Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi
Identifieur interne : 000F97 ( Main/Exploration ); précédent : 000F96; suivant : 000F98Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi
Auteurs : David K. Lewis [Malawi, Royaume-Uni] ; Maria Callaghan [Malawi] ; Kamija Phiri [Malawi] ; James Chipwete [Malawi] ; James G. Kublin [Malawi] ; Eric Borgstein [Malawi] ; Ed E. Zijlstra [Malawi]Source :
- Transactions of The Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2003-01.
Descripteurs français
English descriptors
- KwdEn :
Abstract
Despite high seroprevalence there are few recent studies of the effect of human immunodeficiency virus (HIV) on hospitals in sub-Saharan Africa. We examined 1226 consecutive patients admitted to medical and surgical wards in Blantyre, Malawi during two 2-week periods in October 1999 and January 2000: 70% of medical patients were HIV-positive and 45% had acquired immune deficiency syndrome (AIDS); 36% of surgical patients were HIV-positive and 8% had AIDS. Seroprevalence rose to a peak among 30–40 year olds; 91% of medical, 56% of surgical and 80% of all patients in this age group were HIV-positive. Seropositive women were younger than seropositive men (median age 29 vs. 35 years, P < 0.0001). Symptoms strongly indicative of HIV were history of shingles, chronic diarrhoea or fever or cough, history of tuberculosis (TB), weight loss and persistent itchy rash (adjusted odds ratios [AORs] all > 5). Clinical signs strongly indicative of HIV were oral hairy leukoplakia, shingles scar, Kaposi's sarcoma, oral thrush and hair loss (AORs all > 10). Of surgical patients with ‘deep infections’ (breast abscess, pyomyositis, osteomyelitis, septic arthritis and multiple abscesses), 52% were HIV-positive (OR compared with other surgical patients = 2.4). Severe bacterial infections, TB and AIDS caused 68% of deaths. HIV dominates adult medicine, is a major part of adult surgery, is the main cause of death in hospital and affects the economically active age group of the population.
Url:
DOI: 10.1016/S0035-9203(03)90035-6
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000900
- to stream Istex, to step Curation: 000900
- to stream Istex, to step Checkpoint: 000559
- to stream Main, to step Merge: 001052
- to stream Main, to step Curation: 000F97
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi</title><author><name sortKey="Lewis, David K" sort="Lewis, David K" uniqKey="Lewis D" first="David K." last="Lewis">David K. Lewis</name></author><author><name sortKey="Callaghan, Maria" sort="Callaghan, Maria" uniqKey="Callaghan M" first="Maria" last="Callaghan">Maria Callaghan</name></author><author><name sortKey="Phiri, Kamija" sort="Phiri, Kamija" uniqKey="Phiri K" first="Kamija" last="Phiri">Kamija Phiri</name></author><author><name sortKey="Chipwete, James" sort="Chipwete, James" uniqKey="Chipwete J" first="James" last="Chipwete">James Chipwete</name></author><author><name sortKey="Kublin, James G" sort="Kublin, James G" uniqKey="Kublin J" first="James G." last="Kublin">James G. Kublin</name></author><author><name sortKey="Borgstein, Eric" sort="Borgstein, Eric" uniqKey="Borgstein E" first="Eric" last="Borgstein">Eric Borgstein</name></author><author><name sortKey="Zijlstra, Ed E" sort="Zijlstra, Ed E" uniqKey="Zijlstra E" first="Ed E." last="Zijlstra">Ed E. Zijlstra</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:ABDD8F495E0BD29DEDBD0B838D27C0FC1C51A12A</idno><date when="2003" year="2003">2003</date><idno type="doi">10.1016/S0035-9203(03)90035-6</idno><idno type="url">https://api.istex.fr/document/ABDD8F495E0BD29DEDBD0B838D27C0FC1C51A12A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000900</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000900</idno><idno type="wicri:Area/Istex/Curation">000900</idno><idno type="wicri:Area/Istex/Checkpoint">000559</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000559</idno><idno type="wicri:doubleKey">0035-9203:2003:Lewis D:prevalence:and:indicators</idno><idno type="wicri:Area/Main/Merge">001052</idno><idno type="wicri:Area/Main/Curation">000F97</idno><idno type="wicri:Area/Main/Exploration">000F97</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi</title><author><name sortKey="Lewis, David K" sort="Lewis, David K" uniqKey="Lewis D" first="David K." last="Lewis">David K. Lewis</name><affiliation wicri:level="1"><country xml:lang="fr">Malawi</country><wicri:regionArea>Departments of Medicine, University of Malawi College of Medicine, Private Bag 360, Chichiri, Blantyre 3</wicri:regionArea><wicri:noRegion>Blantyre 3</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Royaume-Uni</country></affiliation></author><author><name sortKey="Callaghan, Maria" sort="Callaghan, Maria" uniqKey="Callaghan M" first="Maria" last="Callaghan">Maria Callaghan</name><affiliation wicri:level="1"><country xml:lang="fr">Malawi</country><wicri:regionArea>Department of Surgery, University of Malawi College of Medicine, Private Bag 360, Chichiri, Blantyre 3</wicri:regionArea><wicri:noRegion>Blantyre 3</wicri:noRegion></affiliation></author><author><name sortKey="Phiri, Kamija" sort="Phiri, Kamija" uniqKey="Phiri K" first="Kamija" last="Phiri">Kamija Phiri</name><affiliation wicri:level="1"><country xml:lang="fr">Malawi</country><wicri:regionArea>Departments of Medicine, University of Malawi College of Medicine, Private Bag 360, Chichiri, Blantyre 3</wicri:regionArea><wicri:noRegion>Blantyre 3</wicri:noRegion></affiliation></author><author><name sortKey="Chipwete, James" sort="Chipwete, James" uniqKey="Chipwete