HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia

Dagim Assefa Kassaye; Haji Aman Deybasso; Godana Jarso Guto; Worku Dugassa Girsha

doi:doi:10.11648/j.cmr.20180703.13

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HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia

Dagim Assefa Kassaye, Haji Aman Deybasso, Godana Jarso Guto, Worku Dugassa Girsha

Published in Clinical Medicine Research (Volume 7, Issue 3)

Received: 2 January 2018 Accepted: 30 May 2018 Published: 25 June 2018

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Abstract

Reports are indicating increased rate of HIV related admissions despite high coverage of anti-retroviral drug usage. The aim of this study was to assess the magnitude of HIV related admission and associated factors among adult patients admitted to Medical ward of Adama Hospital Medical College in Ethiopia. An institution based cross sectional study design was conducted by using the formula to estimate a single population proportion (P) of 65% taken from HIV case hospital bed occupancy in Addis Ababa hospitals to select a total of 549 patients. Data were collected by an interviewer administered pre tested structured questionnaires. The 95% confidence intervals with p-value of less than 0.05 were considered statistically significant. Analysis was performed by using Statistical package for the social sciences (SPSS v 21) software program. A total of 538(97.9%) patients were involved in a study out of which, 120(22.3%) of them were HIV cases with various clinical manifestations. Toxoplasmosis was the commonest 32(26.7%) opportunistic infection. Patients who had divorced, widowed or separated were 2.6 (AOR 2.6, CI: 1.16, 6.00), Smear positive pulmonary tuberculosis were 4.6 times (AOR 4.6, CI, 1.52, 14.35), Bacterial pneumonia case were 37 times (AOR 37, CI:14.36, 99.68), those with disseminated tuberculosis were 56 times (AOR 56, CI=17.34, 85.84) and patients with neurological illnesses were 27 times (AOR 27, CI=14:00, 55.19) more likely to be admitted. Whereas, patients with age category of 45 to 54 years were less likely to be admitted to hospital by over 80% (AOR 0.18, CI: 0.06, 0.57) compared to age category of 15 to 24 years old. The prevalence of HIV related admission was lower compared to other studies. Age of the patients, respiratory system infections, Neurological infections and marital status of the patients were found to have significant association with HIV related admission.

Published in	Clinical Medicine Research (Volume 7, Issue 3)
DOI	10.11648/j.cmr.20180703.13
Page(s)	67-74
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), 2018. Published by Science Publishing Group

