Clinical profile of paediatric HIV/AIDS
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
INTRODUCTION-Paediatric HIV/AIDS differs from adult HIV.With the availability of antiretroviral therapy (ART), HIV infection, has now become a chronic treatable condition in children. AIMS AND OBJECTIVES: 1) Study different clinical presentations of HIV/AIDS in paediatric age group (18 months -15yrs)METHODS: It was a hospital based observational study. The case records of all children diagnosed with paediatric HIV infection between 1 st July 2007 to 30th June 2017 who fulfill the inclusion and exclusion criteria were reviewed and their clinical profile prevalence were evaluated.RESULTS:In the study 31(25.84%) cases were between 18 months-3yrs age, 49 (40.83%) were between >3yrs -5yrs and 40 (33.33%) were of more than 5 yrs age. Majority of the children were from rural area 68 (56.7%) and 52(43.3%) were from urban area. Perinatal (vertical) mode of transmission was the most common mode of transmission. There were 10 (8.3%) asymptomatic cases. Fever was the most common presenting complaint. On clinical examination undernutrition was the most common finding. In the present study 45 cases who were on ART were followed up atleast once. Majority of the followups were for respiratory problem and fever. The nutritional status and the rates of common infection in these children on follow up were low .CONCLUSIONS: Intensified screening of HIV infection in asymptomatic children by high suspicion will help in diagnosing HIV at the earliest, and thus they can be subjected to early management helping in improving the immunological status and thereby increase the life span of the child
Authors and Affiliations
Dr. Niru Prabha Saharia, Dr. Arati Deka, Dr. Meena Kumari Mili, Dr. Swaroop Kumar Baruah
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