Lipid profile of drug naive HIV patients in a tertiary health facility in Lagos, Nigeria

Aim: To determine the effect of HIV syndrome on lipid profile in a cohort of Nigerians.Objective: To determine the concentrations of total cholesterol (Tchol), triglyceride (TGL), high density lipoprotein (HDL), and low density lipoprotein (LDL) in HIV positive drug naive patients as against HIV negative people.Methods: This study examined the lipid profiles of 50 HIV positive individuals (test group), and 50 HIV negative individuals (control group) at the Human Virology Laboratory of Nigerian Institute of Medical Research (NIMR), Lagos, Nigeria. Informed consent was obtained and the Institutional Review Board (IRB) of NIMR approved the study. A questionnaire based assessment was provided for the individuals to complete, before 5 ml of blood was taken by venopuncture. Blood collected in plain tubes was centrifuged at 3500 rpm for 10 minutes and the serum obtained, used for the various lipid profile tests mentioned above.Statistical analysis on data from the questionnaire was done using Epi info 2000 (CDC).Results: The median lipid profile values for the control group were 168, 85, 99 and 58 mg/dl for Tchol, TGL, HDL and LDL respectively. Conversely, median lipid profile values for the HIV positive patients were 145, 98, 53, and 67 mg/dl for Tchol, TGL, HDL and LDL respectively. P values greater than 0.05 were taken to indicate an insignificant difference between the lipid profiles of the two groups.Conclusion: Based on results obtained, there were significant differences in the Tchol and HDL values between the two groups, indicating a possible effect of HIV on lipid profile for drug naive patients.Key words: lipid profile, HIV, TGL, HDL, LDL, Tchol

COMPARATIVE STUDY ON SPECIFIC AND EARLY DETECTION OF PULMONARY MYCOBACTERIA COMPLEX USING SMEAR AND CULTURE METHOD AND SEROLOGICAL PATHOZYME EIA KITS

The objective of this study was to compare the sensitivity and specificity of smear and culture methods with rapid serological EIA myco kits manufactured by Omega diagnostics, for the early detection of Mycobacterium tuberculosis (MTB) complex. Sera from various categories of smear and culture results were compared with the result of 38KDa, 16KDa and purified protein for IgA, IgM and IgG antibodies with sensitivity of 4%, 24% and 76%, respectively and with specificity of100% for IgG in Smear and Culture Positive (S

Comparison of dynabeads and capcellia methods with facscount for the estimation of CD4 T-lymphocyte levels in HIV/AIDS patients in Lagos, Nigeria

Objective: To compare the efficacy of the Capcellia assay and the Dynabeads technique against the FACScount technique in the estimation of CD4 T-lymphocytes within a Nigerian setting. Design: Prospective study.Setting: Urban area in Nigeria. Subjects: Ninety seven subjects (51 HIV seronegative and 46 HIV seropositive adults)seen in the blood banks and two out patient clinics in Lagos within the study period. Main Outcome Measures: Dynadeads technique with a higher correlation coefficient is a feasible alternative to the FACScount method. Results: There was an overall correlation coefficient of r = 0.75 for CD4 cell counts as determined by the Dynabeads technique in comparison with the FACScount method. Also, an overall correlation coefficient of r = 0.17 for CD4 cell counts as determined by the Capcellia technique against the FACScount method. Conclusion: Dynabeads technique is simple to carry out and cheaper in terms of demand for human expertise and infrastructural requirements than the FACScounts. Therefore, it was recommended for use in the laboratory for monitoring of ARV therapy in Nigeria and any other resource poor country. East African Medical Journal Vol. 83(4) 2006: 105-11