World Congress on Immunology & Microbiology
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Accepted Abstracts

Pediatric HIV infection in Togo: Situation of child care in the central region from 2008 to 2015

Agbeko F1, Tongon K*2, Guedehoussou T3
1. Regional Hospital of Sokode, Togo
2. Regional Hospital of Atakpame, Togo
3. Teaching Hospital Sylvanus Olympio, Togo
Citation:
 Agbeko F, Tongon K, Guedehoussou T (2019) Pediatric HIV infection in Togo: Situation of child care in the central region from 2008 to 2015. SciTech Immuno-Microbiology 2019. Dubai: UAE

Received: May 01, 2019         Accepted: May 03, 2019         Published: May 03, 2019

Abstract

This piece of work covers thirteen (13) Acquired Immune Deficiency Syndrome (AIDS) assistance programs sites over the period 1st January 2008 to 31st December 2015. The study is retrospective, descriptive, and cross-sectional based on 292 clinical cases of Human Immunodeficiency Virus (HIV) infected children aged between 0 and 14 years old. A regional committee was charged to validate antiretroviral treatment (ART) prescriptions on a weekly basis. We have also used data from the regional committee register. HIV infected children represent 5.1% of casework on ART. The average starting age for ART was 4.5 years (1 - 180 months) with a sex ratio (Male/Female) of 0.9. The clinical classifications according to World Health Organization (WHO) guidelines were: Stage III (52.3%) and Stage IV (20.3%). The most frequent opportunistic infections were: wasting (40.12%), digestive candida infection (29.0%), acute respiratory infections (22.8%) and skin diseases (17.9%). The HIV type 1 was detected on all of the children (100%). The average rate of CD4 at the beginning of the ART was 552.98 cells/mm3, leading to a severe immuno-suppression in many cases (44.8%). The initial ART was essentially NEVIRAPINE + LAMIVUDINE +STAVUDINE. HIV infections diagnosis are usually late in the Central Region of Togo and will therefore be improved by the United Nations AIDS (UNAIDS) 90-90-90 strategic plan by 2020, through various initiatives. These are: the Prevention of Mother to Child HIV Transmission (PMTCT), the Early Infection Diagnosis (EID) based on Polymerase Chain Reaction (PCR) and the Provider Initiated Testing and Counseling (PITC).
Keywords: HIV, AIDS, ART, Children, Togo