Effects of Counseling in CVT Clinic and Black Tea (Camelia sinensis varietas Assamika) Supplements in the Improvement of CD4 Profile in HIV Patients Receiving ARV Treatment

Adius Kusnan, Suryani Asad, Agussalim Bukhari, Nasir Jidhe, Rosdiana Natsir, Andi Asadul Islam, Prihantono Prihantono, Nasrum Massi, La Ode Sura, Haruddin Haruddin

Abstract


Although, people living with HIV/AIDS in Southeast Sulawesi who attending to VCT clinic is still lacking, only 4% who take advantage of this facility. Several studies have shown that counseling have major effect on the health profile of patients with HIV / AIDS. Studies also mentioned that polyphenols in black tea, containing teaflavins inhibit the entry of glycoproteins by blocking HIV-1, thus reducing HIV-1. The aims of this study is to determine the effect of adherence counseling and black tea supplementation in the increasing of CD4 profile in HIV patients. This is a Longitudinal study, random sampling of HIV-AIDS patients in Bahteramas Hospital Southeast Sulawesi. All patients undergoing antiretroviral therapy standards. In the intervention group, counseling and suplementation black tea regularly in daily basis, the control group did not received suplementation of black tea. Detection of CD4 using Cyflow cytometry methods. Data analysis was performed using willcoxon test. Total 70 patients including in this study, analyze the effect of conselling and blacktea supplementation in changed in CD4 profile, Showed that in the intervention group levels of CD4 was increased by 140.07 64.22, and levels of CD4 in the control group was decreased by -14.82 39.29, mean difference of CD4 were 79.05 24.59, this is significant with p = 0.003. Results of this study suggest that adherence counseling and suplementation of black tea proven to increased levels of CD4 of HIV patients taking antiretroviral therapy.

Incidence of HIV / AIDS in Indonesia tend to increased, as well as in Southeast Sulawesi. HIV / AIDS has a huge impact on patients, their families, and society. Prevention of the spread of infection can be pursued through increased access to treatment and support to patients and their families. Voluntary Counselling and Testing (VCT) clinics is a means to provide care, support and treatment for people with HIV/AIDS.


Keywords


Black tea (EGC, teaflavi, tanin); CD4; ARV; VCT; HIV.

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