Effects of Highly Active Antiretroviral Treatment on Liver and Kidney Functions

Main Article Content

Simon Bannison Bani
Christian Obirikorang
Kwabena O. Danquah
William K. B. A. Owiredu
Lawrence Quaye
Samuel A. Sakyi
Yussif Adams
Peter Paul M. Dapare
Moses Banyeh
Barnabas B. N. Gandau

Abstract

Aim: This study assesses the effects of HAART on liver and renal functions in HIV infected individuals on HAART.

Study Design: Cross sectional study.

Place and Methods: This study was conducted in Tamale, Ghana from August, 2015 to November 2017.

Methodology: A total of 300 HIV infected participants with ages ranging from 19 to 79 years who have been administered with HAART for at least 6 months were recruited. Pre-HAART administration (baseline) demographic and clinical information, with initial liver and renal function test results were retrieved from the medical records of the participants present at the ART center. Post HAART administration blood sample (5 mLs) was taken from each participant into a gel separated vacutainer tube, allowed to clot and spun at 3000 rpm for 3 minutes to produce serum. The product (serum) was used for liver and renal function test analysis using a fully automated chemistry analyser (Vital Scientific Selectra Flexor XL).

Results: Of the study population, 72% were administered with AZT/3TC/EFV, 13% with AZT/3TC/NVP, 6.7% with TDF/3TC/LPV/r and TDF/3TC/NVP, 1% with AZT/3TC/EFV while 0.7% were administered with TDF/FTC/EFV. The following parameters were significantly increased post HAART administration; ALT (25.53 ± 16.90 to 30.87 ± 19.28 U/L), ALP (163.7 ± 141.0 to 215.2 ± 143.4 U/L), GGT (37.27 ± 25.21 to 53.19 ± 41.71 U/L), Total protein (73.97 ± 17.08 to 82.31 ± 11.62 g/L), Albumin (38.02 ± 9.331 to 41.01 ± 7.471 g/L), Globulin 38.02 ± 15.71 to 42.79 ± 25.20 (g/L). There were however significant reductions in Total bilirubin (12.13 ± 10.85 to 9.434 ± 4.560 µmol/L), Direct bilirubin (6.616 ± 5.770 to 4.184 ± 2.806 µmol/L), (Creatinine 73.19 ± 36.13 to 63.14 ± 27.14 µmol/L) and Urea (3.515 ± 2.552 to 3.011±1.274 mmol/L).

Conclusion: HAART improves renal function, induces elevation in liver enzymes, stimulates the production of plasma proteins and reduces serum bilirubin concentration.

Keywords:
Highly active antiretroviral therapy, HIV infection, LFT, RFT, HIVAN

Article Details

How to Cite
Bani, S. B., Obirikorang, C., Danquah, K. O., Owiredu, W. K. B. A., Quaye, L., Sakyi, S. A., Adams, Y., Dapare, P. P. M., Banyeh, M., & Gandau, B. B. N. (2020). Effects of Highly Active Antiretroviral Treatment on Liver and Kidney Functions. International STD Research & Reviews, 9(2), 8-16. https://doi.org/10.9734/ISRR/2020/v9i230109
Section
Original Research Article

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