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
References
Sep 21, 2000·Journal of Tropical Pediatrics·T M MeyersJ S Galpin
Oct 3, 2003·The New England Journal of Medicine·Keith P KlugmanUNKNOWN Vaccine Trialists Group
Jul 15, 2004·Transactions of the Royal Society of Tropical Medicine and Hygiene·Sheryle R RogersonRobin L Broadhead
Sep 10, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Rolando M VianiStephen A Spector
Apr 22, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Shabir A MadhiKeith P Klugman
Nov 28, 2006·Bulletin of the World Health Organization·A von GottbergKp Klugman
May 29, 2007·Journal of Tropical Pediatrics·Helena RabiePierre Goussard
Aug 11, 2007·AIDS·Chin-Nam BongAnthony D Harries
Dec 7, 2007·Annals of Tropical Paediatrics·Jane Ellis, Elizabeth M Molyneux
Mar 13, 2010·PloS One·Eric D McCollumMark W Kline
Jun 22, 2010·Tropical Medicine & International Health : TM & IH·Ralf WeigelOlivia Keiser
Jul 1, 2010·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lukas FennerUNKNOWN International epidemiologic Databases to Evaluate AIDS in Southern Africa
Apr 15, 2011·The Journal of Pediatrics·Geoffrey A PreidisMark W Kline
Nov 24, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Maria H KimMark Manary
Apr 11, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tammy MeyersDavid Moore
Jun 1, 2012·International Journal of STD & AIDS·T SudjaritrukV Sirisanthana
Aug 15, 2012·Pediatrics·Mark M KabueMark W Kline
May 7, 2013·Journal of Tropical Pediatrics·David M GordonMehretie Kokeb
Dec 24, 2013·AIDS·B Ryan PhelpsUNKNOWN Child Survival Working Group of the Interagency Task Team on the Prevention, Treatment of HIV infection in Pregnant Women, M
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