Academic Journal

Virological failure and associated factors among patients receiving anti-retroviral therapy in Ethiopia: A systematic review and meta-analysis

التفاصيل البيبلوغرافية
العنوان: Virological failure and associated factors among patients receiving anti-retroviral therapy in Ethiopia: A systematic review and meta-analysis
المؤلفون: Sintayehu Asnakew, Getasew Legas, Amare Kassaw, Tigabu Munye Aytenew, Solomon Demis Kebede, Worku Necho Asferie, Netsanet Ejigu, Binyam Minuye Birhane, Yenework Mulu Tiruneh, Birhanu Mengist Munie, Bekalu Mekonnen Belay, Mengistu Ewunetu, Demewoz Kefale
المصدر: BMJ Open, Vol 14, Iss 11 (2024)
بيانات النشر: BMJ Publishing Group, 2024.
سنة النشر: 2024
المجموعة: LCC:Medicine
مصطلحات موضوعية: Medicine
الوصف: Objective This study aimed to pool the prevalence of virological failure and associated factors.Design Systematic review and meta-analysis.Primary outcome measure Prevalence of virological failure.Secondary outcome measure Factors affecting virological failure.Analysis The extracted data were exported to STATA V.17 for statistical analysis. A random-effects DerSimonian-Laird model was used to compute the pooled prevalence of virological failure.Setting Ethiopia.Participants Patients receiving anti-retroviral therapy.Results A total of 51 primary studies with a sample size of 38, 789 participants were included in the final meta-analysis. The pooled prevalence of virological failure among patients receiving anti-retroviral therapy (ART) in Ethiopia was 15.95% (95% CI: 12.63, 19.27; I2=97.99%; p1000 copies/mL (AOR=4.63, 95% CI: 2.60, 8.26), opportunistic infections (AOR=3.58, 95% CI: 2.58, 4.96) and TB-HIV coinfection (AOR=3.97, 95% CI: 2.41, 6.54) were significantly associated with virological failure among patients receiving anti-retroviral therapy in Ethiopia.Conclusions The pooled prevalence of virological failure among patients receiving anti-retroviral therapy was high in Ethiopia. Therefore, due attention should be given to patients with these identified factors. Moreover, we recommend researchers to conduct a triangulated study that can address additional factors associated with virological failure.PROSPERO registration number The protocol was registered with the Prospero database (PROSPERO, 2024: CRD42024512411).
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2044-6055
Relation: https://bmjopen.bmj.com/content/14/11/e087569.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2024-087569
URL الوصول: https://doaj.org/article/d9a2604f6eb2489aa1872b74541b3e63
رقم الانضمام: edsdoj.9a2604f6eb2489aa1872b74541b3e63
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20446055
DOI:10.1136/bmjopen-2024-087569