%0 Journal Article %1 Lewis01012003 %A Lewis, David K. %A Callaghan, Maria %A Phiri, Kamija %A Chipwete, James %A Kublin, James G. %A Borgstein, Eric %A Zijlstra, Ed E. %D 2003 %J Transactions of The Royal Society of Tropical Medicine and Hygiene %K adults aids hiv indicators prevalence %N 1 %P 91-96 %R 10.1016/S0035-9203(03)90035-6 %T Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi %U http://trstmh.oxfordjournals.org/content/97/1/91.abstract %V 97 %X 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.

@article{Lewis01012003, 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.}, added-at = {2015-01-29T22:04:31.000+0100}, author = {Lewis, David K. and Callaghan, Maria and Phiri, Kamija and Chipwete, James and Kublin, James G. and Borgstein, Eric and Zijlstra, Ed E.}, biburl = {https://www.bibsonomy.org/bibtex/2ad23c7adc96fd107fa3f86604dbc13df/elearning-kch}, description = {Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi}, doi = {10.1016/S0035-9203(03)90035-6}, eprint = {http://trstmh.oxfordjournals.org/content/97/1/91.full.pdf+html}, interhash = {82a8b6b6758bd6101ac148c0a4dca845}, intrahash = {ad23c7adc96fd107fa3f86604dbc13df}, journal = {Transactions of The Royal Society of Tropical Medicine and Hygiene}, keywords = {adults aids hiv indicators prevalence}, number = 1, pages = {91-96}, timestamp = {2015-01-29T22:04:31.000+0100}, title = {Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi}, url = {http://trstmh.oxfordjournals.org/content/97/1/91.abstract}, volume = 97, year = 2003 }