EFFECT OF MALARIA INFECTION ON BLOOD PARAMETERS AND VIRAL LOAD IN HIV INFECTED CAMEROONIAN PATIENTS UNDER HAART: A HOSPITAL-BASED STUDY

  • Kamgain Mawabo Lugarde District hospital of Deido, Douala, Cameroon and Distant Production House University (DPHU)-Ecole doctorale, RD Congo
  • Assam Assam Jean-Paul Distant Production House University (DPHU)-Ecole doctorale, RD Congo and Faculty of Sciences, University of Douala, Douala, Cameroon
  • Kojom Foko Pradel Faculty of Sciences, University of Douala, Douala, Cameroon
  • Elanga Njille Emmanuel Distant Production House University (DPHU)-Ecole doctorale, RD Congo and Centre Pasteur du Cameroun, Yaoundé, Cameroon
  • Ewodo Symphorien Distant Production House University (DPHU)-Ecole doctorale, RD Congo and Douala General Hospital, Douala, Cameroon
  • Calixte Yadufashije Distant Production House University (DPHU)-Ecole doctorale, RD Congo
  • Kamga Henri Lucien Distant Production House University (DPHU)-Ecole doctorale, RD Congo and Faculty of Health Sciences, University of Bamenda, Bamenda, Cameroon
Keywords: Malaria, HIV, co-infection, Blood parameters, viral load, Cameroon

Abstract

Co-infections with malaria and HIV infection are common in Sub-Saharan countries. This study aimed at determining the effect of malaria infection on blood parameters and viral load of Cameroonian people living with HIV (PLWHIV) and under antiretroviral treatment. A cross sectional and prospective study took place at the District hospital of Deido. About, 8 mL of venous blood were obtained from each patient by venipuncture for performing complete blood count, thick blood smear and CD4 cells count. Sociodemographic data of participants were sought. In total, 723 patients were enrolled in the study with an average age of 39.49 ± 11.17 years old. The mean count of CD4 lymphocytes was 427 ± 257 (range: 6 - 1369 cells/µL). The prevalence of malaria was 16.7% (95%CI: 14.2%-19.6%). Hemoglobin and haematocrit were lower in malaria infected individuals (P-value < 0.0001). Viral loads were significantly higher in infected males compared to their uninfected counterparts (65195.20 ± 978.04 versus 540 ± 91.24 copies/µL; P-value < 0.0001). The risk of anemia was twofold and about threefold higher in males (OR = 2.28; 95%CI = 1.58 – 3.29; P-value < 0.0001) and malaria parasites infected individuals (OR = 2.85; 95%CI = 1.28 – 4.78; P-value < 0.0001) respectively. It is critical to take into account treatment of malaria episodes in PLWHIV during their management.

