Adverse neurological events due to antiretroviral therapy in Mali
Journal Title: International Journal of Research in Pharmacology & Pharmacotherapeutics (IJRPP) - Year 2015, Vol 4, Issue 4
Abstract
Introduction Adverse neurological events during antiretroviral treatment (ART) are frequent and various1-3. Their diagnosis is difficult in developing countries where human resources and infrastructures are most of the time lacking. Aim To identify the frequency of neurological side effects in patients under ART in Mali Methods We performed a prospective cohort study on patients developing neurological symptoms in a period of 12 months at the Department of Infectious Diseases of the Teaching Hospital “Point G” of Bamako, Mali. Neurological diagnostic was established with the guidance of a neurologist. WHO’s sides effects table has been used to characterize and classify the side effects4. Analysis of data was performed with SPSS Software, version 12.0. Results A total of 420 HIV seropositive patients under ART have been followed. Of those, 37 cases were found with adverse neurological events (8.08%). The sex ratio M/F was 1.06 and. the mean age was 41.2 years. Of the side effects, polyneuritis alone represented 83.8% of the cases, and polyneuritis associated to vertigo, headache and depression represented the remaining 16.2 %. We didn’t notice any these neurological symptoms at the initiation of the ART. The majority of the patients was infected by HIV-1 (91.9 %). Most of the patients, 89.2% were treated with a fixed dose combination of Triomune® (D4T+3TC +Nevirapine). Five cases were at 3rd stage of WHO classification (13.5%), which justified stopping the treatment with d4T. Conclusions The use of Triomune® led to neurological adverse events in Mali. Any further new antiretroviral regimens must include a pharmacovigilance to detect eventual neurological side effects.
Authors and Affiliations
Oumar AA
Keywords
Related Articles
- EP ID EP411034
- DOI -
- Views 106
- Downloads 0
A study on appropriateness and cost comparison of prescription of proton pump inhibitors at a tertiary care hospital
Proton pump inhibitors (PPIs) are frequently used in patients who do not meet the criteria for appropriate use. Reducing inappropriate prescribing of PPIs in the inpatient and outpatient settings can minimize potential f...
Study of prescription pattern in the management of herpes zoster at brims hospital, bidar
Aim & Objectives 1. To study the prescription patterns in Herpes Zoster cases in BRIMS Tertiary Hospital. 2. To assess the efficacy, tolerability and adverse drug reactions of the drugs used in treatment of Herpes Zoste...
Study of non-invasive predictors of oesophageal varices in chronic liver disease
Esophageal varices (EVs) are a serious consequence of portal hypertension in patients with liver diseases. Several studies have evaluated possible noninvasive markers of EVs to reduce the number of unnecessary endoscopie...
Antibiotic resistance and usage – a questionnaire based study among medical students in southern India
Objectives To study the knowledge, attitude, perception and practices (KAP) of medical students regarding antimicrobial resistance (AMR) and usage Methods A cross sectional questionnaire based survey among second and t...
Adverse drug reactions of antiepileptic agents among pediatric patients at tertiary care teaching hospital of Gujarat- a cross-sectional study
Background and Aim Epilepsy is one of the most common neurological disorders characterized by recurrent episodic paroxysmal involuntary clinical events associated with abnormal electrical activity from the neurons. Anti...