Outcome of retroviral screening among patients undergoing ear, nose, throat, head and neck surgery, at the University of Benin Teaching Hospital, Nigeria

Authors

  • Paul R. O. C. Adobamen Department of Ear Nose and Throat, University of Benin Teaching Hospital, Benin City, Nigeria
  • Johnson Ediale Department of Ear Nose and Throat, University of Benin Teaching Hospital, Benin City, Nigeria

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20182701

Keywords:

Outcome, Retroviral screening, Booked, Ear, Nose, Throat, Head and neck surgeries, Nigeria

Abstract

Background: In Nigeria it has been estimated that 3.6% of the population are living with HIV/AIDS. Patients with different social, family, occupational and epidemiological background present for ear, nose, throat, head and neck (ENTH&N) surgeries in our hospital. The aims of the study were to determine the prevalence of HIV infection among patients for ENTH&N surgeries and to document the ENTH&N conditions that were associated with HIV infection.

Methods: This was a prospective study that was carried out in the ENTH&N Surgery department of UBTH, Benin City, Nigeria, between January, 2009 and December, 2010. All patients that were worked up for surgeries were enrolled into the study. Appropriate data were retrieved from the patients who gave informed consent for surgery and had retroviral screening and confirmatory tests by ELISA and Western blot methods respectively. The retroviral status of all the patients and the indications for the surgical procedures done were documented.  

Results: There were 173 patients; 100 males and 73 females, with a male to female ratio of 1.37:1. Ages ranged from 0.83 years to 72 years, with an average age of 26.82 years. Out of a total of 168 patients screened for HIV infection in this study, 6 patients were retroviral positive. This gives a prevalence of 0.036%. Out of the 6 patients that were retroviral positive, 3 patients had chronic tonsillitis, 1 patient had chronic tonsillitis and otitis media with effusion, while the other 2 patients had submandibular gland and nasopharyngeal tumours respectively.

Conclusions: A prevalence of 0.036% of HIV infection was found in patients for ENTH&N surgeries. Chronic tonsillitis was the commonest presentation of HIV infection, equally followed by OME, nasopharyngeal and submandibular gland tumours. 

References

Alhashimi MM, Krasnow SH, Johnston-Early A, Cohen MH. Squamous cell carcinoma of the epiglottis in a homosexual man at risk for AIDS. JAMA. 1985;253:2366.

Claire M, Davidson TM, Jellison W, Austin S. Sinonasal disease and olfactory impairment in HIV disease:endoscopic sinus surgery and outcome measures. Laryngoscope. 2000;110:1707-10.

Fredrick A, Gerald F. AIDS. Dis Manage Health Outcomes. 1997;1:305-321.

Nasidi A, Harry TO. The epidemiology of HIV/AIDS in Nigeria. In: AIDS in Nigeria.

UNAIDS.2004 Report on the Global AIDS Epidemic. Geneva: UNAIDS, 2004.

UNGASS (2010) ‘UNGASS Country Progress Report: Nigeria’ Available at: http://www.unaids. org/en/CountryResponses/Countries/nigeria.asp. Accessed on 3 February 2018.

UNAIDS, 2010. ‘UNAIDS report on the global AIDS epidemic. Available at: http://www.unaids. org/globalreport/Global_report.htm. Accessed on 3 February 2018.

UNDP; 2011. Human Development Report 2011 Available at: http://www.beta.undp.org/undp/en/ home/librarypage/hdr/human_developmentreport2011.html. Accessed on 3 February 2018.

UNAIDS; 2010. UNAIDS report on the global AIDS epidemic. Available at: http://www.unaids. org/globalreport/Global_report.htm. Accessed on 3 February 2018.

WHO; 2008. WHO African Region: Nigeria. Available at: http://www.who.int/countries/nga/ areas/hiv/en/index.html. Accessed on 3 February 2018.

UNDP; 2011. Human Development Report 2011. Available at: (http://www.beta.undp.org/undp/en/ home/librarypage/hdr/human_developmentreport2011.html. Accessed on 3 February 2018.

Goldberg D, Johnston J, Cameron S, Fletcher C, Stewart M, McMenamin J. Risk of HIV transmission from patients to surgeons in the era of post-exposure prophylaxis. J Hosp Infect. 2009;44(2):99-105.

Mgbor N, Okafor G. Prevalence of HIV infections/AIDS among E.N.T. patients at the U.N.T.H, Enugu. J Coll Med. 2002;7(2):81-3.

Bakari A, Ahmad BM, Imogu AO.AIDS associated head and neck presentation in Kaduna, Nigeria; an up-date. Nigeria J Otorhinolaryngol. 2005;2(2):45-8.

Nwaorgu OGB, Osowole OS. Otorhinolaryngological HIV-related problems: A private practice experience. Nigeria J Otorhinolaryngol. 2005;2(2):49-53.

UNGASS, 2010. UNGASS Country Progress Report: Nigeria. Available at: http://www.unaids. org/en/CountryResponses/Countries/nigeria.asp. Accessed on 3 February 2018.

The Population Council, Inc (2007) ‘The experience of married adolescent girls in Northern Nigeria. Available at: http://www.popcouncil.org/projects/ 97_NigeriaAddrssngChldMrrg.asp#/Resources. Accessed on 3 February 2018.

Imogu AO. AIDS in the head and neck. Proceedings of the second general Assembly Pan Africa Association of Surgeons. 1998: 110-119.

Ezeanolue BC. Otolaryngological Presentation of HIV Infection. Nig J Surg Sci. 1999;9:30-3.

Reiderer A, Bujia J, Vogel T, Wilmes E, Kastenbauer E. Otorhinolaryngologic manifestations in patients infected by the acquired immunodeficiency virus. Acta Otorhinolaryngol ESP. 1990;41:277-80.

WHO AIDS in Africa, a manual for physicians. 1992.

Marcusen DC, Sooy CD. Otolaryngologic and Head and Neck manifestations of acquired immunodeficiency syndrome (AIDS). Laryngoscope. 1985;95:401-5.

Lucente FE. Otolaryngologic aspects of acquired immunodeficiency syndrome. Med Clin North Am. 1991;75:1389-98.

UK Health Department. Guidance for clinical health care workers: protection against infection with HIV hepatitis viruses. Her Majesty’s Stationery Office; 1990.

Kreiss JK, Koech D, Plummer FA, Holmes KK, Lightfoote M, Piot P, et al. AIDS virus infection in Nairobi prostitutes: spread of the epidemic in East Africa. N Engl J Med. 1986;314:414-8.

D’Costa LJ, Plummer FA, Bowner I, Fransen L, Piot P. Prostitutes are a major reservoir of sexually transmitted disease in Nairobi, Kenya. Sex Trans Dis. 1985;12:64-7.

Vandeperre P, Clumeck N, Carael M. Female prostitutes: a risk factor for infection with human T-cell lymphotropic virus type III. Lancet. 1985;2:524-6.

Obi CL, Ogbonna BA, Igumbor EO, Ndip RN, Ajayi AO. HIV seropositivity among female prostitutes and non-prostitutes: obstetrics and perinatal implications. Viral Immunol. 1993;6:171-4.

Harry TO, Kabeya, Claire M, Okpudo-Itata E, et al. Rapid increase in prevalence of HIV infection among prostitutes in Maiduguri, Nigeria. Afr J Med Pract. 1997;4:182-6.

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Published

2018-06-23

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Original Research Articles