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

Subject

Emergency centre
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

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

Tags

,Repository, Repository Horizon University Indonesia, Repository Universitas Horizon Indonesia, Horizon.ac.id, Horizon University Indonesia, Universitas Horizon Indonesia, HorizonU, Repo Horizon ,

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.