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Evaluation of Nutritional Management of Acutely Malnourished HIV-Infected Children Aged 0-59 Months at the Institute of Nutrition and Child Health in Guinea

Received: 26 October 2023     Accepted: 22 November 2023     Published: 6 December 2023
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Abstract

Context: In the Republic of Guinea, undernutrition and inadequate health care are responsible for many child deaths every year, victims of the vicious circle between malnutrition and infectious diseases. Acute malnutrition in young HIV-infected children is a particular problem. Aims: Objective: To evaluate the nutritional management of children, and compare the evolution of malnourished children hospitalized according to their HIV status. Methods: A 6-month evaluative descriptive study study of 130 children aged 0-59 months. A case of moderate acute malnutrition was defined for a P-T index < -2 Z-score, and a severe case for a P-T index < -3 Z-score. HIV serology was confirmed by second-generation immune cum. Results and Discussion: 40 children (31%) were infected with HIV. All suffered from acute malnutrition, 97% of them severe. The occurrence of diarrhea (p<0.001) and malaria (p = 0.013) was statistically associated with HIV+ status, while the absence of weight gain (p<0.001) and stabilization (p<0.001) was also associated with the HIV+ status of malnourished children. Death in acutely malnourished children was statistically associated with HIV status (p<0.001), with a death rate of 60% versus 7% in HIV-negative children. Conclusion: The death rate among HIV+ children is alarming. Prevention of mother-to-child transmission remains essential.

Published in Central African Journal of Public Health (Volume 9, Issue 6)
DOI 10.11648/j.cajph.20230906.11
Page(s) 161-166
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Assessment, Acute Malnutrition, Child Aged 0-59 Months, HIV, Guinea

References
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Cite This Article
  • APA Style

    Fassou, K., Djiba, D., Abdoulaye, S., Sidikiba, S., Sadjo Diallo, A., et al. (2023). Evaluation of Nutritional Management of Acutely Malnourished HIV-Infected Children Aged 0-59 Months at the Institute of Nutrition and Child Health in Guinea. Central African Journal of Public Health, 9(6), 161-166. https://doi.org/10.11648/j.cajph.20230906.11

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    ACS Style

    Fassou, K.; Djiba, D.; Abdoulaye, S.; Sidikiba, S.; Sadjo Diallo, A., et al. Evaluation of Nutritional Management of Acutely Malnourished HIV-Infected Children Aged 0-59 Months at the Institute of Nutrition and Child Health in Guinea. Cent. Afr. J. Public Health 2023, 9(6), 161-166. doi: 10.11648/j.cajph.20230906.11

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    AMA Style

    Fassou K, Djiba D, Abdoulaye S, Sidikiba S, Sadjo Diallo A, et al. Evaluation of Nutritional Management of Acutely Malnourished HIV-Infected Children Aged 0-59 Months at the Institute of Nutrition and Child Health in Guinea. Cent Afr J Public Health. 2023;9(6):161-166. doi: 10.11648/j.cajph.20230906.11

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  • @article{10.11648/j.cajph.20230906.11,
      author = {Kolie Fassou and Diakite Djiba and Sow Abdoulaye and Sidibe Sidikiba and Amadou Sadjo Diallo and Delpeuch Francis and Alexandre Delamou},
      title = {Evaluation of Nutritional Management of Acutely Malnourished HIV-Infected Children Aged 0-59 Months at the Institute of Nutrition and Child Health in Guinea},
      journal = {Central African Journal of Public Health},
      volume = {9},
      number = {6},
      pages = {161-166},
      doi = {10.11648/j.cajph.20230906.11},
      url = {https://doi.org/10.11648/j.cajph.20230906.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20230906.11},
      abstract = {Context: In the Republic of Guinea, undernutrition and inadequate health care are responsible for many child deaths every year, victims of the vicious circle between malnutrition and infectious diseases. Acute malnutrition in young HIV-infected children is a particular problem. Aims: Objective: To evaluate the nutritional management of children, and compare the evolution of malnourished children hospitalized according to their HIV status. Methods: A 6-month evaluative descriptive study study of 130 children aged 0-59 months. A case of moderate acute malnutrition was defined for a P-T index < -2 Z-score, and a severe case for a P-T index < -3 Z-score. HIV serology was confirmed by second-generation immune cum. Results and Discussion: 40 children (31%) were infected with HIV. All suffered from acute malnutrition, 97% of them severe. The occurrence of diarrhea (p<0.001) and malaria (p = 0.013) was statistically associated with HIV+ status, while the absence of weight gain (p<0.001) and stabilization (p<0.001) was also associated with the HIV+ status of malnourished children. Death in acutely malnourished children was statistically associated with HIV status (p<0.001), with a death rate of 60% versus 7% in HIV-negative children. Conclusion: The death rate among HIV+ children is alarming. Prevention of mother-to-child transmission remains essential.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Nutritional Management of Acutely Malnourished HIV-Infected Children Aged 0-59 Months at the Institute of Nutrition and Child Health in Guinea
    AU  - Kolie Fassou
    AU  - Diakite Djiba
    AU  - Sow Abdoulaye
    AU  - Sidibe Sidikiba
    AU  - Amadou Sadjo Diallo
    AU  - Delpeuch Francis
    AU  - Alexandre Delamou
    Y1  - 2023/12/06
    PY  - 2023
    N1  - https://doi.org/10.11648/j.cajph.20230906.11
    DO  - 10.11648/j.cajph.20230906.11
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 161
    EP  - 166
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20230906.11
    AB  - Context: In the Republic of Guinea, undernutrition and inadequate health care are responsible for many child deaths every year, victims of the vicious circle between malnutrition and infectious diseases. Acute malnutrition in young HIV-infected children is a particular problem. Aims: Objective: To evaluate the nutritional management of children, and compare the evolution of malnourished children hospitalized according to their HIV status. Methods: A 6-month evaluative descriptive study study of 130 children aged 0-59 months. A case of moderate acute malnutrition was defined for a P-T index < -2 Z-score, and a severe case for a P-T index < -3 Z-score. HIV serology was confirmed by second-generation immune cum. Results and Discussion: 40 children (31%) were infected with HIV. All suffered from acute malnutrition, 97% of them severe. The occurrence of diarrhea (p<0.001) and malaria (p = 0.013) was statistically associated with HIV+ status, while the absence of weight gain (p<0.001) and stabilization (p<0.001) was also associated with the HIV+ status of malnourished children. Death in acutely malnourished children was statistically associated with HIV status (p<0.001), with a death rate of 60% versus 7% in HIV-negative children. Conclusion: The death rate among HIV+ children is alarming. Prevention of mother-to-child transmission remains essential.
    
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • Health Department, Senghor University of Alexandria, Alexandria, Egypt; Food and Nutrition Division, Ministry of Health and Public Hygiene, Conakry, Guinea

  • Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea; African Centre of Excellence for the Prevention and Control of Communicable Deseases, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Sciences, Gamal Abdel Nasser University, Conakry, Guinea

  • Health Department, Senghor University of Alexandria, Alexandria, Egypt

  • Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea; African Centre of Excellence for the Prevention and Control of Communicable Deseases, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

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