Cliniques en santé maternelle et infantile

Abstrait

Causes of Hospitalizations in Adolescents Infected with HIV and on ARV Treatment in a Pediatric Ward in Ouagadougou

Yonaba Okengo C*, Kalmogho Zan Angèle, Toguyeni Tamini F, Sawadogo A1, Zoungrana C, Ouédraogo F, Ouédraogo S, Dao L, Kyelem J, Koueta F, Yé D, Okeng’O K

Introduction: Morbidity and mortality of adolescents infected with HIV are the highest among all age groups in Africa. In Burkina Faso, the situation of adolescents infected with HIV is not sufficiently documented, hence so many obstacles in advocacy for the improvement of their condition.

Objective: Analyze causes of hospitalization among adolescents on ART in the pediatric department of CHU Yalgado Ouédraogo (CHU YO).

Methodology: A retrospective study was done on adolescents infected with HIV, hospitalized in the department of Child Health at the Yalgado Ouédraogo University Hospital in Ouagadougou, Burkina Faso from January 2008 to December 2018. Causes of morbidity and mortality were then determined.

Results: A total of 158 adolescents were included, among them 15 (9.5%) had a history of hospitalization at least once. The most represented age group was 10 to 13 years. The sex ratio was 1.1. At the time of enrollment, the mean age was 4.9 years, acute malnutrition was 24%, and WHO clinical stage 3 or 4 was 48%. During hospitalization, the disclosure of the disease was effective in two patients. The most common cause of hospitalization was acute gastroenteritis. Factors associated with hospitalization were poor adherence to ARV treatment and severe acute malnutrition.

Conclusion: Reducing hospitalizations in HIV infected adolescents will require innovative strategies so as to maintain optimal ARV treatment adherence.