Prevalence of malaria and clinical profile of febrile HIV infected patients in three HIV clinics in Ivory Coast

• Published in: MalariaWorld journal 2017, Vol.8, p.18
• Main Authors: Aba, Yapo T, Moh, Raoul, Ello, Nogbou F, Assi, Serge-Brice, Ano, Ama M, Koffi, Brigitte, Mossou, Mélaine C, Diallo, Zelica, Bissagnene, Emmanuel
• Format: Article
• Language: English
• ISSN: 2214-4374; 2214-4374

To determine the prevalence and clinical profile of malaria among febrile HIV-infected patients followed up in three HIV clinics in Ivory Coast. A cross-sectional multicentre study was conducted between 2009 and 2010 in the Pneumology Department of Cocody Teaching Hospital in Abidjan, Medical Esperance Centre and the Regional Hospital in San-Pedro. Patients of all ages presenting with fever (rectal or axillary temperature >37,5°C) or a medical history of fever within 72 hrs prior to consultation were included. Parasitological diagnostic methods used were microscopy by blood smear (BS) for search malaria parasite and parasite density. Haemoglobin levels were assessed to assess anaemia. Over the study period, 530 people living with HIV consulted for fever. The 476 patients included were predominantly female (n=280, 59%), with a median age of 34 (range 3-74 yrs), a mean of 38 ± 8.3 (SD) yrs, infected with HIV-1 (n=409, 86%), on antiretroviral therapy (n=376, 79%), and cotrimoxazole prophylaxis (n=381, 80%). Only 73 (15%) patients were using LLINs. Malaria prevalence was 10% (n=47). was the only species identified with a mean density of 15 900 trophozoites/μl. Malaria was more common among patients with a CD4 count of