Predictors of Disease Severity in Patients Admitted to a Cholera Treatment Center in Urban Haiti
| Autor: | Peter F. Wright, Claudia Thomas Riché, Michael H. Woodworth, Zhongze Li, Claude-Lyne Valcin, Benedict Anglade, Karine Severe, Colette Guiteau Moise, Patrice Joseph, Jean W. Pape, Macarthur Charles |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Time Factors Multivariate analysis Adolescent Rain 030231 tropical medicine Population Psychological intervention Young Adult 03 medical and health sciences 0302 clinical medicine Cholera AJTMH and PAHO: Commemorating the 3rd Anniversary of the Cholera Outbreak in Haiti: Invited Papers Risk Factors Virology Epidemiology medicine Humans Seroprevalence 030212 general & internal medicine Cities Young adult Child Epidemics education education.field_of_study Dehydration business.industry Medical record Middle Aged medicine.disease Haiti 3. Good health Infectious Diseases Child Preschool Multivariate Analysis Female Parasitology business |
| Zdroj: | The American Journal of Tropical Medicine and Hygiene |
| ISSN: | 1476-1645 0002-9637 |
| DOI: | 10.4269/ajtmh.13-0170 |
| Popis: | Cholera, previously unrecognized in Haiti, spread through the country in the fall of 2010. An analysis was performed to understand the epidemiological characteristics, clinical management, and risk factors for disease severity in a population seen at the GHESKIO Cholera Treatment Center in Port-au-Prince. A comprehensive review of the medical records of patients admitted during the period of October 28, 2010–July 10, 2011 was conducted. Disease severity on admission was directly correlated with older age, more prolonged length of stay, and presentation during the two epidemic waves seen in the observation period. Although there was a high seroprevalence of human immunodeficiency virus (HIV), severity of cholera was not greater with HIV infection. This study documents the correlation of cholera waves with rainfall and its reduction in settings with improved sanitary conditions and potable water when newly introduced cholera affects all ages equally so that interventions must be directed throughout the population. |
| Databáze: | OpenAIRE |
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