Gastrointestinal, nutritional evaluation, dietary manegement and follow-up in pediatric HIV infection: preliminary results

Abstract:

Introduction: In Chile there are 45 HIV-infected children. Energy-protein malnutrition is frequent in AIDS children especially in severely infected patients. The first 6 months follow-up results of 11 HIV-infected children under control in our hospital are reported.Patients: 6 boys and 5 girls aged 9 month to 8 yr whose CDC classifications were: A:2; B:2; and C:7. The last group had undergone antiviral treatment.Methods: Nutritional assessment included : 24 hours dietary recall; anthropometry; weight, height, skinfold thickness and brachial perimeter. Gastrointestinal symptoms were seen and endoscopic biopsy performed in 611 patients (esophagus, stomach and duodenum). Children with normal dietary intake and nutritional status were fed normally 1.5-20 Resting Metabolic Rate (RMR). Those with stationary weight, weight loss or under 50% growth velocity were given oral supplements. Nocturnal enteral feeding was indicated in one anorectic patient. Polymeric formula was used as supplement to ensure 2 RMR calculated according to Schofield equation. W/H, H/A, and SDS scores were calculated for each children according to NCHS reference tables.Results: 1.- Gastrointestinal evaluation: Clinical: Anastomotic 911, anorexia 211, diarrhea 111.Endoscopic : Esophageal Candidiasis 16, Normal 56. Histology: 66 had chronic mucosal inflammation of esophagus, stomach and duodenum. 16 mucosal duodenum atrophy. Bacteriologic and parasitic studies: Cryptosporidium andhelicobacter pylori were negative.2.- Nutritional evaluationConclusion : We found scarce digestive symptoms despite the high frequency of chronic mucosal inflammation in …

Año de publicación:

1997

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