Injuries in hiv-infected children compared to a general population of african-american children

B. J. Turner, R. Casey, R. Cocroft James, C. Christian, E. Gbson, T. R. Fanning

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Because HIV+ children may be at increased risk of injury due to neurologic disease and their social environment we compared the rates of injuries for an HIV+ cohort in NYS to previously reported rates for African-American children from Philadelphia. Methode HIV+ children enrolled in NYS Medicaid and delivered by HIV+ women from 1985-90 were identified by a tested case finding method Clinicians specified ICD-9-CM codes for injuries and all unique injury events were identified from coded diagnoses from in- and out-patient claims for care of the HIV+ childreaWe calculated injury events per 100 child-years and compared these to reported rates for Philadelphia children (Schwarz DF et al. JAMA. 1994:271:755-60.} Results: 420 HIV+ children were studied, of whom 40.056 were African-American and 35.2% were LatinaThe rates of injuries/100 child-yrs. in children <24 mos. were 217 for the HIV+ cohort compared to 21.3 for the general cohort The rate of bums was lower for the HIV+ cohort than the general group ( 1.58 vs. 2.09/100 child-yrs, respectively). However; the rate of poisoning was higher for the HIV+ cohort than the general group (173 vs. 1.73/100 child-yrs.). Poisoning from medications in the HIV+ cohort constituted one-third of all poisonings (0.86/100 child-yrs.). Six HIV+ children in this age group had a diagnosis of child maltreatment which is highly suspicious for child abuse. Six additional HIV+ children suffered three or more injuries in their first two years. Conclusions:The overall rate of injuries in our cohort of HIV+ children is similar to the rate reported for a general inner city pédiatrie population but poisonings may be more common in HIV+ children. Clinicians should counsel parents and caregivers of HIV+ children regarding the poisoning risk. As for all children, providers should be diligent in detecting any signs of abuse.

Original languageEnglish (US)
Number of pages1
JournalPediatric AIDS and HIV Infection
Volume7
Issue number5
StatePublished - Dec 1 1996

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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