J" first="James" last="Chipwete">James Chipwete</name><affiliation wicri:level="1"><country xml:lang="fr">Malawi</country><wicri:regionArea>Departments of Medicine, University of Malawi College of Medicine, Private Bag 360, Chichiri, Blantyre 3</wicri:regionArea><wicri:noRegion>Blantyre 3</wicri:noRegion></affiliation></author><author><name sortKey="Kublin, James G" sort="Kublin, James G" uniqKey="Kublin J" first="James G." last="Kublin">James G. Kublin</name><affiliation wicri:level="1"><country xml:lang="fr">Malawi</country><wicri:regionArea>Department of Community Health, University of Malawi College of Medicine, Private Bag 360, Chichiri, Blantyre 3</wicri:regionArea><wicri:noRegion>Blantyre 3</wicri:noRegion></affiliation></author><author><name sortKey="Borgstein, Eric" sort="Borgstein, Eric" uniqKey="Borgstein E" first="Eric" last="Borgstein">Eric Borgstein</name><affiliation wicri:level="1"><country xml:lang="fr">Malawi</country><wicri:regionArea>Department of Surgery, University of Malawi College of Medicine, Private Bag 360, Chichiri, Blantyre 3</wicri:regionArea><wicri:noRegion>Blantyre 3</wicri:noRegion></affiliation></author><author><name sortKey="Zijlstra, Ed E" sort="Zijlstra, Ed E" uniqKey="Zijlstra E" first="Ed E." last="Zijlstra">Ed E. Zijlstra</name><affiliation wicri:level="1"><country xml:lang="fr">Malawi</country><wicri:regionArea>Departments of Medicine, University of Malawi College of Medicine, Private Bag 360, Chichiri, Blantyre 3</wicri:regionArea><wicri:noRegion>Blantyre 3</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Transactions of The Royal Society of Tropical Medicine and Hygiene</title><title level="j" type="abbrev">Trans R Soc Trop Med Hyg</title><idno type="ISSN">0035-9203</idno><idno type="eISSN">1878-3503</idno><imprint><publisher>Royal Society of Tropical Medicine and Hygiene</publisher><date type="published" when="2003-01">2003-01</date><biblScope unit="volume">97</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="91">91</biblScope><biblScope unit="page" to="96">96</biblScope></imprint><idno type="ISSN">0035-9203</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0035-9203</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>HIV</term><term>Malawi</term><term>hospital</term><term>risk factors</term><term>seroprevalence</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Malawi</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Sida</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Despite high seroprevalence there are few recent studies of the effect of human immunodeficiency virus (HIV) on hospitals in sub-Saharan Africa. We examined 1226 consecutive patients admitted to medical and surgical wards in Blantyre, Malawi during two 2-week periods in October 1999 and January 2000: 70% of medical patients were HIV-positive and 45% had acquired immune deficiency syndrome (AIDS); 36% of surgical patients were HIV-positive and 8% had AIDS. Seroprevalence rose to a peak among 30–40 year olds; 91% of medical, 56% of surgical and 80% of all patients in this age group were HIV-positive. Seropositive women were younger than seropositive men (median age 29 vs. 35 years, P < 0.0001). Symptoms strongly indicative of HIV were history of shingles, chronic diarrhoea or fever or cough, history of tuberculosis (TB), weight loss and persistent itchy rash (adjusted odds ratios [AORs] all > 5). Clinical signs strongly indicative of HIV were oral hairy leukoplakia, shingles scar, Kaposi's sarcoma, oral thrush and hair loss (AORs all > 10). Of surgical patients with ‘deep infections’ (breast abscess, pyomyositis, osteomyelitis, septic arthritis and multiple abscesses), 52% were HIV-positive (OR compared with other surgical patients = 2.4). Severe bacterial infections, TB and AIDS caused 68% of deaths. HIV dominates adult medicine, is a major part of adult surgery, is the main cause of death in hospital and affects the economically active age group of the population.</div></front></TEI><affiliations><list><country><li>Malawi</li><li>Royaume-Uni</li></country></list><tree><country name="Malawi"><noRegion><name sortKey="Lewis, David K" sort="Lewis, David K" uniqKey="Lewis D" first="David K." last="Lewis">David K. Lewis</name></noRegion><name sortKey="Borgstein, Eric" sort="Borgstein, Eric" uniqKey="Borgstein E" first="Eric" last="Borgstein">Eric Borgstein</name><name sortKey="Callaghan, Maria" sort="Callaghan, Maria" uniqKey="Callaghan M" first="Maria" last="Callaghan">Maria Callaghan</name><name sortKey="Chipwete, James" sort="Chipwete, James" uniqKey="Chipwete J" first="James" last="Chipwete">James Chipwete</name><name sortKey="Kublin, James G" sort="Kublin, James G" uniqKey="Kublin J" first="James G." last="Kublin">James G. Kublin</name><name sortKey="Phiri, Kamija" sort="Phiri, Kamija" uniqKey="Phiri K" first="Kamija" last="Phiri">Kamija Phiri</name><name sortKey="Zijlstra, Ed E" sort="Zijlstra, Ed E" uniqKey="Zijlstra E" first="Ed E." last="Zijlstra">Ed E. Zijlstra</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Lewis, David K" sort="Lewis, David K" uniqKey="Lewis D" first="David K." last="Lewis">David K. Lewis</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000F97 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000F97 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaGhanaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:ABDD8F495E0BD29DEDBD0B838D27C0FC1C51A12A
|texte= Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi
}}
| This area was generated with Dilib version V0.6.31. |  |