Monitoring Of Highly Active Antiretroviral Therapy Among Asymptomatic Hiv-Infected Patients In Akwa-Ibom: Effect On Liver And Kidney Functions
Keywords:
Toxicity, Liver, Kidney, HIV, HAARTAbstract
Introduction: New target is driven at achieving 90-90-90 treatment goal by 2020, whereby 90% of HIV-infected persons will know their HIV status, access HAART and have viral suppression. Improved access to HAART in sub-Saharan Africa led to the emergence of HAART-related toxicity and its management as component of HIV care in developing countries. The aim of this study was to evaluate the effects of HAART on liver and kidney of HIV-infected adult participants in a secondary healthcare facility.
Method: The participants came to the hospital after 3 months of adherence to the Highly Active Anti-retroviral Therapy (HAART) where phlebotomist collected 3mL blood from venous circulation for analysis of biochemical parameters. The blood samples were spun to obtain sera which were used for determining the amount of ALT, AST and creatinine by using ALT, AST and creatinine kits made by Randox® laboratory limited, United Kingdom. Creatinine clearance was calculated by using Cockcroft-Gault equation.
Result: ALT of 198 HIV-infected participants on HAART (11.21±9.78IU/L) was significantly (p=0.01) elevated than the 74 control participants (6.28±5.17IU/L). AST of HIV-infected participants on HAART (18.51±10.38IU/L) was significantly (p=0.00) elevated than the control participants (13.43±6.07IU/L). Creatinine clearance of HIV-infected participants on HAART (79.19±72.27mL/min/1.732m2) was significantly (p=0.00) reduced than the control participants (132.34±53.06mL/min/1.732m2).
Conclusion: Both biochemical parameters of liver were significantly elevated in HIV-infected participants on HAART which indicated hepatotoxicity. The biochemical parameter of kidney, creatinine clearance was significantly reduced in HIV-infected participants on HAART indicating renotoxicity.
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