Pain: a common symptom in human immunodeficiency virus-infected Thai children.

Autor: Lolekha, R., Chanthavanich, P., Limkittikul, K., Luangxay, K., Chotpitayasunodh, T., Newman, C. J.
Předmět:
Zdroj: Acta Paediatrica; Jul2004, Vol. 93 Issue 7, p891-898, 8p
Abstrakt: Aim: To determine the prevalence and characteristics of pain in Thai human immunodeficiency virus-infected children.Methods: A cross-sectional study was performed at the HIV/AIDS outpatient clinic at the Queen Sirikit National Institute of Child Health, Bangkok, Thailand from November 2002 to January 2003. Sixty-one human immunodeficiency virus-infected patients aged 4 to 15 y, an equal number of age-matched children with no chronic disease and their caregivers participated. We interviewed children and their caregivers using a structured questionnaire on pain. The main outcome measure was the percentage of human immunodeficiency virus-infected children reporting pain.Results: Forty-four percent of the human immunodeficiency virus-infected children reported pain compared to 13% of the children with no chronic disease (odds ratio, OR = 5.3; 95% CI: 2.0-14.3). Seven percent of the infected children experienced chronic pain. Children in human immunodeficiency virus clinical categories B and C reported more pain than children in categories N and A (OR = 4.0, 95% CI: 1.1-14.7). Pain in infected children tended to occur in the abdomen, lower limbs or head. Only 44 percent of the infected children experiencing pain received analgesic medication.Conclusion: Despite being a common experience, pain is insufficiently taken into account and treated in Thai children with HIV/AIDS. Therefore, adequate pain identification, assessment and management should be systemically considered in their routine care. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index