Abnormal Levels of Liver Enzymes and Hepatotoxicity in HIV-Positive, TB, and HIVTB-Coinfected Patients on Treatment in Fako Division, Southwest Region of Cameroon
Joint Authors
Enoh, Jude Eteneneng
Cho, Frederick Nchang
Manfo, Faustin Pascal
Ako, Simon Eyongabane
Achidi, Eric A.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-13
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Hepatotoxicity is historically the 3rd most common reason for drug withdrawal and toxicity-related discontinuation of treatment.
This study was aimed at determining the incidence and the onset of hepatotoxicity and at evaluating the relationship of some risk factors for hepatotoxicity among Human Immunodeficiency Virus- (HIV-) positive, tuberculosis (TB), and HIV/TB patients on treatment.
This was a prospective follow-up study involving 125 participants from the HIV/AIDS and TB treatment centres in three hospitals in Fako Division of Cameroon.
These TB and HIV patients were initiated on RHEZ (R = Rifampicin, H = Isoniazid, E = Ethambutol, and P = Pyrazinamide) and TELE (efavirenz/tenofovir/lamivudine), respectively, and followed up for 12 weeks between September 2018 and November 2019.
The levels of liver enzymes (transaminases, gamma-glutamyltransferase, alkaline phosphatase, and unconjugated/total bilirubin) were measured spectrophotometrically using serum.
The Chi-squared (χ2) test was used to assess the association between risk factors and hepatotoxicity, while the Kaplan-Meier survival analysis with the log-rank test was used to determine the occurrence of hepatotoxicity in the different groups.
We followed the general study population for a total person time of 6580 person-days, with an incidence rate and cumulative incidence of 8 cases per 1000 person-days (53/6580 person-days) and 42.4% (53/125), respectively (95% confidence interval), recorded after 12 weeks of follow-up of all the participants.
The onset of hepatotoxicity in the total study population was statistically significant (χ2=9.5334; p=0.022979; CI=95%), with the majority observed at week eight of follow-up.
Also, the incidence rate and cumulative incidence of hepatotoxicity with respect to HIV/AIDS, TB, and HIV/TB patients, respectively, at 95% confidence interval were: 8 cases per 1000 person-days (32/3843 person-days) and 32/76 (42.1%), 6 cases per 1000 person-days (12/1932 person-days) and 12/32 (37.5%), and 11 cases per 1000 person-days (9/805 person-days) and 9/17 (52.9%).
This study shows that the incidence rate and cumulative incidence of hepatotoxicity in HIV/AIDS, TB, and HIV/TB patients on treatment were high in Fako Division, Cameroon.
Also, it is very important to check these patients’ liver function especially within the first 12 weeks of treatment.
American Psychological Association (APA)
Enoh, Jude Eteneneng& Cho, Frederick Nchang& Manfo, Faustin Pascal& Ako, Simon Eyongabane& Achidi, Eric A.. 2020. Abnormal Levels of Liver Enzymes and Hepatotoxicity in HIV-Positive, TB, and HIVTB-Coinfected Patients on Treatment in Fako Division, Southwest Region of Cameroon. BioMed Research International،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1138208
Modern Language Association (MLA)
Enoh, Jude Eteneneng…[et al.]. Abnormal Levels of Liver Enzymes and Hepatotoxicity in HIV-Positive, TB, and HIVTB-Coinfected Patients on Treatment in Fako Division, Southwest Region of Cameroon. BioMed Research International No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1138208
American Medical Association (AMA)
Enoh, Jude Eteneneng& Cho, Frederick Nchang& Manfo, Faustin Pascal& Ako, Simon Eyongabane& Achidi, Eric A.. Abnormal Levels of Liver Enzymes and Hepatotoxicity in HIV-Positive, TB, and HIVTB-Coinfected Patients on Treatment in Fako Division, Southwest Region of Cameroon. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1138208
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138208