| Peer-Reviewed

HIV-Associated Abdominal Surgical Pathologies: A Report of 108 Cases from the General Surgery Department Ignace Deen National Hospital of Conakry, Guinea

Received: 27 May 2023    Accepted: 13 June 2023    Published: 13 July 2023
Views:       Downloads:
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.

Published in Central African Journal of Public Health (Volume 9, Issue 4)
DOI 10.11648/j.cajph.20230904.11
Page(s) 98-101
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV Infection, Abdominal Surgery, Conakry, Guinea

References
[1] ONU SIDA. Rapport mondial 2012-2013 [UNAIDS world report 2012-2013]. Lancet 2013; 148: 31-13.
[2] Traore O, Yilboudo J, Sanou H, Coulibaly G, Tiembre S, Soudre RB Infection VIH et chirurgie orthopédique: aspects épidémiologiques cliniques et facteurs de risques dans le service d’orthopédie et de traumatologie du centre hospitalier national (CHN) de Ouagadougou. [HIV infection and orthopedic surgery: epidemiological, clinical and risk factors in the department of orthopedic and traumatology of national hospital center (NHC) of Ouagadougou]. Médecine d'Afrique Noire: 1997, 44 (1): 31-33.
[3] Sano D, Ouango JG, Hien S, et al. Infection à VIH en chirurgie générale. [HIV infection in general surgery]. Sciences naturelles et appliquées 2021; 21 (2): 1994-1995.
[4] Boukinda. F, Chakirou. L et Wang. J. P. L’infection à VIH chez les malades chirurgicaux à Brazzaville. [HIV infection with surgical patients in Brazzaville]. Médecine d'Afrique Noire: 1993, 40 (7): 466-468.
[5] Ngowe Ngowe. M, Bahebeck. J, Eyenga. V et al Chirurgie et VIH: épidémiologie des urgences abdominales opérées à l’hôpital général de Yaoundé. [Surgery and HIV: epidemiologic of surgical abdominal emergencies in general hospital of Yaounde]. Médecine d’afrique noire 2004; 51 (7): 390-394.
[6] Dieng M, Biboussi A, Gueye GA, et al. Aperçu des pathologies infectieuses associées au terrain VIH dans un service de chirurgie générale. [Overview of infectious diseases associated with HIV in a department of general surgery]. Mali médical 2007; 23 (1): 5-9.
[7] Diallo AD, Diallo AT, Baldé MSA, et al. Abcès du foie et VIH: épidémiologie et prise en charge dans les deux services de chirurgie du CHU de Conakry. [Liver abscess and HIV: epidemiology and management in the two departments of surgery in the university hospital of Conakry]. Guinée médical 2014, 1 (83): 22-26.
[8] Etienne BFK Odimba, W Arung, M Ntehle Le devenir précoce des opérés de l’abdomen dans les pays à forte densité d’infection sidéenne. [The early outcome of abdominal surgery in countries a high density of HIV infection]. e-mémoires de l'académie nationale de chirurgie 2008; 7 (3): 16-21.
[9] Fouedjio JH, Fouelifack YF, Mbu ER, Leke RJI. Séroprévalence de l’infection à VIH en chirurgie gynécologique programmée. [Prevalence of HIV infection in elective gynecological surgery]. Médecine d’afrique noire 2010; 57 (1): 51-6.
[10] El ktaibi A, Zouaidia F, Elktaibi R, et al Cholécystite tuberculeuse primitive sur lithiase vésiculaire. [Primary cholecystitis on gallbladder stone]. Maroc médical 2010; 32 (2): 122-126.
[11] Johanet H, Saliou C, Marmuse JPB, Benhamou G. Laparotomies chez les patients infectés par le VIH: indications, résultats à propos de 140 patients opérés en 2005. [Laparotomies in patients with HIV infection: indications and results a report of 140 patients who had surgery in 2005]. Ann Chir, 2005; 46 (4): 335-40.
[12] Doumgba AD, Kamoune JN, Ngarhio L et al. Chirurgie et VIH: impact de l’infection chez les malades opérés à Bangui (République Centrafricaine). [Surgery and HIV: impact of the infection in patients who had surgery in Bangui (Republic of Centrafrica]. Santé 2006; 16 (3): 173-6.
[13] Di Benedetto. C, Bruno. A, Bernasconi. E Infection du site chirurgical: facteurs de risque, prévention, diagnostic et traitement. [Infection of surgical site: risk factors, prevention, diagnosis and treatment]. Rev Med Suisse 2013; 9: 1832-9.
[14] Karpelowsky JS, Leva E, Kelley B, Numanoglu A, Rode H, Millar AJW. Outcomes of human immunodeficiency virus-infected and -exposed children undergoing surgery--a prospective study. J Pediatr Surg 2009 Apr; 44 (4): 681-7.
[15] Horberg MA, Hurley LB, Klein DB et al. Surgical outcomes in human immunodeficiency virus-infected patients in the era of highly active antiretroviral therapy. Arch Surg 2006 Dec; 141 (12): 1238-45.
[16] Chowdary AR, Sakthivelnathan V, Beale J et al. Analysis of inpatient complications in HIV/AIDS patients undergoing total hip arthroplasty - A propensity matched cohort study. J Clin Orthop Trauma 2023; 12; 40: 102168. doi: 10.1016/j.jcot.2023.102168.
Cite This Article
  • APA Style

