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1994-10-25
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Document 3107
DOCN M94A3107
TI AIDS in Africa: clinical major problems and priorties for research.
DT 9412
AU Kapita B; Bima M; Gen. Hospital, Kin.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):152 (abstract no. PB0034). Unique
Identifier : AIDSLINE ICA10/94369468
AB OBJECTIVES: To identify the major clinical problems and their causes
which lead to AIDS and death. To establish the priorties for clinical
research. METHODS: Clinical prospective study of adult AIDS patients
(WHO definition + ELISA) admitted to 2 hospitals of Kinshasa from
january to june 1993. Recording of live-threatening problems and their
causes afforded by clinicians. Epidemiological, clinical and biological
study. RESULTS: 160 AIDS patients (pts), 67 men and 93 women were
enrolled. Socioeconomic conditions: poor (pc) 40%; middle (mc) 35%; high
(hc) 25%. WHO clinical stages: Stage III: pc pts 30; mc pts 25; hc pts
25. Stage IV: pc pts 34; mc pts 31; hc pts 15. Clinical conditions:
wasting 100%, fever 73%, asthenia/anemia 84%, skin diseases 79%,
diarrhoea 58%, tuberculosis 37%, non specific pneumopathy 30%,
neurologic diseases 27%. Mortality 45%. CONCLUSIONS: Socioeconomic
conditions are cofactors of disease progression. Wasting, fever,
diarrhea, tuberculosis, non specific pneumopathy and neurologic diseases
are major clinical problems on which clinical research must be focused.
DE Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/MORTALITY/
*PHYSIOPATHOLOGY Adult Female Health Services Needs and Demand Human
Male Prospective Studies Research Socioeconomic Factors
Zaire/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).