Keywords

Adult, HIV Admission, Medical Ward, Adama, Ethiopia

References

[1]	Joint United Nations Programme on HIV/AIDS, World Health Organization. 2008 report on the globalAIDS epidemic: executive summary. Geneva, Switzerland: UNAIDS : World Health Organization; 2008.
[2]	Palella Jr FJ, Baker RK, Moorman AC, Chmiel JS, Wood KC, Brooks JT, et al. Mortality in the highly active antiretroviral therapy era: changing causes of death and disease in the HIV outpatient study. JAIDS J Acquir Immune Defic Syndr. 2006; 43(1):27–34.
[3]	Moosa MYS, Coovadia YM. Cryptococcal meningitis in Durban, South Africa: a comparison of clinical features, laboratory findings, and outcome for human immunodeficiency virus (HIV)-positive and HIV-negative patients. Clin Infect Dis. 1997; 24(2):131–134.
[4]	Gebo KA, Fleishman JA, Moore RD. Hospitalizations for metabolic conditions, opportunistic infections, and injection drug use among HIV patients: trends between 1996 and 2000 in 12 states. JAIDS J Acquir Immune Defic Syndr. 2005; 40(5):609–616.
[5]	Wyatt CM, Arons RR, Klotman PE, Klotman ME. Acute renal failure in hospitalized patients with HIV: risk factors and impact on in-hospital mortality. Aids. 2006; 20(4):561–565.
[6]	Reniers, G., T. Araya, and G. Davey. 2009. ―Steep Decline in Population-level AIDS Mortality Following the Introduction of Antiretroviral Therapy in Addis Ababa, Ethiopia.‖ AIDS 23: 511–518.
[7]	Arthur G, Nduba VN, Kariuki SM, Kimari J, Bhatt SM, Gilks CF. Trends in bloodstream infections among human immunodeficiency virus-infected adults admitted to a hospital in Nairobi, Kenya, during the last decade. Clin Infect Dis. 2001; 33(2):248–256.
[8]	Balasundaram A, Sarkar S, Hamide A, Lakshminarayanan S. Socioepidemiologic profile and treatment-seeking behaviour of HIV/AIDS patients in a tertiary-care hospital in South India. J Health Popul Nutr. 2014; 32(4):587.
[9]	UNAIDS. Report on the global AIDS epidemic. Geneva. 2000.
[10]	UNAIDS. Report on the global AIDS epidemic: The impact of AIDSon people and societies. Geneva. 2006.
[11]	Hakim JG, Gangaidzo IT, Heyderman RS, Mielke J, Mushangi E, Taziwa A, et al. Impact of HIV infection on meningitis in Harare, Zimbabwe: a prospective study of 406 predominantly adult patients. Aids. 2000; 14(10):1401–1407.
[12]	Grant AD, Djomand G, Smets P, Kadio A, Coulibaly M, Kakou A, et al. Profound immunosuppression across the spectrum of opportunistic disease among hospitalized HIV-infected adults in Abidjan, Côte d’Ivoire. Aids. 1997; 11(11):1357–1364.
[13]	Pirmohamed M, James S, Meakin S, Green C, Scott AK, Walley TJ, et al. Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. Bmj. 2004; 329(7456):15–19.
[14]	Martinson NA, Karstaedt A, Venter WF, Omar T, King P, Mbengo T, et al. Causes of death in hospitalized adults with a premortem diagnosis of tuberculosis: an autopsy study. Aids. 2007; 21(15):2043–2050.
[15]	Kloos H, Mariam DH, Lindtjorn B. The AIDS epidemic in a low-income country: Ethiopia. Hum Ecol Rev. 2007; 14(1):39.
[16]	Melesse Tamiru, Jemal Haidar. Hospital Bed Occupancy and HIV/AIDS in three Major Public Hospitals of Addis Ababa, Ethiopia. 2016
[17]	Guerro AC, Andretta IB, Bello SL, Trevisol DJ, Schuelter-Trevisol F. Causes of hospital admission of AIDS patients in southern Brazil, 2007 to 2012. Rev Soc Bras Med Trop. 2014 Oct; 47(5):632–6.
[18]	Namutebi A, Kamya M, Byakika-Kibwika P. Causes and outcome of hospitalization among HIV-infected adults receiving antiretroviral therapy in Mulago hospital, Uganda. Afr Health Sci. 2014 Jan 30; 13(4):977.
[19]	Guerro AC, Andretta IB, Bello SL, Trevisol DJ, Schuelter-Trevisol F. Causes of hospital admission of AIDS patients in southern Brazil, 2007 to 2012. Rev Soc Bras Med Trop. 2014 Oct; 47(5):632–6.
[20]	Chaka TE, Abeya SG, Adlo AM, Abebe TW, Hamuse SD, Lencha MT, et al. Antiretroviral Therapy: Level of Adherence and Its Determinants Among Patients on Treatment in Different Health Facilities. A Cross Sectional Study in Oromia Regional State, Ethiopia. J AIDS Clin Res [Internet]. 2016 [cited 2017 Oct 23]; 7(11). Available from: https://www.omicsonline.org/open-access/antiretroviral-therapy-level-of-adherence-and-its-determinants-amongpatients-on-treatment-in-different-health-facilities-a-cross-s-2155-6113-1000629.php?aid=81270
[21]	Croda J, Croda MG, Neves A, et al. Benefit of antiretroviral therapy on survival of human immunodeficiency virus-infected patients admitted to an intensive care unit. Crit Care Med. 2009; 37:1605–1611.
[22]	Okoronkwo I, Okeke U, Chinweuba A, Iheanacho P. Nonadherence Factors and Sociodemographic Characteristics of HIV-Infected Adults Receiving Antiretroviral Therapy in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria. ISRN AIDS. 2013; 2013:1–8.
[23]	Nunes AA, Silva-Vergara ML, Melo IM, Silva ALA, Resende LSA, Guimarães PB. Perfi l clínico-epidemiológico de pacientes com HIV/ Aids internados em um hospital de ensino do Brasil. Rev Panam Infectol 2008; 10:27-32.
[24]	Huang L, Quartin A, Jones D, et al. Intensive care of patients with HIV infection. N Engl J Med. 2006; 355:173–181.
[25]	Sobhani R, Basavaraj A, Gupta A, Bhave AS, Kadam DB, Sangle SA, et al. Mortality & clinical characteristics of hospitalized adult patients with HIV in Pune, India. Indian J Med Res. 2007; 126(2):116.
[26]	Arthur G, Nduba VN, Kariuki SM, Kimari J, Bhatt SM, Gilks CF. Trends in bloodstream infections among human immunodeficiency virus-infected adults admitted to a hospital in Nairobi, Kenya, during the last decade. Clin Infect Dis. 2001; 33(2):248–256.
[27]	Clinical profile and factors associated with mortality in hospitalized patients with HIV/AIDS: a retrospectiveanalysis from Tripoli Medical Centre, Libya, 2013.
[28]	Casalino E, Wolff M, Ravaud P, et al. Impact of HAART advent on admission patterns and survival in HIV-infected patients admitted to an intensive care unit. AIDS. 2004; 18:1429–1433.
[29]	Rodrigues Neto JF, Lima LS, Rocha LF, Lima JS, Santana KR, Silveira MF. Perfi l de adultos infectados pelo vírus da imunodefi ciência humana (HIV) em ambulatório de referência em doenças sexualmente transmissíveis no norte de Minas Gerais. Rev Med Minas Gerais 2010; 20:22-29.

