CLINICAL OUTCOMES OF ADOLESCENTS LIVING WITH HIV AFTER TRANSFER TO ADULT CARE IN ETHIOPIA: A RETROSPECTIVE COHORT STUDY
Keywords:Adolescents, Antiretroviral, HIV, Perinatal Infection, Transition, Lost to follow up
Introduction: Transferring of adolescents living with HIV from pediatric care to adult care, is beyond changing the location of the services. The transition process will greatly affect the success of treatment for individual patients. The aim of this study was to assess the clinical outcomes of adolescents who were transferred to adult care.
Methods: Facility-based retrospective cohort study based on a review of the clinical records of adolescents who were transferred from pediatric clinic to adult clinic from January 2016 to 31 December 2017 in Tikur Anbessa Specialized Hospital. Data was extracted from paper-based and electronic medical records using a structured data abstraction tool. Data were analyzed using SPSS version 24.
Result: Out of the 151 patients, 18 (11.9%) of them were lost to follow up after one year of transfer to adult care. There was one death, which occurred three months after the transfer. At the time of transfer, 11(7.5%) of adolescents had poor adherence, and after six months of the transfer, this number has increased to 52(34.4%). The number of adolescents with CD4 count < 200 cells/Î¼l has increased from 2.7% (at time of transfer) to 13.2%( six months of transfer).
Conclusion: Although the majority (87.4%) of adolescents remained engaged in their follow-up after transfer to adult care, there is a major gap in adherence, and these also reflected by a subsequent increment of patients who have a CD4 count less than 200 cells/Î¼l. This suggests that more should be done to ease the transition process of adolescents.
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