THE HIV BURDEN ON INPATIENT FACILITIES: AN URBAN HOSPITAL IN JOHANNESBURG, SOUTH AFRICA

By  Dr. Lawrence Long  Dr. Matthew Fox  Sauls C  Dr. Denise Evans  Professor Ian Sanne  Professor Sydney Rosen  |  | 

Prior to large-scale availability of antiretroviral treatment (ART) in South Africa public inpatient facilities were reporting an increase in the number of HIV infected patients presenting with serious HIV-related complications and AIDS [1-4]. ART was first made available in South African at public health facilities in 2004 and since then the treatment program has grown to be the largest in the world with over 2.6 million on ART [5, 6]. It is commonly assumed that broad access to ART will reduce the incidence of severe HIV related conditions and as a result reduce the burden of HIV-related admissions on inpatient facilities. Since 2004 there have been only a few publications reporting on the inpatient burden attributable to HIV [7-9] and none have estimated this in more recent years when there has been widespread access to ART. This study aimed to provide current information on the burden of HIV-related inpatient care by examining medical admissions among HIV-positive patients at a regional, urban hospital in South Africa during 2010.

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