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APA Style

Dagim Assefa Kassaye, Haji Aman Deybasso, Godana Jarso Guto, Worku Dugassa Girsha. (2018). HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Clinical Medicine Research, 7(3), 67-74. https://doi.org/10.11648/j.cmr.20180703.13

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ACS Style

Dagim Assefa Kassaye; Haji Aman Deybasso; Godana Jarso Guto; Worku Dugassa Girsha. HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Clin. Med. Res. 2018, 7(3), 67-74. doi: 10.11648/j.cmr.20180703.13

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AMA Style

Dagim Assefa Kassaye, Haji Aman Deybasso, Godana Jarso Guto, Worku Dugassa Girsha. HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Clin Med Res. 2018;7(3):67-74. doi: 10.11648/j.cmr.20180703.13

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@article{10.11648/j.cmr.20180703.13,
  author = {Dagim Assefa Kassaye and Haji Aman Deybasso and Godana Jarso Guto and Worku Dugassa Girsha},
  title = {HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia},
  journal = {Clinical Medicine Research},
  volume = {7},
  number = {3},
  pages = {67-74},
  doi = {10.11648/j.cmr.20180703.13},
  url = {https://doi.org/10.11648/j.cmr.20180703.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20180703.13},
  abstract = {Reports are indicating increased rate of HIV related admissions despite high coverage of anti-retroviral drug usage. The aim of this study was to assess the magnitude of HIV related admission and associated factors among adult patients admitted to Medical ward of Adama Hospital Medical College in Ethiopia. An institution based cross sectional study design was conducted by using the formula to estimate a single population proportion (P) of 65% taken from HIV case hospital bed occupancy in Addis Ababa hospitals to select a total of 549 patients. Data were collected by an interviewer administered pre tested structured questionnaires. The 95% confidence intervals with p-value of less than 0.05 were considered statistically significant. Analysis was performed by using Statistical package for the social sciences (SPSS v 21) software program. A total of 538(97.9%) patients were involved in a study out of which, 120(22.3%) of them were HIV cases with various clinical manifestations. Toxoplasmosis was the commonest 32(26.7%) opportunistic infection. Patients who had divorced, widowed or separated were 2.6 (AOR 2.6, CI: 1.16, 6.00), Smear positive pulmonary tuberculosis were 4.6 times (AOR 4.6, CI, 1.52, 14.35), Bacterial pneumonia case were 37 times (AOR 37, CI:14.36, 99.68), those with disseminated tuberculosis were 56 times (AOR 56, CI=17.34, 85.84) and patients with neurological illnesses were 27 times (AOR 27, CI=14:00, 55.19) more likely to be admitted. Whereas, patients with age category of 45 to 54 years were less likely to be admitted to hospital by over 80% (AOR 0.18, CI: 0.06, 0.57) compared to age category of 15 to 24 years old. The prevalence of HIV related admission was lower compared to other studies. Age of the patients, respiratory system infections, Neurological infections and marital status of the patients were found to have significant association with HIV related admission.},
 year = {2018}
}

