Liver function in children with human immunodeficiency virus infection before and after 6 months of highly active antiretroviral therapy

• Published in: Paediatrica Indonesiana Vol. 58; no. 4; pp. 159 - 64
• Main Authors: Sapulete, Eva Jacomina Jemima, Sanjaya Putra, I Gusti Ngurah, Kumara Wati, Ketut Dewi, Santoso, Hendra, Karyana, I Putu Gede, Witarini, Komang Ayu, Metriani Nesa, Ni Nyoman
• Format: Journal Article
• Language: English
• Published: Indonesian Pediatric Society Publishing House 01.07.2018
• Subjects: antiretroviral; human immunodeficiency virus; liver function; pediatric
• ISSN: 0030-9311; 2338-476X
• DOI: 10.14238/pi58.4.2018.159-64

Background Highly active antiretroviral therapy (HAART) has resulted in dramatic decreases in morbidity and improved survival rate in human immunodeficiency virus (HIV)-infected patients. Although the risk of morbidity has decreased, it has been replaced by other long-term complications, such as hepatotoxicity. Hepatotoxicity is often reflected in biochemical abnormalities of liver function, such as elevated levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and aspartate aminotransferase-to-platelet ratio index (APRI). Objective To compare liver function spectrum (AST, ALT, and APRI) in HIV-infected children before and after at least 6 months of HAART. Methods This observational study (before and after) was conducted in pediatric patients with HIV infection who received HAART for at least 6 months at Sanglah Hospital, Denpasar. Data were collected from medical records. Results Forty-nine patients were observed in this study. The mean AST, ALT, and APRI levels before HAART were higher than after at least 6 months of HAART. Anti-tuberculosis treatment and fluconazole therapy were not confounding factors for AST, ALT, and APRI. Conclusion Liver function spectrum enzyme levels of AST, ALT, and APRI are improved after at least 6 months of HAART.