HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening.
<h4>Background</h4>In developing countries, malnutrition is a contributing factor in over 50% of child deaths. Mortality rates are higher in underweight children, and HIV-infection is known to increase underweight. Our goals were to evaluate the prevalence of HIV among children hospitali...
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2011
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oai:doaj.org-article:985c668d0aa647fa9b6ba4a90a29155f2021-11-18T06:49:08ZHIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening.1932-620310.1371/journal.pone.0022787https://doaj.org/article/985c668d0aa647fa9b6ba4a90a29155f2011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21829514/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>In developing countries, malnutrition is a contributing factor in over 50% of child deaths. Mortality rates are higher in underweight children, and HIV-infection is known to increase underweight. Our goals were to evaluate the prevalence of HIV among children hospitalised for severe malnutrition (SM) at the Niamey national hospital (Niger), and to compare renutrition and mortality by HIV-status.<h4>Methods</h4>Retrospective study based on all children <5 years hospitalised for SM between January 1(st) 2008 and July 1(st) 2009. HIV-prevalence was the ratio of HIV+ children on the number of children tested. Duration of renutrition and mortality were described using survival curves.<h4>Results</h4>During the study period, 477 children were hospitalised for SM. HIV testing was accepted in 470 (98.5%), of which 40 were HIV+ (HIV prevalence (95% confidence interval) of 8.6% (6.2-11.5)). Duration of renutrition was longer in HIV+ than HIV- children (mean: 22 vs. 15 days; p = 0.003). During renutrition, 8 (20%) and 61 (14%) HIV+ and HIV- children died, respectively (p = 0.81).<h4>Conclusion</h4>Around 9% of children hospitalised for severe malnutrition were HIV infected, while in Niger HIV prevalence in adults is estimated at 0.8%. This pleads for wider access to HIV testing in this population.Yoann MadecDavid GermanaudVioleta Moya-AlvarezWafa AlkassoumAichatou IssaMorou AmadouStephanie TchiombianoCecilia PizzocoloFlorence HuberSanata DialloRoubanatou Abdoulaye-MamadouPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 7, p e22787 (2011) |
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Medicine R Science Q |
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Medicine R Science Q Yoann Madec David Germanaud Violeta Moya-Alvarez Wafa Alkassoum Aichatou Issa Morou Amadou Stephanie Tchiombiano Cecilia Pizzocolo Florence Huber Sanata Diallo Roubanatou Abdoulaye-Mamadou HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening. |
| description |
<h4>Background</h4>In developing countries, malnutrition is a contributing factor in over 50% of child deaths. Mortality rates are higher in underweight children, and HIV-infection is known to increase underweight. Our goals were to evaluate the prevalence of HIV among children hospitalised for severe malnutrition (SM) at the Niamey national hospital (Niger), and to compare renutrition and mortality by HIV-status.<h4>Methods</h4>Retrospective study based on all children <5 years hospitalised for SM between January 1(st) 2008 and July 1(st) 2009. HIV-prevalence was the ratio of HIV+ children on the number of children tested. Duration of renutrition and mortality were described using survival curves.<h4>Results</h4>During the study period, 477 children were hospitalised for SM. HIV testing was accepted in 470 (98.5%), of which 40 were HIV+ (HIV prevalence (95% confidence interval) of 8.6% (6.2-11.5)). Duration of renutrition was longer in HIV+ than HIV- children (mean: 22 vs. 15 days; p = 0.003). During renutrition, 8 (20%) and 61 (14%) HIV+ and HIV- children died, respectively (p = 0.81).<h4>Conclusion</h4>Around 9% of children hospitalised for severe malnutrition were HIV infected, while in Niger HIV prevalence in adults is estimated at 0.8%. This pleads for wider access to HIV testing in this population. |
| format |
article |
| author |
Yoann Madec David Germanaud Violeta Moya-Alvarez Wafa Alkassoum Aichatou Issa Morou Amadou Stephanie Tchiombiano Cecilia Pizzocolo Florence Huber Sanata Diallo Roubanatou Abdoulaye-Mamadou |
| author_facet |
Yoann Madec David Germanaud Violeta Moya-Alvarez Wafa Alkassoum Aichatou Issa Morou Amadou Stephanie Tchiombiano Cecilia Pizzocolo Florence Huber Sanata Diallo Roubanatou Abdoulaye-Mamadou |
| author_sort |
Yoann Madec |
| title |
HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening. |
| title_short |
HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening. |
| title_full |
HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening. |
| title_fullStr |
HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening. |
| title_full_unstemmed |
HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger: an argument for more systematic screening. |
| title_sort |
hiv prevalence and impact on renutrition in children hospitalised for severe malnutrition in niger: an argument for more systematic screening. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2011 |
| url |
https://doaj.org/article/985c668d0aa647fa9b6ba4a90a29155f |
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