Research Article

Long-Term Immunological and Virological Outcomes in Children Receiving Highly Active Antiretroviral Therapy at Hawassa University College of Medicine and Health Sciences, Southern Ethiopia

Table 2

Immunological, virological, and clinical characteristics of HIV-infected children at baseline and 48 months ().

VariableBaseline valueAt 48 months

Mean age in years (SD)7.6 (3.1) years years
Median WAZ score (IQR)-1.3 (-2.4 to -0.07)-1.2 (−2.7 to −1.5)
Median HAZ score (IQR)-0.2 (-0.5 to -0.6)-1.6 (−2.6 to −1.3)
Median WHZ score (IQR)-1.2 (−1.9 to −0.5)-1.1 (-2.2 to -0.1)
Median CD4 cell count (cells/mm3) (IQR)298 (39–453)512 (209-1053)
CD4 cell count (cells/mm3)
 ≤200124 (45.4)15 (5.5)
 201-500132 (48.4)52 (19.0)
 >50017 (6.2)206 (75.5)
Mean (SD), Hb (mg/dl)10 (1.6)13.1 (1.75)
Anemia
 Yes111 (40.7)31 (11.4)
 No162 (59.3)242 (88.6)
Median CD4+ T lymphocyte (IQR)16.5 (12.3-20.8)21.5 (15.3-30.8)
CD4+ T lymphocyte percentage
 >25%81 (29.7)173 (63.3)
 15-25%69 (25.2)43 (15.8)
 <15%123 (45.1)57 (20.9)
WHO clinical stage
 Stage 162 (22.7)158 (57.9)
 Stage 294 (34.4)102 (37.4)
 Stage 390 (32.96)8 (2.9)
 Stage 427 (9.89)5 (1.8)
Viral load (copies/ml)
 <100039 (14.3)166 (60.8)
 5000-10,00073 (26.7)60 (21.9)
 10,000-100,00069 (25.3)29 (10.6)
 >100,00092 (33.7)18 (6.6)
Adherence
 Good226 (82.9)
 Fair29 (10.6)
 Poor18 (6.5)
Viral load
 Undetectable36 (13.2)184 (68.4)
 Detectable273 (86.8)89 (32.6)
Viral suppression
 Suppressed196 (71.8)
 Not suppressed77 (28.2)
HAART regimenAZT, 3TC, EFV37 (13.6)
AZT 3TC, NVP124 (45.4)
D4T, 3TC, EFV15 (5.5)
D4T, 3TC, NVP55 (20.1)
TDF, 3TC, EFV/NVP26 (9.5)
AZT, D4T, 3TC, PI3 (1.1)
ABC, 3TC,NVP/EFV/PI13 (4.8)

ABC: abacavir; AZT: zidovudine; CD: cluster of differentiation; EFV: efavirenz; 3TC: lamivudine; NVP: nevirapine; TDF: tenofovir; PI: protease inhibitor; HAART: highly active antiretroviral treatment; IQR: interquartile range; Hb: hemoglobin; SD: standard deviation; WAZ: weight for age; HAZ: height for age; WHZ: weight for height.