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Prevalence and patterns of comorbidities in adult HIV-related admissions in a public regional hospital in KwaZulu-Natal

Doctor Educationis / Background: South Africa has the largest burden of HIV in the world with 7.9 million people
living with HIV and 4.4 million registered on antiretroviral therapy (ART) in 2017. KwaZuluNatal is hardest hit by the HIV epidemic with a prevalence of 27% among adults aged 15 to 49
years old. With the widespread ART uptake, the spectrum of HIV related admissions in
hospitals has changed over the last decade. Hypertension, diabetes, cardiovascular disease, and
renal failure have become significant reasons for inpatient care. Increased life expectancy,
rising non-communicable diseases (NCDs) and easier access to ART have played a significant
change in the landscape of inpatients as compared to the pre-ART era. To provide integrated
healthcare to the patient, it is necessary to understand the prevalence and patterns of HIV
comorbidities for efficient and effective service delivery to HIV patients at facility-level.
Aim: The current study aimed to describe the prevalence and patterns of HIV-related
comorbidities in adult hospital admissions in iLembe, KwaZulu-Natal.
Methodology: A retrospective, cross-sectional survey was conducted of all adult HIV-related
admissions between 1st October and 31st December 2019. Clinical and demographic
characteristics were extracted from admission and discharge records, and laboratory data was
collected via the National Health Laboratory Services using Labtrack. Summative and
inferential analyses were done using SPSS v 23.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:uwc/oai:etd.uwc.ac.za:11394/8626
Date January 2021
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
RightsUniversity of the Western Cape

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