В большинстве случаев у пациентов детского возраста ВИЧ-инфекция сопровождается развитием анемии со снижением уровня гемоглобина. Изучали структуру анемии у 114 детей с ВИЧ-инфекцией в возрасте от 1 года жизни до 18 лет. В зависимости от клинической стадии ВИЧ-инфекции пациенты были разделены на 3 группы: 1-я группа -20 детей со второй клинической стадией ВИЧ-инфекции; 2-я группа -74 ребенка с третьей клинической стадией; 3-я группа -20 детей с четвертой клинической стадией. Определяли сывороточное железо и ферритин. У большинства пациентов (95,2%) исследуемых групп была выявлена железодефицитная анемия (ЖДА), в 4,8% случаев анемия хронических заболеваний (АХЗ). Важность дифференцировки выявленной анемии определяет терапевтическую тактику и необходимость назначения железосодержащих препаратов. Ключевые слова: ВИЧ-инфекция, железодефицитная анемия, анемия хронических заболеваний, железо, ферритин In most cases, HIV infection in children is accompanied by the development of anemia with a decrease in hemoglobin levels. We studied the structure of anemia in 114 children with HIV infection aged from 1 year to 18 years. Depending on the clinical stage of HIV infection, the patients were divided into 3 groups: 1st group -20 children with the second clinical stage of HIV infection; 2nd group -74 children with the third clinical stage; 3rd group -20 children with a fourth clinical stage. Serum iron and ferritin were determined. In the majority of patients (95.2%) of the studied groups iron deficiency anemia (IDA) was detected, in 4.8% of cases anemia of chronic diseases (ACD) was detected. The importance of differentiation of the identified anemia determines the therapeutic tactics and the need for the appointment of iron-containing drugs.
Purpose of the study: evaluation of the anthropometric parameters of newborns with realized perinatal transmission of HIV.Materials and methods: The article presents the analysis of the main anthropometric parameters (length, weight, head and chest circumference) of 147 infants born to HIV-infected mothers who were divided into 2 groups of observation (with realized and unrealized transmission of HIV).Results: These results demonstrate that a reduction in comparison with the normative parameters of anthropometric indicators such as body weight, head circumference and chest circumference at birth, is a distinctive feature, substantiating intrauterine infection with HIV. Indicators body length did not significantly deviate from the norm in both groups observation that, apparently, was associated with a short-term impact of HIV on the child body during pregnancy.
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