Undiagnosed HIV cases in accident and emergency unit of a tertiary health institution in south east Nigeria

CN Ogbuagu, JKC Emejulu, RO Ofiaeli, EN Ogbuagu, ON Onyenekwe, VM Oguoma

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: This study aimed at investigating the cases of Undiagnosed Human Immunodeficiency Virus (HIV) amongst patients attending the Accident and Emergency (A&E) Unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH) to determine the prevalence and individual awareness of their sero-status. 

Method: Human Immunodeficiency Virus (HIV) 1 and 2 screening was conducted on randomly selected conscious patients (mostly trauma) presenting to the Accident & Emmergency (A&E) unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH) using the STAT PAK™ (Chembio Diagnostic Systems Inc, USA) and Determine™ (Abbott Laboratories, IL, USA) kits for HIV 1 and 2, for a 6 month period, August 2008 - February 2009. Referrals were sent to the Virology Unit of the Health Institution for a further confirmation of the HIV 1 and 2 positive cases. Data accruing from the study was computed using SPSS Version 11.0. GraphPad StatMate™ 2.0 was used to calculate the Chi-square test using cross tabulations generated from SPSS. 

Results: Out of a total number 1497patients that presented in Accident and Emergency during the 6 month study period, 102 patients were randomly recruited for the study. Those positive for HIV were 24 (23.5%) while 78 (76.5%) were confirmed negative. The result shows that 17 (16.7%) males were positive for HIV which is higher than females 7 (6.9%). The age group 30 – 39 years had the highest number of positive cases of HIV 8 (7.8%) followed by 40 – 49 years 7 (6.9%); 20 – 29 years 5 (4.9%); 50 – 59 years 4 (3.9%); and finally with 60> years having no identified HIV positive case. 

Conclusion: Undiagnosed HIV infections constitute a significant proportion of Accident & Emergency Cases in our institution and thus a very important public health issue in Nigeria. The result of this finding has shown that a sizeable number of patients presenting in Accident & Emergency are HIV sero-positive and yet unaware of their status.
Original languageEnglish
Pages (from-to)239-242
Number of pages4
JournalReviews in Infection
Volume1
Issue number5
Publication statusPublished - 2010
Externally publishedYes

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Nigeria
Accidents
Hospital Emergency Service
HIV
Health
HIV-2
Emergencies
HIV-1
Teaching Hospitals
Virology
Virus Diseases
Chi-Square Distribution
Referral and Consultation
Public Health
Age Groups

Cite this

Ogbuagu, CN., Emejulu, JKC., Ofiaeli, RO., Ogbuagu, EN., Onyenekwe, ON., & Oguoma, VM. (2010). Undiagnosed HIV cases in accident and emergency unit of a tertiary health institution in south east Nigeria. Reviews in Infection, 1(5), 239-242.
Ogbuagu, CN ; Emejulu, JKC ; Ofiaeli, RO ; Ogbuagu, EN ; Onyenekwe, ON ; Oguoma, VM. / Undiagnosed HIV cases in accident and emergency unit of a tertiary health institution in south east Nigeria. In: Reviews in Infection. 2010 ; Vol. 1, No. 5. pp. 239-242.
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abstract = "Objective: This study aimed at investigating the cases of Undiagnosed Human Immunodeficiency Virus (HIV) amongst patients attending the Accident and Emergency (A&E) Unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH) to determine the prevalence and individual awareness of their sero-status. Method: Human Immunodeficiency Virus (HIV) 1 and 2 screening was conducted on randomly selected conscious patients (mostly trauma) presenting to the Accident & Emmergency (A&E) unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH) using the STAT PAK™ (Chembio Diagnostic Systems Inc, USA) and Determine™ (Abbott Laboratories, IL, USA) kits for HIV 1 and 2, for a 6 month period, August 2008 - February 2009. Referrals were sent to the Virology Unit of the Health Institution for a further confirmation of the HIV 1 and 2 positive cases. Data accruing from the study was computed using SPSS Version 11.0. GraphPad StatMate™ 2.0 was used to calculate the Chi-square test using cross tabulations generated from SPSS. Results: Out of a total number 1497patients that presented in Accident and Emergency during the 6 month study period, 102 patients were randomly recruited for the study. Those positive for HIV were 24 (23.5{\%}) while 78 (76.5{\%}) were confirmed negative. The result shows that 17 (16.7{\%}) males were positive for HIV which is higher than females 7 (6.9{\%}). The age group 30 – 39 years had the highest number of positive cases of HIV 8 (7.8{\%}) followed by 40 – 49 years 7 (6.9{\%}); 20 – 29 years 5 (4.9{\%}); 50 – 59 years 4 (3.9{\%}); and finally with 60> years having no identified HIV positive case. Conclusion: Undiagnosed HIV infections constitute a significant proportion of Accident & Emergency Cases in our institution and thus a very important public health issue in Nigeria. The result of this finding has shown that a sizeable number of patients presenting in Accident & Emergency are HIV sero-positive and yet unaware of their status.",
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Ogbuagu, CN, Emejulu, JKC, Ofiaeli, RO, Ogbuagu, EN, Onyenekwe, ON & Oguoma, VM 2010, 'Undiagnosed HIV cases in accident and emergency unit of a tertiary health institution in south east Nigeria', Reviews in Infection, vol. 1, no. 5, pp. 239-242.

Undiagnosed HIV cases in accident and emergency unit of a tertiary health institution in south east Nigeria. / Ogbuagu, CN; Emejulu, JKC; Ofiaeli, RO; Ogbuagu, EN; Onyenekwe, ON; Oguoma, VM.

In: Reviews in Infection, Vol. 1, No. 5, 2010, p. 239-242.

Research output: Contribution to journalArticleResearchpeer-review

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AB - Objective: This study aimed at investigating the cases of Undiagnosed Human Immunodeficiency Virus (HIV) amongst patients attending the Accident and Emergency (A&E) Unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH) to determine the prevalence and individual awareness of their sero-status. Method: Human Immunodeficiency Virus (HIV) 1 and 2 screening was conducted on randomly selected conscious patients (mostly trauma) presenting to the Accident & Emmergency (A&E) unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH) using the STAT PAK™ (Chembio Diagnostic Systems Inc, USA) and Determine™ (Abbott Laboratories, IL, USA) kits for HIV 1 and 2, for a 6 month period, August 2008 - February 2009. Referrals were sent to the Virology Unit of the Health Institution for a further confirmation of the HIV 1 and 2 positive cases. Data accruing from the study was computed using SPSS Version 11.0. GraphPad StatMate™ 2.0 was used to calculate the Chi-square test using cross tabulations generated from SPSS. Results: Out of a total number 1497patients that presented in Accident and Emergency during the 6 month study period, 102 patients were randomly recruited for the study. Those positive for HIV were 24 (23.5%) while 78 (76.5%) were confirmed negative. The result shows that 17 (16.7%) males were positive for HIV which is higher than females 7 (6.9%). The age group 30 – 39 years had the highest number of positive cases of HIV 8 (7.8%) followed by 40 – 49 years 7 (6.9%); 20 – 29 years 5 (4.9%); 50 – 59 years 4 (3.9%); and finally with 60> years having no identified HIV positive case. Conclusion: Undiagnosed HIV infections constitute a significant proportion of Accident & Emergency Cases in our institution and thus a very important public health issue in Nigeria. The result of this finding has shown that a sizeable number of patients presenting in Accident & Emergency are HIV sero-positive and yet unaware of their status.

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