Clinical and Evolutive Profile of Emaciaton in Seropositive Children Treated at the University Teaching Hospital (UTH) of Treichville (Cote D'ivoire)

Objective: To describe the main epidemiological, diagnostic, therapeutic and evolutionary aspects of HIV-infected and emaciated children in the CHUT Medical Pediatric Department in order to improve their survival.

Methods: Our retrospective, descriptive study was conducted from January 2010 to December 2013. It involved 69 files of children aged 0 to 59 months infected with HIV treated and followed in the care unit. The sample was calculated according to the formula of MARK LORENTZ.

Results: The mean age was 23.5 ± 17.25 months [3 to 59 months]; the sex ratio was 1.02. At admission 60.86% of the patients were at the family meal and 48% had a weight of less than 10 kg. Immunologically: 40.58% were category C (CDC classification) and the CD4 level <15% in 30 patients.

At the beginning of our study, the prevalence of wasting was 59.32%, including 40.48% for severe acute malnutrition (28/69) and 18.84% for moderate acute malnutrition. Infections of the ENT sphere 20.29% and respiratory 13.04% dominated by tuberculosis.

At the end of the 12-month review, we think of a significant reduction in the percentage of wasting from 59.32% to 11.60%. The good nutritional status for the P / T ratio increased from 31.88% to 75.36%. We found a satisfactory evolution (75,36%), in spite of a weak completeness of the treatment (20,29%).

Biology showed an increase in the percentage of patients with a CD4 count> 25% (56.52%).

Conclusion: Good therapeutic and nutritional management can improve their survival.

Keywords: Children-HIV- Malnutrition- ATPE- Therapeutic milks.