{"id":17445,"date":"2022-08-28T07:26:29","date_gmt":"2022-08-28T07:26:29","guid":{"rendered":"http:\/\/www.pidsphil.org\/home\/?page_id=17445"},"modified":"2025-06-14T04:44:39","modified_gmt":"2025-06-14T04:44:39","slug":"journal-2019-vol-20-no-1-original-articles-6","status":"publish","type":"page","link":"https:\/\/www.pidsphil.org\/home\/journal-2019-vol-20-no-1-original-articles-6\/","title":{"rendered":"Journal 2019 Vol.20 No.1 Original Articles 6"},"content":{"rendered":"<p><strong><span class=\"journalTitle\"><span style=\"color: #800000;\">Journal 2019 Vol.20 No.1<\/span><\/span><\/strong><br \/>\n<strong>Epidemiology and Outcome of Children Living with HIV in a Tertiary Hospital: A 6-Year Retrospective Study<\/strong><br \/>\n<em><strong>Mary Crist A. Delos Santos-Jamora, M.D. &amp; Marimel R. Pagcatipunan, M.D.<\/strong><\/em><br \/>\n<strong>Abstract<br \/>\nIntroduction:<\/strong> Infection with HIV is multi-faceted and involves the interplay of medical, social, and economic factors thus, management of the disease continues to be a challenge to<br \/>\nmost physicians. The Philippines is experiencing a surge in cases since 2013. Understanding the local epidemiology of pediatric HIV may reveal opportunities to reduce or eliminate transmission through timely diagnosis.<br \/>\n<strong>Objective:<\/strong> This study was conducted to identify the features and outcome of children living with HIV in a hospital where a program for HIV treatment and monitoring was implemented.<br \/>\n<strong>Methodology:<\/strong> Medical records of all children Guidance Intervention Prevention (SAGIP) Unit were reviewed. Data was analysed using descriptive statistics.<br \/>\n<strong>Results:<\/strong> Thirty pediatric HIV patients were included in the study. The most common mode of acquisition is by sexual transmission (57%) and most patients were male (76%),bisexual (47%), and heterosexual (47%). Weight loss (50%),rash (50%), fever (37%) and cough (37%) were the most common clinical findings. The most common opportunistic infections were tuberculosis (47%) and oral candidiasis (34%). Only 27 of 30 patients were started on antiretroviral therapy within 6 months from diagnosis. One patient showed resistance to a non-nucleoside reverse transcriptase inhibitor (NNRTI).<br \/>\nThere were 11 children who died of various opportunistic infections and its complications, while 2 were transferred to a different treatment hub after 6 months, and 1 lost to follow-up.<br \/>\n<strong>Conclusion:<\/strong> Sexual means of HIV transmission among adolescents is evident in this study. Weight loss, cough, rash, fever, and lymphadenopathy are common presenting features.<br \/>\nTuberculosis and oral candidiasis are the most common opportunistic infections and should alert physicians on possible HIV infection. A mortality rate of 37% was noted mostly in the first 6 months of initiating ART treatment.<br \/>\n<strong>Keywords:<\/strong> Pediatric HIV, Outcome, Profiles<br \/>\n<a href=\"https:\/\/doi.org\/10.56964\/pidspj20192001008\"><strong>https:\/\/doi.org\/10.56964\/pidspj20192001008<\/strong><\/a><br \/>\n<strong><a href=\"https:\/\/www.pidsphil.org\/home\/wp-content\/uploads\/2019\/09\/Vol-20-No-1_JAMORA_Children-with-HIV-Revised8.pdf\" target=\"_\" rel=\"noopener\">View Full Article in PDF format<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Journal 2019 Vol.20 No.1 Epidemiology and Outcome of Children Living with HIV in a Tertiary Hospital: A 6-Year Retrospective Study Mary Crist A. Delos Santos-Jamora, M.D. &amp; Marimel R. Pagcatipunan, M.D. Abstract Introduction: Infection with HIV is multi-faceted and involves the interplay of medical, social, and economic factors thus, management of the disease continues to  [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17445","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/17445","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/comments?post=17445"}],"version-history":[{"count":7,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/17445\/revisions"}],"predecessor-version":[{"id":20035,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/17445\/revisions\/20035"}],"wp:attachment":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/media?parent=17445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}