The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town

摘要

IntroductionMany patients present to emergency centres with HIV and tuberculosis related emergencies. Little is known about the influence of HIV and tuberculosis on the resuscitation areas of district-level hospitals. The primary objective was to determine the burden of non-trauma patients with HIV and/or tuberculosis presenting to the resuscitation area of Khayelitsha Hospital, Cape Town.MethodsA retrospective analysis was performed on a prospectively collected observational database. A randomly selected 12-week sample of data from the resuscitation area was used. Trauma and paediatric (<13?years) cases were excluded. Patient demographics, HIV and tuberculosis status, disease category, investigations and procedures undertaken, disposition and in-hospital mortality were assessed. HIV and tuberculosis status were determined by laboratory confirmation or from clinical records. Descriptive statistics are presented and comparisons were done using the χ2-test or independentt-test.ResultsA total of 370 patients were included. HIV prevalence was 38.4% (n?=?142; unknown n?=?78, 21.1%), tuberculosis prevalence 13.5% (n?=?50; unknown n?=?233, 63%), and HIV/tuberculosis co-infection 10.8% (n?=?40). HIV and tuberculosis were more likely in younger patients (both p?