Inpatient mortality of HIV-infected adults in sub-Saharan Africa and possible interventions: a mixed methods review (Record no. 19922)

MARC details
000 -LEADER
fixed length control field 02663nam a22003377a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193745.0
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022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
Source BMC Health Services Research
International Standard Serial Number 1472-6963
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Language of cataloging English
Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Bahati MK Wajanga
9 (RLIN) 45957
222 ## - KEY TITLE
Key title HIV AIDS Sub-Saharan Africa Mortality Health system Inpatients
245 ## - TITLE STATEMENT
Title Inpatient mortality of HIV-infected adults in sub-Saharan Africa and possible interventions: a mixed methods review
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. BioMed Central &
-- Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 03 December 2014
300 ## - PHYSICAL DESCRIPTION
Extent Pages 1-8
490 ## - SERIES STATEMENT
Materials specified BMC Health Services Research:
Series statement Wajanga, B.M., Webster, L.E., Peck, R.N. et al. Inpatient mortality of HIV-infected adults in sub-Saharan Africa and possible interventions: a mixed methods review. BMC Health Serv Res 14, 627 (2014). https://doi.org/10.1186/s12913-014-0627-9
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Despite the increased availability of anti-retroviral therapy, in-hospital HIV mortality remains high in sub-Saharan Africa. Reports from Senegal, Malawi, and Tanzania show rates of in-hospital, HIV-related mortality ranging from 24.2% to 44%. This mixed methods review explored the potential causes of preventable in-hospital mortality associated with HIV infections in sub-Saharan Africa in the anti-retroviral era.<br/><br/>Results: Based on our experience as healthcare providers in Africa and a review of the literature we identified 5 health systems failures which may cause preventable in-hospital mortality, including: 1) late presentation of HIV cases, 2) low rates of in-hospital HIV testing, 3) poor laboratory capacity which limits CD4 T-cell testing and the diagnosis of opportunistic infections, 4) delay in initiation of anti-retroviral therapy in-hospital, and 5) problems associated with loss to follow-up upon discharge from hospital.<br/><br/>Conclusion: Our findings, together with the current available literature, should be used to develop practical interventions that can be implemented to reduce in-hospital mortality.
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 23036
9 (RLIN) 45478
9 (RLIN) 22982
9 (RLIN) 23034
9 (RLIN) 46686
9 (RLIN) 23177
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1186/s12913-014-0627-9">https://doi.org/10.1186/s12913-014-0627-9</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Holdings
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