PURPOSE: The prevalence of the HIV/AIDS infection in all parts of the India, highlights the spread from urban to rural areas from high risk to general population. Today it is accepted that counselling is not only part of good clinical management and care but it is also vital for preventing the transmission of HIV infection.
METHODS: Over 12 months period a total of 1270 clients walked-in our VCTC at AIIMS, New Delhi. 1127 (Male= 740, Female= 383, Eunuch= 4) consented for the HIV ELISA testing after a pre-test counseling by an expert VCTC counsellor.
RESULTS: 356 (31.65%) clients (Male =241, Female = 111, Eunuch = 4) tested positive on HIV ELISA testing. Among those who tested positive, 84% (298, Male =204, Female=94) were presumed to be acquired through heterosexual contact, 11% (39, Male=22, Female=17) acquired through parent to child transmission, 1% (4) through infected syringes and needle, 2% (8) were recipient of blood products, 0.8% (3) were MSM and 4 other (Eunuch). None of them who tested positive were IDU. All positive (356) were followed up every month with CD4 counts done as per NACO guidelines. All patients were referred to physician in infectious Disease/ART Clinic. The most common opportunistic infection was Tuberculosis (68%) in HIV positive patients.
CONCLUSION: In VCTC, AIIMS the most common mode of transmission on HIV infection was through heterosexual contact & most common opportunistic infection in HIV positive patients was Tuberculosis.
CLINICAL IMPLICATIONS: The HIV/AIDS epidemic represents a very major public health challenge in India. There is no denial of the magnitude of the problem. It has been seen that counselling is a good clinical tool for care and vital for preventing the transmission of HIV infection.
DISCLOSURE: Sanjeev Sinha, No Financial Disclosure Information; No Product/Research Disclosure Information