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TY  - JOUR
T1  - HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia
AU  - Dagim Assefa Kassaye
AU  - Haji Aman Deybasso
AU  - Godana Jarso Guto
AU  - Worku Dugassa Girsha
Y1  - 2018/06/25
PY  - 2018
N1  - https://doi.org/10.11648/j.cmr.20180703.13
DO  - 10.11648/j.cmr.20180703.13
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 67
EP  - 74
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20180703.13
AB  - Reports are indicating increased rate of HIV related admissions despite high coverage of anti-retroviral drug usage. The aim of this study was to assess the magnitude of HIV related admission and associated factors among adult patients admitted to Medical ward of Adama Hospital Medical College in Ethiopia. An institution based cross sectional study design was conducted by using the formula to estimate a single population proportion (P) of 65% taken from HIV case hospital bed occupancy in Addis Ababa hospitals to select a total of 549 patients. Data were collected by an interviewer administered pre tested structured questionnaires. The 95% confidence intervals with p-value of less than 0.05 were considered statistically significant. Analysis was performed by using Statistical package for the social sciences (SPSS v 21) software program. A total of 538(97.9%) patients were involved in a study out of which, 120(22.3%) of them were HIV cases with various clinical manifestations. Toxoplasmosis was the commonest 32(26.7%) opportunistic infection. Patients who had divorced, widowed or separated were 2.6 (AOR 2.6, CI: 1.16, 6.00), Smear positive pulmonary tuberculosis were 4.6 times (AOR 4.6, CI, 1.52, 14.35), Bacterial pneumonia case were 37 times (AOR 37, CI:14.36, 99.68), those with disseminated tuberculosis were 56 times (AOR 56, CI=17.34, 85.84) and patients with neurological illnesses were 27 times (AOR 27, CI=14:00, 55.19) more likely to be admitted. Whereas, patients with age category of 45 to 54 years were less likely to be admitted to hospital by over 80% (AOR 0.18, CI: 0.06, 0.57) compared to age category of 15 to 24 years old. The prevalence of HIV related admission was lower compared to other studies. Age of the patients, respiratory system infections, Neurological infections and marital status of the patients were found to have significant association with HIV related admission.
VL  - 7
IS  - 3
ER  -

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Author Information

Dagim Assefa Kassaye

Department of Internal Medicine, Adama Hospital Medical College, Adama, Ethiopia
Haji Aman Deybasso

Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Godana Jarso Guto

Department of Internal Medicine, Adama Hospital Medical College, Adama, Ethiopia
Worku Dugassa Girsha

Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

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APA Style

Dagim Assefa Kassaye, Haji Aman Deybasso, Godana Jarso Guto, Worku Dugassa Girsha. (2018). HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Clinical Medicine Research, 7(3), 67-74. https://doi.org/10.11648/j.cmr.20180703.13

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ACS Style

Dagim Assefa Kassaye; Haji Aman Deybasso; Godana Jarso Guto; Worku Dugassa Girsha. HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Clin. Med. Res. 2018, 7(3), 67-74. doi: 10.11648/j.cmr.20180703.13

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AMA Style

Dagim Assefa Kassaye, Haji Aman Deybasso, Godana Jarso Guto, Worku Dugassa Girsha. HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Clin Med Res. 2018;7(3):67-74. doi: 10.11648/j.cmr.20180703.13

