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High proportional mortality among adults hospitalized HIV-infected: Strengths technical platform at Jason send we provincial referral hospital, Lubumbashi, democratic Republic of Congo

Author: 
Mbayo Lukasu, Kakoma Kambola, Kasamba Ilunga, Manda Mukendi, Kalumba Kambote Mudingwe Kasongo, Tshikamba Muamba, Tshikala Nday, Kandja Luamba and Mulumba Kadiebwe
Subject Area: 
Health Sciences
Abstract: 

Background: The inadequacy, lack of suitable equipment in our specialty infrastructure and lack of monthly deaths in people living with human immunodeficiency virus increase the number of deaths and undetermined diagnosis in the internal medicine department of Sendwe referral hospital. The purpose of this study was to determine the biographical characteristics, proportional mortality from infection with the human immunodeficiency virus and the map of the morbidity and mortality of diseases related to this infection. Methods: This is a retrospective cross sectional study running the period from January 1, 2012 to Jun 15, 2016 concerned hospitalized adults HIV-infected in internal medicine at Jason Sendwe referral hospital. Interpretation of the results was performed by frequencies, central tendency and dispersion parameters. Proportional mortality was calculated to divide the number of death from HIV-infected on global mortality-years. The global mortality was calculated to divide the number of death on study population-years Results: The median age was 41 years and male was predominant (57%). Proportional mortality was 65%.The frequencies causes were: Tuberculosis (29%), cryptococcal meningitis (26%) and pneumopathy (12%). The diabetes comorbidity was found in 3%. The associated conditions of death were dominated by respiratory distress (21%), and anemia (14%). Patients (92%) were accessing care clinical stage 3and 4 of the WHO2006. The undetermined diagnosis was 30%. Conclusion: Proportional mortality is interpellator and suggests strengthening technical platform and regular audit of deaths to improve medical practices and reverse trends in mortality. The main challenge would be to establish the share of comorbidities in the occurrence of death in persons living with HIV from under equipped country.

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