Epidemiology of HIV/AIDS in the Intensive Care Unit of National Teaching Hospital of Cotonou

Abstract

HIV/AIDS is now recognized as the largest pandemic. The aim of this retrospective study was to assess the importance of the pandemic in the Intensive Care Unit of Hubert K. MAGA University and National Teaching Hospital of Cotonou (CNHU-HKM). During a ten-year period running from January 15" 2001 to December 315, 2010, we have identified among incoming patients, all cases of HIV-positive diagnosed prior to admission and during hospitalization in intensive care. A total of 8,862 patients were admitted during the study period. Among these patients, 17 cases of HIV/AIDS were collected; thus, the prevalence was 0.19%. All cases were adults of the both sexes; the median age was 37 years. Neurological manifestations were the main reasons to hospitalization. There were 8 men versus 9 women (47.1% v 52.9%) with a sex ratio M/F of 0.88. The median age was 39.37 years in men (range 27-54 years). Women were younger, with the median age of 34 years (range 27- 49 years). The overall mortality was 88.2% during hospitalization witch shortly lasted 4.87 days average. The introduction of routine screening and early management of patients will allow a reduction in HIV mortality.