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 language||English (US)|
|Number of pages||1|
|Journal||Pediatric AIDS and HIV Infection|
|State||Published - Dec 1 1996|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health