Surgical presentation pattern of patients with immunodeficiency status attending tertiary care centre: A case series study
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 6, Issue 1
Abstract
Background: Human Immunodeficiency Virus and Acquired Immunodeficiency Disease (HIV/AIDS) are one of the most difficult challenges facing practicing surgeons worldwide. The challenge is more acute in sub-Saharan Africa as it currently has the highest prevalence of HIV infection in the world. Surgeons are at risk of occupationally acquired infection as a result of intimate contact with the blood and other body fluids of HIV patients requiring surgery. Operative outcomes are now favorable, approaching mortality and morbidity rates similar to patients without HIV infection. Surgical diseases unique to the AIDS patient still require operation for diagnostic, palliative or curative intent. Anti retroviral therapy (ART) has significantly increased longevity among HIV-infected patients. As this patient population grows older, an increased incidence of surgical illness is likely and 20-25% of them may need a Surgical intervention. Aim: To analyse the incidence of age and sex, co morbid illness, clinical presentation of surgical problem, including surgical emergencies and their management and outcome. Methods: This is a retrospective record based study conducted in the department of General Surgery Belgavi Institute of Medical Science, Belgavi from January 2017 to December 2017. Patients were examined clinically and blood CD4 count, ultrasonography, chest x-ray were done. Patients presented with various surgical presentations were assessed. For patient characteristics, laboratory results, preoperative presentation, operation performed, pathology and postoperative outcome. Results: More No of Cases Seen Age Group Of 30-41 With Male Predominance. Anorectal Cases Were Seen In More Number Followed By Acute Abdomen. Patients Who Were Receiving Anti Retroviral Treatment Had Good Prognosis. Conclusion: Most of the patients with immunodefiency patients presents with anogenital problems followed skin manifestatiosns, abdominal problems. Advances age, poor CD4 counts and low immunity results in poor outcome. Surgical procedures in HIV individuals present with indications and characteristics common to non-HIV population. In particular there are no statistically significant differences between the surgical success rate and mortality and morbidity rates
Authors and Affiliations
Sanjay Karpoor, Sudhir Bhat, Umesh Avarade, Jawad 4
Keywords
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