Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 6399

Original article / research
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : EC04 - EC06

Study of Basic Coagulation Parameters among HIV Patients in Correlation to CD4 Counts and Artrt Status

R Thulasi Raman, D Manimaran, Praveen Rachakatla, K Bharathi, Tameem Afroz, Radha Sagar

1. Assistant Professor, Department of Pathology, Shri Sathya Sai Medical College and Research Institute, Ammapettai, Chengalpet Taluk, Kancheepuram District, Tamil Nadu, India. 2. Professor, Department of Pathology, Tagore Medical College and Hospital, Vandalur-Kelambakkam Road, Rathinamangalam, Tamil Nadu, India. 3. Senior Resident, Department of Pathology, Kakatiya Medical College, Warangal, Telangana, India. 4. Associate Professor, Department of Pathology, Shri Sathya Sai Medical College and Research Institute, Ammapettai, Chengalpet Taluk, Kancheepuram District, Tamil Nadu, India. 5. Senior Consultant, Department of Pathology, Aware Global Hospitals, Hyderabad, Telangana, India. 6. Head of Department and Senior Consultant, Department of Pathology, Aware Global Hospitals, Hyderabad, Telangana, India.

Correspondence Address :
Dr. R Thulasi Raman,
Old No 37, New No 77, New Street, Mannady, Chennai- 600001, India.
E-mail: drthulas31@gmail.com

Abstract

Introduction: HIV infection is known to cause coagulation abnormalities by various mechanism, especially during its late course.

Aim: The objective of this study is to analyse platelet count, prothrombin time and activated partial thromboplastin time among HIV infected patients and to analyse these parameters with respect to their CD4 count and ART status.

Materials and Methods: A case control study was conducted with 120 HIV infected patients and 40 normal individuals. The blood samples were collected after obtaining consent from the subjects. The blood samples were processed for platelet count, prothrombin time and activated partial thromboplastin time and CD4 count. The results were tabulated and analysed with statistical package.

Results: The platelet count was significantly decreased in HIV infected patients compared to controls. Though HIV patients with CD4 count less than 200cells/mm3 showed a decreased platelet count compared to those with CD4 count greater than 200cells/mm3, it was not statistically significant. Prothrombin Time (PT) and Activated Partial Thromboplastin Time (aPTT) was significantly prolonged in HIV patients, but only aPTT showed significant inverse correlation with CD4 count. None of the parameters showed statistical significance on comparing HIV patients on ART with those not on ART.

Conclusion: Basic coagulation tests like platelet count, PT and especially aPTT can be used as prospective screening test to assess severity in HIV patients in resource limited settings where CD4 count is not available.

Keywords

Activated partial thromboplastin time, Anti-retroviral agents, Blood coagulation, Prothrombin time

How to cite this article :

R Thulasi Raman, D Manimaran, Praveen Rachakatla, K Bharathi, Tameem Afroz, Radha Sagar. STUDY OF BASIC COAGULATION PARAMETERS AMONG HIV PATIENTS IN CORRELATION TO CD4 COUNTS AND ARTRT STATUS. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Apr 20 ]; 10:EC04-EC06. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=EC04-EC06&id=7718

DOI and Others

DOI: 10.7860/JCDR/2016/17459.7718


Date of Submission: Oct 22, 2015
Date of Peer Review: Dec 02, 2016
Date of Acceptance: Feb 09, 2016
Date of Publishing: May 01, 2016


Financial OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com