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Titolo:
The impact of the human immunodeficiency virus type 1 on the management ofsevere malnutrition in Malawi
Autore:
Kessler, L; Daley, H; Malenga, G; Graham, S;
Indirizzi:
Coll Med, Dept Paediat, Blantyre, Malawi Coll Med Blantyre MalawiColl Med, Dept Paediat, Blantyre, Malawi
Titolo Testata:
ANNALS OF TROPICAL PAEDIATRICS
fascicolo: 1, volume: 20, anno: 2000,
pagine: 50 - 56
SICI:
0272-4936(200003)20:1<50:TIOTHI>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
MALNOURISHED CHILDREN; HIV-1 INFECTION; KWASHIORKOR; MORTALITY; ZIMBABWE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Graham, S Univ Liverpool, Liverpool Sch Trop Med, Pembroke Pl, Liverpool L3 5QA, Merseyside, England Univ Liverpool Pembroke Pl Liverpool Merseyside England L3 5QA d
Citazione:
L. Kessler et al., "The impact of the human immunodeficiency virus type 1 on the management ofsevere malnutrition in Malawi", ANN TROP PA, 20(1), 2000, pp. 50-56

Abstract

A study was undertaken in a central nutritional rehabilitation unit in southern Malawi to assess the impact of HIV infection on clinical presentationand case fatality rate. HIV seroprevalence in 250 severely malnourished children over 1 year of age was 34.4% and overall mortality was 28%. HIV infection was associated significantly more frequently with marasmus (62.2%) than with kwashiorkor (21.7%) (p < 0.0001). Breastfed children presenting with severe malnutrition were significantly more likely to be HN-seropositive (p < 0.001). Clinical and radiological features were generally not helpful in distinguishing HIV-seropositive from HIV-seronegative children. The casefatality rate was significantly higher for HIV-seropositive children (RR 1.6 [95% CI 1.14-2.24]). The increasing difficulties of managing the growingimpact of HIV infection on severely malnourished children in Malawi are discussed in the context of reduced support: for nutritional rehabilitation units.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 04:36:41