Bilan de la prise en charge médicale des patients infectés par le VIH dans un centre de dépistage volontaire et anonyme au Sénégal
Résumé en Français
L’objectif de cette étude était d’effectuer une analyse de cohorte six années après la mise en place d’une prise en charge médicale des patients infectés par VIH dans le premier centre de dépistage volontaire et anonyme au Sénégal. L’étude rétrospective et descriptive a porté sur l’analyse des dossiers des patients infectés par le VIH suivis de 2004 à 2009. Durant les six années, le centre a inclus 389 patients. L’âge médian était de 36 ans [17-69 ans] et le sex-ratio (F/M) de 2,5. La porte d’entrée aux soins était dominée par le dépistage volontaire (313 cas). À l’inclusion, deux tiers (65 %) des patients étaient asymptomatiques ou pauci-symptomatiques (Stade I/II de l’OMS). Le prurigo (20 %) et les infections sexuellement transmissibles (19 %) étaient les principales pathologies diagnostiquées. Le taux de lymphocytes T CD4+ était ≥ 200/mm3 dans 66,6 % des cas. En fin 2009, la file active était de 235 patients, le taux de perdus de vue était de 29 % et la létalité de 6 %. L’évaluation des activités de ce centre de dépistage volontaire, anonyme et gratuit démontre l’importance de l’existence d’un tel établissement pour lutter contre l’ignorance du statut sérologique vis-à-vis du portage du VIH.
English abstract
Assessment of the medical care of HIV-infected patients in a voluntary and anonymous screening center in Senegal
The purpose of this study was to conduct a cohort analysis six years after the introduction of medical care for HIV-infected patients in the first voluntary and anonymous screening center in Senegal. This paper provides a retrospective descriptive study of the medical records of HIV-infected patients followed between 2004 and 2009. The center provided care to 389 patients over the course of the six-year period. The median age of patients was 36 years [17 – 69years], with a sex-ratio (F/M) of 2.5. Access to care was mainly by voluntary screening (313 cases). Two thirds (65%) of patients were either asymptomatic or pauci-symptomatic (WHO Stage I/II). Prurigo (20%) and sexually transmitted infections (19%) were the main diseases diagnosed among patients. 66.6% of patients had a CD4+ cell count ≥ 200/mm3. By the end of 2009, two hundred and thirty-five patients were still being followed. The rate of patients lost to follow-up was 29%, while the lethality rate was 6%. The assessment of the activities of the voluntary, anonymous and free screening center shows the importance of screening centers in the fight to promote knowledge about HIV infection.
The purpose of this study was to conduct a cohort analysis six years after the introduction of medical care for HIV-infected patients in the first voluntary and anonymous screening center in Senegal. This paper provides a retrospective descriptive study of the medical records of HIV-infected patients followed between 2004 and 2009. The center provided care to 389 patients over the course of the six-year period. The median age of patients was 36 years [17 – 69years], with a sex-ratio (F/M) of 2.5. Access to care was mainly by voluntary screening (313 cases). Two thirds (65%) of patients were either asymptomatic or pauci-symptomatic (WHO Stage I/II). Prurigo (20%) and sexually transmitted infections (19%) were the main diseases diagnosed among patients. 66.6% of patients had a CD4+ cell count ≥ 200/mm3. By the end of 2009, two hundred and thirty-five patients were still being followed. The rate of patients lost to follow-up was 29%, while the lethality rate was 6%. The assessment of the activities of the voluntary, anonymous and free screening center shows the importance of screening centers in the fight to promote knowledge about HIV infection.
Santé publique n°4, Juillet-août 2011 | p. 297 à 304 | publié le 3 janvier 2012