    Camara Naby Laye Youssouf, Barry Boubacar, Diallo Alseny, Kamano Faya Anatole, Barry Assiatou, et al. (2023). HIV-Associated Abdominal Surgical Pathologies: A Report of 108 Cases from the General Surgery Department Ignace Deen National Hospital of Conakry, Guinea. Central African Journal of Public Health, 9(4), 98-101. https://doi.org/10.11648/j.cajph.20230904.11

    Copy | Download

    ACS Style

    Camara Naby Laye Youssouf; Barry Boubacar; Diallo Alseny; Kamano Faya Anatole; Barry Assiatou, et al. HIV-Associated Abdominal Surgical Pathologies: A Report of 108 Cases from the General Surgery Department Ignace Deen National Hospital of Conakry, Guinea. Cent. Afr. J. Public Health 2023, 9(4), 98-101. doi: 10.11648/j.cajph.20230904.11

    Copy | Download

    AMA Style

    Camara Naby Laye Youssouf, Barry Boubacar, Diallo Alseny, Kamano Faya Anatole, Barry Assiatou, et al. HIV-Associated Abdominal Surgical Pathologies: A Report of 108 Cases from the General Surgery Department Ignace Deen National Hospital of Conakry, Guinea. Cent Afr J Public Health. 2023;9(4):98-101. doi: 10.11648/j.cajph.20230904.11

    Copy | Download

  • @article{10.11648/j.cajph.20230904.11,
      author = {Camara Naby Laye Youssouf and Barry Boubacar and Diallo Alseny and Kamano Faya Anatole and Barry Assiatou and Soumaoro Labile Togba and Fofana Houssein and Toure Aboubacar},
      title = {HIV-Associated Abdominal Surgical Pathologies: A Report of 108 Cases from the General Surgery Department Ignace Deen National Hospital of Conakry, Guinea},
      journal = {Central African Journal of Public Health},
      volume = {9},
      number = {4},
      pages = {98-101},
      doi = {10.11648/j.cajph.20230904.11},
      url = {https://doi.org/10.11648/j.cajph.20230904.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20230904.11},
      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.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - HIV-Associated Abdominal Surgical Pathologies: A Report of 108 Cases from the General Surgery Department Ignace Deen National Hospital of Conakry, Guinea
    AU  - Camara Naby Laye Youssouf
    AU  - Barry Boubacar
    AU  - Diallo Alseny
    AU  - Kamano Faya Anatole
    AU  - Barry Assiatou
    AU  - Soumaoro Labile Togba
    AU  - Fofana Houssein
    AU  - Toure Aboubacar
    Y1  - 2023/07/13
    PY  - 2023
    N1  - https://doi.org/10.11648/j.cajph.20230904.11
    DO  - 10.11648/j.cajph.20230904.11
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 98
    EP  - 101
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20230904.11
    AB  - 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.
    VL  - 9
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Sections