A and 448,1 cell/μL in B (p=0,00001). In A, 90,2% had undetectable viral load vs 68,8% in B (p=0,002). 41,2% in A had only one type of treatment, vs 43,8% in B (p=0,744).

Conclusion:

Most of the patients had a CD4:CD8 ratio bellow to 1, despite an acceptable count of LTCD4++. To find a ratio bellow 1 in patients without an adequate virological control was more frequent. More studies to determinate variables associated with its normalization are required.

Keywords : Acquired Immunodeficiency Syndrome; CD4-CD8 Ratio; Cross- Sectional Studies; HIV-1.

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