International audienceFrench Guiana has long been the French territory most affected by HIV (Ministry of Health, 2010). Persons unaware of their HIV infection have a preponderant role in the infection of new sexual partners.1 Too often, HIV-infected persons unaware of their infections repeatedly come in contact with physicians without being offered an HIV test.2 In French Guiana, private practitioners perform 70% of all HIV tests and diagnose 45% of new HIV patients.3 Following the national recommendations to do an HIV test each year for every one having sexual relations in French Guiana,4,5 a pilot project using rapid HIV tests in the private practice was developed by the Réseau Kikiwi, a network of health professionals involved in HIV care and testing. The objective here is to present this experience and its evaluation
Corresponding author: Ouédraogo S Macaire, Doctor internist to the University hospital Souro Sanou, Department of internal medicine, immunology and hematology Mail box 676, Teaching Higher institute of the health sciences Abstract Introduction: Malaria and HIV are the leading causes of mortality and morbidity in sub-Saharan Africa. The interaction of these two pathologies raises fundamental as well as therapeutic issues. This study seeks a better understanding of the clinical profile of coinfected biological and therapeutic HIV-Malaria in Children's at Hopital Pédiatrique du jour of Centre Hospitalier Universitaire Souro SANOU (CHUSS), Bobo-Dioulasso.Methodology: It is a cross-sectional study with prospective and retrospective aspects. Included, were patients infected with HIV and followed in the department who's clinical and laboratory diagnosis of malaria had been performed and/or patients with whom the diagnosis of co-infection was done at the occasion of a medical consultation following the consent of the legal representative. Results:The prevalence of coinfection was 3.09%. The clinical signs of severity were dominated by impaired consciousness, convulsions and dehydration. As for biological signs, anemia was found in 65% of patients; leukocytosis was found in 19.6% of coinfected and thrombocytopenia in 9.3% of cases. HIV-1 was the most encountered stereotype and immunocompetent patients accounted for 70.7% of coinfected. Pharmaco therapeutic groups were mainly administered antimalarial (100% of cases), analgesics-antipyretics (79.6% of cases), ART (48.1% of cases), antibiotics, especially cotrimoxazole (21.3% cases). Conclusion:Immunosuppression induced by HIV infection did not appear to be associated with the frequency of occurrence of malaria. Chemo malaria prophylaxis in children living with HIV is not necessary. Consequently, malaria as a reason for consultation could be a gateway for the recruitment of children infected with HIV.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.