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References

1. World Health Organization. WHO Global Malaria Programme: World Malaria Report. Geneva: World Health Organization. 2016. pp. 186.
2. UNAIDS. Fact sheet 2015. http://www.unaids.org/sites/default/files/media_asset/20150901_FactSheet_2015_en.pdf. Accessed 15 Feb 2015.
3. UNAIDS. Cameroon: Epidemiological fact sheet on HIV and AIDS. http://www.unaids.org/sites/default/files/epidocuments/CMR.pdf. Accessed 15 Feb 2015.
4. Gonzalez R, Ataide R, Nanicje D, Menéndez C, Mayor A. HIV and malaria interactions: where do we stand? Expert Rev Anti Infect. 10 (2), 2012, 153-165.
5. Renia L, Potter SM. Co-infection of malaria with HIV: an immunological perspective. Parasite Immunol. 28 (11), 2006, 589–595.
6. Urban BC, Ing R, Stevenson MM. Early interactions between blood-stage plasmodium parasites and the immune system. Curr Top Microbiol Immunol. 297, 2005, 25-70.
7. Alemu A, Shiferaw Y, Zelalem A, Biniam M, Wubet B. Effect of malaria on HIV/AIDS transmission and progression. Para and Vect. 6, 2013, 18.
8. Nkuo-Akenji T, Tevoufouet EM, Nzang F, Ngufor N, Fon E. High prevalence of HIV and malaria coinfection in urban Douala, Cameroon. Afr J AIDS Res. 7 (2), 2008, 229–235.
9. Bate A, Kimbi HK, Lum E, Ndip LM, Njabi CM, Bessong PO. Malaria infection and anaemia in HIV infected children in Mutengene, Southwest Cameroon: a cross sectional study. BMC Infect Dis. 16, 2016, 523.
10. Njunda AL, Njumkeng C, Nsagha SD, Nguedia Assob JC, Kwento TE. The prevalence of malaria in people living with HIV in Yaounde, Cameroon. BMC Pub Health. 16, 2016, 964.
11. Tchinda GG, Atashili J, Achidi EA, Kamga HL, Ndumbe PM. Impact of Malaria on Hematological Parameters in People Living with HIV/AIDS Attending the aquintinie Hospital in Douala, Cameroon. PLoS ONE. 7(7), 2012, e40553.
12. Antonio-Nkondjio C, Defo-Talom B, Tagne-Fotso R, Tene-Fossog B, Ndo C, Kengne P, Awono-Ambene P. High mosquito burden and malaria transmission in a district of the city of Douala, Cameroon. BMC Infect Dis. 12, 2012, 275-282.
13. EDS-MICS. Rapport Préliminaire sur la prévalence du VIH. Enquête Démographique et de Santé et à Indicateurs Multiples 2011, 2012, pp13.
14. Koanga MLM, Kojom FLP, Assokom EVO, Embolo EE, Ngono Ngane AR. High risk of transfusiontransmitted malaria (TTM) from student blood donors living in the town of Douala, Cameroon. J Clin Infect Dis Pract. 1, 2016, 108.
15. Guidelines for CyFlow counter. Accessed 15 August 2015. Available: www.sysmex-partec.com
16. Mbanya D, Sama M, Tchounwou P. Current Status of HIV/AIDS in Cameroon: How Effective are Control Strategies? Inter J Environ Res Pub Health. 5 (5), 2008, 378-383.
17. Mbopi-kéou F-X, Dempouo Djomassi L, Monebenimp F. Aspects descriptifs du VIH / SIDA chez lessujets âgés de 50 ans et plus suivis au Centre de Traitement Agréé de Bafoussam – Cameroun. The Pan Afr Med J. 12 (107), 2012, 1-10.
18. Amuta EU, Houmsou RS, Diya AW. Malarial infection among HIV patients on antiretroviral therapy (ART) and not on ART: a case study of Federal Medical Centre Makurdi, Benue State, Nigeria. Asian Pac J Trop Biomed. 2012, S378-S381.
19. Iroezindu MO, Agaba EI, Okeke EN, Daniyam CA, Obaseki DO, Isa SE, Idoko JA. Prevalence of Malaria Parasitaemia in Adult HIV-infected Patients in Jos, North-central Nigeria. Nigerian J Med. 21 (2), 2012, 209-213.
20. Omoti CE, Ojide CK, Lofo PV, Eze E, Eze J.C. Prevalence of parasitemia and associated immunodeficiency among HIV-malaria co-infected adult patients with highly active antiretroviral therapy. Asian Pac J Trop Biomed. 12, 2013, 126-130.
21. Tay CK, Badu K, Mensah AA, Gbedema SY. The prevalence of malaria among HIV seropositive individuals and the impact of the coinfection on their hemoglobin levels. Ann Clin Microbiol Antimicr. 14, 2015,10.
22. Mitangala NP, Hennart P, D’Alexandro U, Donnen P, Porignon D, Bisimwa BG, Dramaix WM. Malnutrition protéino-énergétique et morbidité liée au paludisme chez les enfants de 0-59 mois dans la région du Kivu, République Démocratique du Congo. Med Trop. 68, 2008, 51-57.
23. Rogier C, Henry M-C, Trape J-F. Evaluation épidémiologique du paludisme en zone d'endémie. Med Trop. 69, 2009, 123-142.
24. Gupta SC, Patel AG, Patel TG. Association of ABO groups in malaria infection of variable severity. J Vector Borne Dis. 49, 2012, –81.
25. Naing C, Kaur SN, Nyunt Wai V. The Effect of Malaria and HIV CoInfection on Anemia: A Meta-Analysis. Med. 95 (14), 2016, 1-10.
26. White NJ, Pukrittayakamee S, Hien TT, Faiz MA, Mokuolu OA, Dondorp AM. Malaria. Lancet. 383 (9918), 2014, 723-735.
How to Cite
1.
Kamgain Mawabo Lugarde, Assam Assam Jean-Paul, Kojom Foko Pradel, Elanga Njille Emmanuel, Ewodo Symphorien, Calixte Yadufashije, Kamga Henri Lucien. EFFECT OF MALARIA INFECTION ON BLOOD PARAMETERS AND VIRAL LOAD IN HIV INFECTED CAMEROONIAN PATIENTS UNDER HAART: A HOSPITAL-BASED STUDY. Med. res. chronicles [Internet]. 2017Jun.30 [cited 2024Dec.22];4(03):275-86. Available from: https://medrech.com/index.php/medrech/article/view/241
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Original Research Article