Hospital admissions from a pediatric HIV care and treatment program in Malawi

BMC Pediatrics
Carl A NosekPeter N Kazembe

Abstract

The scale up of pediatric antiretroviral treatment programs across Sub-Saharan Africa over the last decade has brought increasing numbers of children into HIV care. This patient population requiring life-long care presents new challenges in the outpatient and inpatient settings. We sought to describe hospitalizations from a large pediatric HIV treatment facility to better understand the scope of the situation and identify areas for improved care delivery. We conducted a retrospective case series of all HIV-infected and exposed patients <18 years enrolled at Baylor College of Medicine Children's Foundation Malawi, from October 2004-October 2010. Patients admitted to the hospital on or after the day of enrollment were included. Data were extracted from electronic clinic records. Analysis was done at the patient and admission level, as some patients had multiple admissions. Of 5062 patients enrolled in care, 877 (17.3 %) had 1137 admissions at median age 24 months (IQR: 12-62). 191 (21.8 %) patients had multiple admissions. A high proportion of admissions occurred in patients under two years (49.4 %), those within one month of clinic enrollment (32.9 %), those with severe immune suppression (44.0 %), and those not on ART (48.5 %)....Continue Reading

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Citations

May 24, 2019·Journal of the International Association of Providers of AIDS Care·Olusola Adetunji Oyedeji
Jan 21, 2021·The American Journal of Clinical Nutrition·Mutsa Bwakura-DangarembiziUNKNOWN the HOPE-SAM study team
Dec 29, 2020·Archives of Disease in Childhood·Jessica ChaziyaUNKNOWN Department of Paediatrics, Queen Elizabeth Central Hospital
Feb 26, 2021·Pneumonia·Amy Sarah GinsburgSusanne May

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