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Immuno-Virological Follow-Up in HIV Patients under Antiretroviral Treatment in Medical Biology Laboratory of Point G University Hospital, Bamako, Mali

DOI: 10.4236/wja.2026.164011, PP. 157-171

Keywords: HIV, Treatment, Viral Load, CD4, Point G University Hospital

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Abstract:

Purpose: Our study consisted in monitoring the viral load and CD4 count of people living with HIV/AIDS under antiretroviral trait treatment (ART) who came for biological follow-up at the Point G Hospital biomedical laboratory, then to describe the sociodemographic and clinical characteristics of these patients, and finally to establish a correlation between the viral load and the sociodemographic and clinical characteristics of these cases. Methods: It was a cross-sectional study with prospective recruitment from January to December 2024, conducted at the Point G Hospital biomedical laboratory. The study population included people living with HIV/AIDS who presented to the laboratory for a biological follow-up testing for ART. In particular, measurement of HIV viral load and CD4 count. Data were collected using individual patient data collection designed for the needs of the study. Results: The study involved 82 patients. The survey revealed that 69.5% of the patients were women. The average age of the participants was 40.55 years, and 81.7% of them lived in Bamako. Housewives represented 46.3% of the participant. HIV-1 was the most common type of virus (98.8%), and 60.9% of the patients were classified as stage 1 according to the WHO. The patients (96.3%) were on first-line treatment, primarily the TDF-3TC-DTG regimen (62.2%). Regarding viral load, 56.1% of patients had a viral load greater than 1000 copies/ml at inclusion, but at 6 months, 63.4% of patients had returned to a viral load below 40 copies/ml, and at 12 months, this number had risen to 86.6%. At inclusion, 24.4% of patients had a CD4 count below 500 cells/mm3. There was no significant link between the duration of ART and viral load at 6 months, but a significant link was observed at 12 months. Additionally, 81.7% of patients had good adherence to treatment, with medication errors and illnesses being the main causes of non-adherence (40% each). Conclusion: This study showed that the majority of our patients responded favourably to ART.

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