Greener Journal of Epidemiology and Public Health Vol. 1 (2), pp. 010-015, August 2013.
ISSN: 2354-2381 © 2013 Greener Journals
Manuscript Number: 081213778
CD4 Cell Count of HIV-Positive Patients in Awka, South East Nigeria
*Nwozor C.M. and Nwankwo J.
Department of Physiology, Faculty of Basic Medical Sciences, Anambra State University. P.M.B 02, Uli Campus.
*Corresponding Author’s Email: corneliusnwozor @ gmail. com,
CD4 cell count (CD4 count) is pivotal in determining when to initiate antiretroviral therapy and in staging of human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS). It gives information on possible treatment failure. This study was undertaken to evaluate the CD4 count of treatment naïve HIV–positive patients who registered at HIV clinic of Anambra State University Teaching Hospital Awka, Anambra State. 460 case notes of all confirmed, HIV-positive patients who enrolled at the HIV clinic of Anambra State University Teaching Hospital Awka between Jan 2011-June 2013 were retrieved from the medical records. Baseline CD4 count, sex, age, ethnicity, occupation and religion were recorded and reviewed.143 patients (31.09%) were males, while 317 (68.91%) were females with male to female ratio being 1:2.2. 39.13% were between 21-30 age range, closely followed by 31-40 age range with 33.48%. Only one patient (0.22%) belonged to above 70 age group. The occupation of most patients was business/trade which had 165 patients (35.87%). 22.61% were self-employed. The least was professional with 15 patients (3.26%). Those with CD4 count of less than 350 cells/mm3 were 240 (52.17%) while 220 (47.83%) had above 350 cells/mm3. 119 patients (25.9%) had CD4 count of 200 cells/mm3 or less. Based on current guidelines, most HIV positive patients in this study require antiretroviral therapy.
Keywords: HIV/AIDS, CD4 count, patients, Nigeria.