Risk factors for CMV retinitis among individuals with HIV and low CD4 count in northern Thailand: importance of access to healthcare
- 13 June 2016
- journal article
- global issues
- Published by BMJ in British Journal of Ophthalmology
- Vol. 100 (8), 1017-1021
- https://doi.org/10.1136/bjophthalmol-2016-308556
Abstract
Aim To determine if poor access to healthcare is associated with increased cytomegalovirus (CMV) retinitis risk among patients with HIV with CD4 counts of Methods This is a prospective cross-sectional study. Patients with known HIV and a CD4 count of 30-min travel time, 95% CI 1.08 to 13.8) and lower income (OR 1.22 per US$50 less income, 95% CI 1.02 to 1.47). Conclusions CD4 count, low income and longer travel time to clinic were significant risk factors for CMV retinitis among patients with HIV in a resource-limited setting. These results suggest that reducing blindness from CMV retinitis should focus on increasing accessibility of screening examinations to poor and hard-to-reach patients.Keywords
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