HIV/AIDS Occurrence in the Main University Teaching Hospital in Cameroon

Abstract

Aim: This study describes the impact of HIV/AIDS on the inpatient service of the main teaching hospital in Cameroon in 2001.

Methods: The authors analyzed routinely collected hospital data and data validated by survey of clinical notes.

Results: Admission and bed utilization rates for HIV/AIDS over the period accounted for 20.1% and 17%, respectively, primarily due to the management of opportunistic infections in young people (mean age, 39.9 years). Housewives (21.9%) and students (10.3%) were the most identified groups. Tuberculosis (23.3%), the most frequent infection, was associated with a good prognosis. Hospital stay ranged from 1 to 99 days. HIV/AIDS accounted for 49.3% of deaths registered.

Conclusion: HIV/AIDS is the major cause of hospital admissions and death in this service. This situation is likely to remain constant for some time given the national prevalence of HIV. Consideration needs to be given to the options for prevention and provision of care.

Keywords

HIV/AIDS hospital service Africa Cameroon

References

World Health Organization . UNAIDS epidemic update 2005: sub-Saharan Africa fact sheet. Available at: http://www.who.int/hiv/FS_SubSaharanAfrica_Nov05_en.pdf. Accessed February 11, 2006.

Alcami J , Joseph Munne J , Munoz-Fernandez MA , Esteban M. Current situation in the development of a preventive HIV vaccine. Enferm Infecc Microbiol Clin. 2005;23(suppl 2): 15-24.

Fleishman JA , Gebo KA , Reilly ED , et al , for the HIV Research Network . Hospital and outpatient health services utilization among HIV-infected adults in care 2000-2002. Med Care. 2005;43(9 suppl): III40-III52.

Atangana R , Bahebeck J , Mboudou ET , Eyenga VC , Binam F.

[Neurologic disturbances in human immunodeficiency virus carriers in Yaounde.]

Sante. 2003;13: 155-158. French.

Mbanya DN , Zebaze R , Minkoulou EM , Binam F , Koulla S , Obounou A. Clinical and epidemiologic trends in HIV/AIDS patients in a hospital setting of Yaounde, Cameroon: a 6-year perspective. Int J Infect Dis. 2002;6: 134-138.

Reid A , Dedicoat M , Lalloo D , Gilks CF. Trends in adult medical admissions in a rural South African hospital between 1991 and 2002. J Acquir Immune Defic Syndr. 2005;40: 53-56.

Floyd K , Reid RA , Wilkinson D , Gilks CF. Admission trends in a rural South African hospital during the early years of the HIV epidemic. JAMA. 1999;282: 1087-1091.

Gilks CF , Floyd K , Otieno LS , Adam AM , Bhatt SM , Warrell DA. Some effects of the rising case load of adult HIV-related disease on a hospital in Nairobi. J Acquir Immune Defic Syndr Hum Retrovirol. 1998;18: 234-240.

World Health Organization. International Statistical Classification of Diseases and Related Health Problems. 10th Revision, Version for 2006. Available at: http://www3.who.int/icd/vol1htm2003/fr-icd.htm. Accessed February 3, 2006.

10.

Mudiayi TK , Onyanga-Omara A , Gelman ML. Trends of morbidity in general medicine at United Bulawayo Hospital, Bulawayo, Zimbabwe. Cent Afr J Med. 1997;43: 213-218.

11.

Bane A , Yohannes AG , Fekade D. Morbidity and mortality of adult patients with HIV/AIDS at Tikur Anbessa Teaching Hospital, Addis Ababa, Ethiopia. Ethiop Med J. 2003;41: 131-140.

12.

Kwesigabo G , Killewo JZ , Sandstrom A , et al. Prevalence of HIV infection among hospital patients in northwest Tanzania. AIDS Care. 1999;11: 87-93.

13.

Institut National de la Statistique, Ministere de la Planification, de la Programmation et du Developpement et de l’Amenagement du Territoire and ORC Macro. Enquete demographique et de Sante Cameroun, 2004. Calverton, Md; 2005.

14.

Meekers D , Klein M , Foyet L. Patterns of HIV risk behavior and condom use among youth in Yaounde and Douala, Cameroon. AIDS Behav. 2003;7: 413-420.