Reference intervals for CD4 and hemoglobin among apparently healthy pregnant women in Addis Ababa, Ethiopia.

Journal: BMC research notes

Volume: 18

Issue: 1

Year of Publication: 2025

Affiliated Institutions:  National HIV Reference Laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia. dinkeneshc@gmail.com. National HIV Reference Laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia. Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia. Department of Medical Laboratory, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Department of Medical Laboratory, Yekatit Medical College Hospital, Addis Ababa, Ethiopia. School of Medical Laboratory Sciences, Faculty of Medicine, Institute of Health Science, Jimma University, Jimma, Ethiopia. Ethiopian Public Health Institute, Addis Ababa, Ethiopia. Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Abstract summary 

Most African countries, including Ethiopia, have not developed local well-defined reference intervals (RIs) for immuno-hematological testes in terms of pregnant women. As a result, we were using reference intervals derived from non-Africans. This is not appropriate because CD4 + T cell counts (CD4 count) are affected by several factors including ethnic and environmental factors. Therefore, this study aimed to develop reference interval for CD4 count for apparently healthy pregnant women in Addis Ababa, Ethiopia.After excluding six pregnant women who did not pass the screening tests, 156 apparently healthy pregnant women who were 18-49 years old were included in the final analysis. The medians of CD4 absolute counts and CD4% with inter-quartile ranges [IQR] were 757.5 [611.3-925.5] cells/µL and 43.6% [39.9-47.3] respectively while the median and IQR hemoglobin values were 14.3 g/dL [13.4-15.1]. The respective reference intervals for absolute CD4 cell count and % CD4 were 416.9-1218.4 cells/µL and 32.1-57.3%, respectively. Significant changes were observed in hemoglobin level between trimesters (P < 0.05).The results of this study showed a decrease in both percentage and absolute CD4 + T cell counts when compared to those of non-African and African countries. Establishing local reference values for diverse groups is therefore crucial.

Authors & Co-authors:  Chalchisa Dinkenesh D Belay Yohannes Y Kassaw Melkitu M Befekadu Endalkachew E G/Egzeabher Letebrhan L Gebremicael Gebremedhin G Lengiso Boki B Chala Dawit D Sahlemariam Zewdineh Z Kebede Estifanos E Abate Ebba E Tsegaye Aster A

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Akinbami AA, Dosunmu AO, Adediran A, Adewunmi AA, Rabiu KA, Osunkalu V. Cluster of differentiation 4 + cell count mean value, reference range and its influencing factors in human immunodeficiency Virus-seronegative pregnant women in Lagos. Niger Med J. 2014;55(2):116–20.
Authors :  12
Identifiers
Doi : 106
SSN : 1756-0500
Study Population
Women
Mesh Terms
Humans
Other Terms
%CD4;CD4 count;Ethiopia;Hemoglobin;Reference interval
Study Design
Study Approach
Country of Study
Ethiopia
Publication Country
England