Characteristics of HIV/AIDS patients attending a rural hospital in Cameroon. Manyemen HIV/AIDS Team.

J Skalsky, P M Ndumbe
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Abstract

Manyemen, a rural community in Cameroon, has now been hit by the HIV epidemic. This paper describes the experiences gained at the Presbyterian General Hospital in Manyemen between 1990 and 1992 regarding HIV infection in pregnant women, AIDS case management, counseling and home visits. A total of 383 pregnant women attending antenatal clinics were tested. We found a 2.9% HIV-1 seroprevalence and a 17% reactivity to a non-specific syphilis test, rapid plasma reagin, RPR. In 1990, 1991 and 1992, we diagnosed 55, 89 and 94 cases of clinical AIDS respectively. New TB cases seen in the same period showed the following HIV positive rates 3.5%, 2.4% and 5.8%. A detailed study of 78 AIDS patients revealed that the five most common presenting signs in our patients were wasting (80%), prolonged fever (28%), chronic diarrhoea (17%), oropharyngeal candidiasis (14%) and pulmonary TB (10%). Pretest and post test counseling is routinely done by the AIDS team. About 79% of the patients were post counselled as were 27% of their relatives. Home visits have been started. These results show that AIDS is no longer an issue confined to cities in Cameroon and that rural hospitals should institute a programme, similar to ours, to help them cope with the AIDS epidemic.

喀麦隆农村医院艾滋病毒/艾滋病患者的特征。也门艾滋病小组。
曼也门是喀麦隆的一个农村社区,现在已经受到艾滋病毒流行的打击。本文描述了1990年至1992年在也门长老会总医院获得的关于孕妇感染艾滋病毒、艾滋病病例管理、咨询和家访的经验。共有383名在产前诊所就诊的孕妇接受了检测。我们发现HIV-1血清阳性率为2.9%,对非特异性梅毒试验,快速血浆反应,RPR的反应性为17%。在1990年、1991年和1992年,我们分别诊断出55例、89例和94例临床艾滋病。同一时期新发结核病例的艾滋病毒阳性率分别为3.5%、2.4%和5.8%。一项对78名艾滋病患者的详细研究表明,我们的患者中最常见的5种症状是消耗(80%)、持续发热(28%)、慢性腹泻(17%)、口咽念珠菌病(14%)和肺结核(10%)。测试前和测试后的咨询通常由艾滋病小组完成。约79%的患者和27%的家属接受了事后咨询。家访已经开始。这些结果表明,艾滋病已不再局限于喀麦隆城市的问题,农村医院应制定一项与我们类似的方案,以帮助它们应对艾滋病流行病。
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