HIV-Associated Abdominal Surgical Pathologies: A Report of 108 Cases from the General Surgery Department Ignace Deen National Hospital of Conakry, Guinea
Year: 2023
Type: article
Study design: Observational Study
Abstract: Introduction: The aim of this study was to identify HIV-associated abdominal surgical pathologies and to report the socio-demographic profile of infected patients. Material and methods: This was a five-year retrospective descriptive study, from January 2016 to December 2021, carried out in the general surgery department, Ignace Deen national hospital of Conakry, Guinea, on the consecutive records of patients who had abdominal surgery associated with positive HIV serology. Results: We compiled 108 records of patients with abdominal surgery and positive HIV serology, representing 2.8% of all patients screened in the department (n=3839). The mean age was 38.5±15.9 years, with extremes of 15 and 86 years; the 31 to 40 age group was the most represented (37%). There were 64 men (59.8%) and 44 women (40.2%). Married patients accounted for 65% of cases. Appendicitis and hernia were the most frequent pathologies, followed by peritonitis. In our series, 68 patients (63%) had a known positive HIV status prior to hospitalization, versus 40 cases (37%) of incidental discovery, and 48 patients (71%) were on antiretroviral therapy. All patients in our study were infected with HIV type 1. Mortality was 3.7%. Conclusion: Despite the low rate of HIV infection in surgical departments, HIV infection remains a reality. Raising the awareness of all nursing staff to the risks of contamination and systematic screening could minimize these risks.
Authors: Camara Naby Laye Youssouf, Barry Boubacar, Diallo Alseny, Kamano Faya Anatole, Barry Assiatou, Soumaoro Labile Togba, Fofana Houssein, Toure Aboubacar
Institution: Ignace Deen Hospital
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4384300534