Admission trends in a rural South African hospital during the early years of the HIV epidemic.
Context Few studies have attempted to quantify the effect of the epidemic of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) on demand for health care in developing countries.
More data are required to improve understanding of its impact and to guide development of appropriate response strategies.
Objective To assess the HIV/AIDS epidemic's impact on demand for inpatient hospital care in a rural area of South Africa.
Design Retrospective analysis of data from general hospital and individual ward admission registers, a tuberculosis program database, and patient case notes.
Setting and Patients Patients admitted between 1991 and 1998 to a 450-bed hospital that serves Hlabisa District, South Africa (population 200 000), where HIV seroe prevalence among antenatal clinic attendees increased from 4% in 1992 to 29% in 1998. e Main Outcome Measures Number of admissions to 9 hospital wards, number of clinical AIDS and general medical admissions (both excluding tuberculosis), and number of tuberculosis admissions to adult medical wards during the study period.
Results Total hospital admissions increased by 81%, from 6562 in 1991 to 11872 in 1998.
Adult tuberculosis ward admissions increased by 360%, from 303 to 1393.
In 1998, tuberculosis patients accounted for 47% and 30% of adult male and female medical ward admissions, respectively, and for 11% of total hospital admissions. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Epidémie, Hôpital, Zone rurale, Admission hôpital, Homme, République Sud Africaine, Afrique, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Epidemic, Hospital, Rural area, Hospital admission, Human, South Africa(Republic), Africa, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0459403
Code Inist : 002B05C02D. Création : 22/03/2000.