DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20172696

A clinico-epidemiological study of HIV infected children in western Rajasthan

Harish Kumar Mourya, Suresh Kumar Verma, Saroj Mourya, Laxman Nangal

Abstract


Background: Assessment of clinico demographic characteristics of HIV infected children in western Rajasthan.

Methods:All the children who were attending Antiretroviral treatment (ART) center for one year period were enrolled for study as pre-ART and ART group. All the data pertaining to clinical and demographic characteristics were recorded. They were further classified into clinical staging as per WHO guideline and immunological staging based on CD4 count in accordance with CDC classification of immunodeficiency.

Results: Perinatal transmission is the most common mode of acquiring HIV in Pediatric age, who most commonly presented with Fever and diarrhoea along with failure to thrive. Tuberculosis and oral candidiasis were the commonest opportunistic infections in this geographic area.  

Conclusions: A proper history, detailed clinical examination and high index of suspicion would therefore help in making early diagnosis to institute an appropriate management plan. 


Keywords


Adherence, Antiretroviral therapy, CD4 count, Pediatric HIV

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References


Park K. AIDS. In: K. Park editor. Park’s Text Book of Preventive and Social Medicine 20th edition. India: Bhanot Publishers; 2013:316-28.

Vulnerabilities in Rajasthan - Medical, Health & Family Welfare. Hiv/aids workplace programme, vulnerabilities in rajasthan bip/116 dated 11th oct.2006, Available from; http://rajswasthya.nic.in/WorldEconomicForum.pdf.

Ran Y and Chadwic EG. Acquired Immunodeficiency Syndrome. In: Robert M Kliegman, Bonita F. Stanton, Josef W. St Geme lll and Nina F. schor, editors. Nelson Textbook of Peditrics. 20th Edison. India: Elsevier; 2016:1645-66.

Burchett SK. Human Immunodeficiency Virus (HIV: Congenital and Perinatal). In: John P. Cloherty, Erics C. Eichenwald, Anne R. Hansen, Ann R. Stark, editors. Manual of Neonatal Care. 7th Edison. India: Wolters Kluwer Pvt. Ltd; 2012:603-10.

Singhal T, Lodha R, Kabra SK. Human Immunodeficiency Virus. In: Vinod K Paul, Arvind Bagga, editors. Ghai Essential Pediatrics. 8th Edison. India: CBS; 2013:229-37.

Tollu MS, Divecha C. HIV and Aquired Immunodeficiency Syndrome. In: Piyush Gupta, PSN Menon, Siddarth Ramji, Rakesh Lodha, editors. PG Textbook of Pediatrics. 1st Edison. India: The Health Science Publishers, Jypee; 2015:1215-29.

Agarwal D, Chakravarty J, Sundar S, Gupta V, Bhatia BD. Correlation between clinical features and degree of immunosuppression in HIV infected children. Indian pediatr 2008;45:140-3.

Shilpa R, Shah MS, Kamat JR. Clinical profile of pediatric hiv infection from india. Archives of medical research. 2005;36:24-31.

Poll RR, Shepurta, Ratagiri VH. Clinico-laboratory profile of pediatric hiv in Karnataka. Indian J Pediatr. 2007;74(12):1071-5.

Gomber S, Kaushik JS, Chandra J and Anand R. Profile of HIV infected children from Delhi and their response to antiretroviral treatment. Indian Paediatr. 2011;48:703.

Bohjanen PR, Boulware DR. Immune reconstitution inflammatory syndrome. In: Volberding P, Sande MA, Lange J, Greene W, Editors. Global HIV/AIDS Medicine. Philadelphia: Elsevier; 2007:193-205.