Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi

Lewis, David; Callaghan, Maria; Phiri, Kamija S.; Chipwete, James; Kublin, James G.; Borgstein, Eric; Zijlstra, E.E.

doi:10.4314/mmj.v14i2.10758

Cited by 19 publications

(25 citation statements)

References 20 publications

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“…The country registers approximately 23 000 new tuberculosis (TB) cases each year, of whom 77% are HIVpositive (Kwanjana et al, 2001). Seventy percent of all medical admissions in some hospitals are HIVpositive (Lewis et al, 2003). An estimated 86 000 AIDS-related deaths occur each year.…”

Section: Introductionmentioning

confidence: 99%

How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi

Zachariah

Teck

Buhendwa

et al. 2006

Transactions of the Royal Society of Tropical Medicine and Hygi

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Summary This paper describes (a) the experience of initiating community involvement in HIV/AIDS and tuberculosis (TB) activities in a rural district in Malawi and (b) some of the different ways in which the community is contributing in the fight against these two diseases and the outcomes of their involvement. During a 2-year period, a total of 21 358 (41%) of 52 510 HIV tests performed at voluntary counselling and HIV testing (VCT) sites in the district were conducted by lay community counsellors. A team of 465 community volunteers, 1362 trained family caregivers and 9 community nurses provided care and support to 5106 HIV-positive individuals, of whom 2006 (39%) were in WHO stage III or IV. All those in WHO stage III or IV were on co-trimoxazole prophylaxis and 895 (45%) of these were also on antiretroviral treatment. A total of 2714 TB patients, of whom 1627 (60%) were HIV-positive, also received care and support. A total of 1694 orphans were trained in vocational skills. Twelve vegetable gardens and three maize farms were set up, and pre-school activities were organised for 900 orphans. Communities can play an important contributory role in reducing the burden of HIV/AIDS and TB and in mitigating its impact. Despite this, community resources in most settings are often under-exploited and their role remains undefined.

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Section: Introductionmentioning

confidence: 99%

How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi

Zachariah

Teck

Buhendwa

et al. 2006

Transactions of the Royal Society of Tropical Medicine and Hygi

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“…Clearly, it is important to differentiate between stroke and other diagnoses because this influences management. In the medical wards of QECH, 70% of patients are HIV positive, and infections of the central nervous system, in particular cryptococcal, bacterial, and TBM, are common; 7,8 however, there are no studies to the contribution of (HIV-related) infections to a clinical presentation similar to stroke. We therefore undertook to study the differential diagnosis of stroke in patients admitted to our medical wards.…”

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confidence: 99%

Differential Diagnosis of Stroke in a Setting of High HIV Prevalence in Blantyre, Malawi

Kumwenda

Mateyu

Kampondeni

et al. 2005

Stroke

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Background and Purpose-The differential diagnosis of stroke in Africa in areas with high HIV prevalence includes brain infections. We studied causes of stroke in Blantyre, Malawi, where HIV prevalence among medical inpatients is 70%. Methods-In a descriptive study of 8-month duration, all patients presenting at Queen Elizabeth Central Hospital, Blantyre, with central neurological deficit of acute onset (Ͻ24 hours) had baseline investigations, including full blood count, blood glucose, serology for toxoplasmosis, syphilis, and HIV, ECG, echocardiogram, ultrasound of the carotid arteries, and computerized tomography scan of the brain. A lumbar puncture was performed unless contraindicated. Results-Ninety-eight consecutive patients (49 males) were studied. In those who were HIV positive (48%), the mean age was 37.5 years; ischemic stroke was the commonest diagnosis (nϭ25; 58%

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“…2 Poverty, low literacy levels, high rates of casual and transactional unprotected sex in the general population, particularly among young people aged 15e24 years, low levels of male and female condom use, cultural and religious factors, and stigma and discrimination [National AIDS Commission (NAC) Malawi, 2009] play a role in the spread of HIV. 3 …”

Section: Hiv and Aids In Malawimentioning

confidence: 97%

Antiretroviral Therapy Outcomes in Malawi: Access, Mortality and Opportunistic Infections

Kachingwe

Wang

Cheng

2012

Journal of Experimental & Clinical Medicine

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Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi

Abstract: Despite high seroprevalence there are few recent studies of

Cited by 19 publications

References 20 publications

How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi

How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi

Differential Diagnosis of Stroke in a Setting of High HIV Prevalence in Blantyre, Malawi

Antiretroviral Therapy Outcomes in Malawi: Access, Mortality and Opportunistic Infections

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