Description of a specialized outpatient clinic as a reference center for children and adolescents living with HIV/AIDS in southern Brazil

Authors

DOI:

https://doi.org/10.5327/DST-2177-8264-2023351379

Keywords:

Pediatrics, STD/AIDS, Comprehensive health care

Abstract

Introduction: Children living with HIV/AIDS require specialized care. Objective: To describe clinical and epidemiological characteristics of patients living with HIV/AIDS. Methods: Observational, descriptive study using medical records data of patients with HIV/AIDS under 14 years of age. Approved by the institution's Ethics Committee under number 1,432,517. Results: 60 cases were included; the median follow-up duration was 6.8 years; 50.0% were male; 88.3% were white; 75.0% were from the capital and metropolitan region. Prenatal records were available for 51 cases, but only 44.6% received antiretroviral therapy (ART) during pregnancy (mean duration of 3.3 months). HIV diagnosis was based on clinical symptoms in 28.3% of the cases, occurring in similar proportions for both childhood common infections and opportunistic infections. According to the CDC clinical classification (1994), at the start of follow-up, 56.6% of patients had moderate or severe symptoms, which would be reduced to only 18.3% upon reclassification at the last visit (p=0.016). Initially, 41.7% showed evidence of immunosuppression, compared to 19.9% at the time of the study (p=0.5). Only 6.6% remained asymptomatic. A decrease in the average number of hospitalizations was observed during follow-up. Conclusion: Among the cases diagnosed based on clinical symptoms, half were attributed to common childhood infections and lacked immunosuppression.

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Published

2023-11-14

How to Cite

1.
da Rocha Carvalho E, Tahan TT, Rossoni AM de O, Rodrigues C de O. Description of a specialized outpatient clinic as a reference center for children and adolescents living with HIV/AIDS in southern Brazil. DST [Internet]. 2023 Nov. 14 [cited 2024 Feb. 21];35. Available from: https://bjstd.org/revista/article/view/1379

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Original Article