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@article{10.11648/j.cmr.20180703.13,
  author = {Dagim Assefa Kassaye and Haji Aman Deybasso and Godana Jarso Guto and Worku Dugassa Girsha},
  title = {HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia},
  journal = {Clinical Medicine Research},
  volume = {7},
  number = {3},
  pages = {67-74},
  doi = {10.11648/j.cmr.20180703.13},
  url = {https://doi.org/10.11648/j.cmr.20180703.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20180703.13},
  abstract = {Reports are indicating increased rate of HIV related admissions despite high coverage of anti-retroviral drug usage. The aim of this study was to assess the magnitude of HIV related admission and associated factors among adult patients admitted to Medical ward of Adama Hospital Medical College in Ethiopia. An institution based cross sectional study design was conducted by using the formula to estimate a single population proportion (P) of 65% taken from HIV case hospital bed occupancy in Addis Ababa hospitals to select a total of 549 patients. Data were collected by an interviewer administered pre tested structured questionnaires. The 95% confidence intervals with p-value of less than 0.05 were considered statistically significant. Analysis was performed by using Statistical package for the social sciences (SPSS v 21) software program. A total of 538(97.9%) patients were involved in a study out of which, 120(22.3%) of them were HIV cases with various clinical manifestations. Toxoplasmosis was the commonest 32(26.7%) opportunistic infection. Patients who had divorced, widowed or separated were 2.6 (AOR 2.6, CI: 1.16, 6.00), Smear positive pulmonary tuberculosis were 4.6 times (AOR 4.6, CI, 1.52, 14.35), Bacterial pneumonia case were 37 times (AOR 37, CI:14.36, 99.68), those with disseminated tuberculosis were 56 times (AOR 56, CI=17.34, 85.84) and patients with neurological illnesses were 27 times (AOR 27, CI=14:00, 55.19) more likely to be admitted. Whereas, patients with age category of 45 to 54 years were less likely to be admitted to hospital by over 80% (AOR 0.18, CI: 0.06, 0.57) compared to age category of 15 to 24 years old. The prevalence of HIV related admission was lower compared to other studies. Age of the patients, respiratory system infections, Neurological infections and marital status of the patients were found to have significant association with HIV related admission.},
 year = {2018}
}

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TY  - JOUR
T1  - HIV Related Admission and Associated Factors among Adult Patients Admitted to Medical Ward at Adama Hospital Medical College, Adama, Oromia, Ethiopia
AU  - Dagim Assefa Kassaye
AU  - Haji Aman Deybasso
AU  - Godana Jarso Guto
AU  - Worku Dugassa Girsha
Y1  - 2018/06/25
PY  - 2018
N1  - https://doi.org/10.11648/j.cmr.20180703.13
DO  - 10.11648/j.cmr.20180703.13
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 67
EP  - 74
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20180703.13
AB  - Reports are indicating increased rate of HIV related admissions despite high coverage of anti-retroviral drug usage. The aim of this study was to assess the magnitude of HIV related admission and associated factors among adult patients admitted to Medical ward of Adama Hospital Medical College in Ethiopia. An institution based cross sectional study design was conducted by using the formula to estimate a single population proportion (P) of 65% taken from HIV case hospital bed occupancy in Addis Ababa hospitals to select a total of 549 patients. Data were collected by an interviewer administered pre tested structured questionnaires. The 95% confidence intervals with p-value of less than 0.05 were considered statistically significant. Analysis was performed by using Statistical package for the social sciences (SPSS v 21) software program. A total of 538(97.9%) patients were involved in a study out of which, 120(22.3%) of them were HIV cases with various clinical manifestations. Toxoplasmosis was the commonest 32(26.7%) opportunistic infection. Patients who had divorced, widowed or separated were 2.6 (AOR 2.6, CI: 1.16, 6.00), Smear positive pulmonary tuberculosis were 4.6 times (AOR 4.6, CI, 1.52, 14.35), Bacterial pneumonia case were 37 times (AOR 37, CI:14.36, 99.68), those with disseminated tuberculosis were 56 times (AOR 56, CI=17.34, 85.84) and patients with neurological illnesses were 27 times (AOR 27, CI=14:00, 55.19) more likely to be admitted. Whereas, patients with age category of 45 to 54 years were less likely to be admitted to hospital by over 80% (AOR 0.18, CI: 0.06, 0.57) compared to age category of 15 to 24 years old. The prevalence of HIV related admission was lower compared to other studies. Age of the patients, respiratory system infections, Neurological infections and marital status of the patients were found to have significant association with HIV related admission.
VL  - 7
IS  - 3
ER  -

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