final program.qxd - Parallels Plesk Panel

PP 1.26
Morbidity pattern of PLWA receiving emergency care at PEPFAR treatment centre,
University College Hospital, Ibadan.
Olowookere SA, Adetunji AA,Babalola TB,Aken'Ova YA,Adewole IF, Kanki P
Harvard PEPFAR, Boston, USA.
Background
PLWA accessing care at University College Hospital until recently do so via various clinics
(Accident and Emergency and General Outpatient Department/Medicine Outpatient)
however with the establishment of the Day care at the PEPFAR treatment centre, very ill
patients are now treated there.
Method
All patients attended to at the day care between June 2005 and January 31st 2006 were
included in the study to determine reason for emergency care, care and treatment
outcome. A detailed review of hospital case records was done.
Results
A total of 2585 PLWHA assessed care and treatment in the Unit during the year 2005.
1300 were new patients. Of these PLWHA, 122 (4.7%) were attended to at the day care.
There were 59 Males (48.4%) and 63 Females (51.6%). Mean age 37.16yrs (SD 8.129),
modal age group 30-39 yrs. 33 (27%) were artisan, 26 (21.3%) were traders. 90 (73.8)
presented with CD4 less than 200. 20(16.4%) had plasma viral load >100,000 /ml on
presentation.
Major reason for day care include diarhoea illness 55 (45.1%), chest infection 27 (22.1%),
anaemia 18(14.8%) and febrile illness 11 (9%). 2 (1.6%) presented in coma. 50 (41%)
were admitted into the Hospital while 72(59%) were discharged home after resuscitation
and care in the day care room. No PLWA died at the daycare during the study period.
Conclusion
Establishment of the daycare at the PEPFAR treatment center had improve access to care
for very ill patients and had improved survival of these patients.
“ Focusing FIRST on PEOPLE “ 110 w w w . i s h e i d . c o m