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