GHTMGovernment Hospital of Thoracic Medicine (Tambaram, India)
GHTMGolden Hills Trail Marathon (Berkeley, CA)
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References in periodicals archive ?
The number of HIV paediatric patients seeking care at GHTM has increased dramatically over time.
Children with HIV disease attending GHTM, Tambaram for the first time (new cases) were considered for the present analysis.
However, compared to population proportion, significantly (P<0.001) more male HIV positive children were brought to GHTM. Of the new positive children, 43.1 and 56.9 per cent were female and male respectively.
Comparison of HIV infected and non infected children: There were 5389 HIV non infected children who have accessed care at the GHTM during 2002 to 2004.
In Tamil Nadu, 20 per cent districts had more than 20 positive children visiting GHTM in 2002.
The mean number of visits in the first six months for new patients living within 100 km of GHTM was on 3.6, while for those living more than 400 km away that number was 4.0.
In our study, the percentage of new HIV positive children, who were brought to GHTM during 2002 to 2004, was 4.4 per cent.
Many of the HIV infected children were found to have tuberculosis when they attended for the first time at GHTM, Tambaram.
Over 60 per cent traveled more than 200 km from GHTM: 35 per cent of the children come from the neighbouring State Andhra Pradesh.
Still some of those patients from farther away eventually either try and get care near home, stop seeking care from GHTM more quickly than those who live nearby as they feel better and no longer require treatment.
Only those symptomatic children infected with HIV, who were able to reach GHTM, Tambaram, were included in this study.
This study clearly brought out three important pointers: (i) Tuberculosis was the most frequent clinical manifestation in HIV infected symptomatic children, like (ii) The family oriented approach in HIV screening adopted at GHTM, Tambaram, helped in identifying hitherto undetected HIV in children, and (iii) Adequate training of health care professional and creating an unstigmatised atmosphere in nearby primary and secondary health care settings would help children and their parents to access nearest health facility for care and support.