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Prevalence and associated risk factors of anemia among HIV infected children attending Gondar university hospital, Northwest Ethiopia: a cross sectional study

Overview of attention for article published in BMC Hematology, September 2015
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Title
Prevalence and associated risk factors of anemia among HIV infected children attending Gondar university hospital, Northwest Ethiopia: a cross sectional study
Published in
BMC Hematology, September 2015
DOI 10.1186/s12878-015-0032-6
Pubmed ID
Authors

Bamlaku Enawgaw, Meseret Alem, Mulugeta Melku, Zelalem Addis, Betelihem Terefe, Gashaw Yitayew

Abstract

Anemia is the most common hematological abnormalities in HIV patients and it is a wide spread public health problem. The World Health Organization estimates that over 2 billion people are anemic worldwide with more than 100 million of these anemic children living in Africa. In Ethiopia, there is limited information about the prevalence and factors associated with anemia among HIV positive children. Thus, this study aimed to determine the prevalence and associated factors of anemia among HIV infected children aged 6 months to 14 years in Gondar university Hospital antiretroviral treatment clinic. A cross-sectional study was conducted on 265 HIV infected children from February to June 2013 on HIV infected children attending Gondar university Hospital ART clinic. The study subjects were selected with systematic random sampling technique. Data of socio demographic characteristics and clinical conditions of the study subjects was collected using a structured pretested questionnaire. Hemoglobin value and CD4 counts were determined by cell Dyne 1800 and FACS count machine respectively. WHO Cut off value of hemoglobin was taken and adjusted to altitude to define anemia. Data was analyzed by using the SPSS version 20 statistical software and bivariate and multivariate logistic regression was used to identify predictors. Anemia was present in 16.2 % (43 /265) of children, 60.5 % of them had mild anemia, 37.2 % had moderate anemia and 2.3 % had severe anemia. About 46.5 % of anemic children had normocytic-normochromic anemia followed by macrocytic-normochromic anemia (39.5 %). In this study, anemia was associated with eating green leafy vegetables (OR = 0.43, 95 % CI (0.188-0.981) and being on cotrimoxazole treatment (OR = 2.169, 95 % CI (1.047-4.49). But there was no significant association with age, sex, WHO clinical stage, opportunistic infections, intestinal parasitic infection and CD4 count percentage. The majority of HIV positive children in Northwest Ethiopia have a mild type of anemia and the increase in prevalence of anemia is due to being on cotrimoxazole and eating green leafy vegetables. Therefore, early diagnosis and treatment of anemia is essential in these patients.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 14%
Student > Postgraduate 5 12%
Student > Bachelor 5 12%
Other 4 9%
Lecturer 3 7%
Other 8 19%
Unknown 12 28%
Readers by discipline Count As %
Medicine and Dentistry 16 37%
Nursing and Health Professions 6 14%
Biochemistry, Genetics and Molecular Biology 4 9%
Immunology and Microbiology 2 5%
Agricultural and Biological Sciences 1 2%
Other 2 5%
Unknown 12 28%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 October 2015.
All research outputs
#13,175,276
of 16,580,141 outputs
Outputs from BMC Hematology
#52
of 80 outputs
Outputs of similar age
#174,090
of 252,601 outputs
Outputs of similar age from BMC Hematology
#1
of 1 outputs
Altmetric has tracked 16,580,141 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 80 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one is in the 23rd percentile – i.e., 23% of its peers scored the same or lower than it.
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