Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town
African Journal of Emergency Medicine
The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town
Subject
Emergency centre
HIV
Tuberculosis
Prevalence
In-hospital mortality
HIV
Tuberculosis
Prevalence
In-hospital mortality
Description
Introduction: Many patients present to emergency centres with HIV and tuberculosis related emergencies. Little is
known about the influence of HIV and tuberculosis on the resuscitation areas of district-level hospitals. The
primary objective was to determine the burden of non-trauma patients with HIV and/or tuberculosis presenting
to the resuscitation area of Khayelitsha Hospital, Cape Town.
Methods: A retrospective analysis was performed on a prospectively collected observational database. A randomly
selected 12-week sample of data from the resuscitation area was used. Trauma and paediatric (<13 years) cases
were excluded. Patient demographics, HIV and tuberculosis status, disease category, investigations and procedures
undertaken, disposition and in-hospital mortality were assessed. HIV and tuberculosis status were
determined by laboratory confirmation or from clinical records. Descriptive statistics are presented and comparisons
were done using the χ2-test or independent t-test.
Results: A total of 370 patients were included. HIV prevalence was 38.4% (n = 142; unknown n = 78, 21.1%),
tuberculosis prevalence 13.5% (n = 50; unknown n = 233, 63%), and HIV/tuberculosis co-infection 10.8% (n =
40). HIV and tuberculosis were more likely in younger patients (both p < 0.01) and more females were HIVpositive
(p < 0.01). Patients with tuberculosis spend 93 min longer in the resuscitation area than those
without (p = 0.02). The acuity of patients did not differ by HIV or tuberculosis status.
Infectious-related diseases and diseases of the digestive system occurred significantly more in the HIV-positive
group, and endocrine-related diseases and diseases of the nervous system in HIV-negative patients.
HIV-positive patients received more abdominal ultrasound examinations (p < 0.01), blood cultures (p < 0.01)
and intravenous antibiotics (p < 0.01). In-hospital mortality was 17% and was not influenced by HIV status (p =
0.36) or tuberculosis status (p = 0.29).
Conclusion: This study highlights the burden of HIV and tuberculosis on the resuscitation area of a district level
hospital. Neither HIV nor tuberculosis status were associated with in-hospital mortality
known about the influence of HIV and tuberculosis on the resuscitation areas of district-level hospitals. The
primary objective was to determine the burden of non-trauma patients with HIV and/or tuberculosis presenting
to the resuscitation area of Khayelitsha Hospital, Cape Town.
Methods: A retrospective analysis was performed on a prospectively collected observational database. A randomly
selected 12-week sample of data from the resuscitation area was used. Trauma and paediatric (<13 years) cases
were excluded. Patient demographics, HIV and tuberculosis status, disease category, investigations and procedures
undertaken, disposition and in-hospital mortality were assessed. HIV and tuberculosis status were
determined by laboratory confirmation or from clinical records. Descriptive statistics are presented and comparisons
were done using the χ2-test or independent t-test.
Results: A total of 370 patients were included. HIV prevalence was 38.4% (n = 142; unknown n = 78, 21.1%),
tuberculosis prevalence 13.5% (n = 50; unknown n = 233, 63%), and HIV/tuberculosis co-infection 10.8% (n =
40). HIV and tuberculosis were more likely in younger patients (both p < 0.01) and more females were HIVpositive
(p < 0.01). Patients with tuberculosis spend 93 min longer in the resuscitation area than those
without (p = 0.02). The acuity of patients did not differ by HIV or tuberculosis status.
Infectious-related diseases and diseases of the digestive system occurred significantly more in the HIV-positive
group, and endocrine-related diseases and diseases of the nervous system in HIV-negative patients.
HIV-positive patients received more abdominal ultrasound examinations (p < 0.01), blood cultures (p < 0.01)
and intravenous antibiotics (p < 0.01). In-hospital mortality was 17% and was not influenced by HIV status (p =
0.36) or tuberculosis status (p = 0.29).
Conclusion: This study highlights the burden of HIV and tuberculosis on the resuscitation area of a district level
hospital. Neither HIV nor tuberculosis status were associated with in-hospital mortality
Creator
Lynne Swarts, Sa’ad Lahri, Dani¨el J. van Hoving
Source
www.elsevier.com/locate/afjem
Publisher
elsevier
Date
22 September 2020
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Lynne Swarts, Sa’ad Lahri, Dani¨el J. van Hoving, “Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town,” Repository Horizon University Indonesia, accessed May 23, 2025, https://repository.horizon.ac.id/items/show/2516.
African Journal of Emergency Medicine
The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town,” Repository Horizon University Indonesia, accessed May 23, 2025, https://repository.horizon.ac.id/items/show/2516.