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Pain: a common symptom in human immunodeficiency virus-infected Thai children
R Lolekha1, P Chanthavanich, K Limkittikul
1Queen Sirikit National Institute of Child Health, Bangkok, Thailand.
Insights
Pain is common in Thai children with human immunodeficiency virus (HIV) infection, affecting 44% of those studied. Many infected children with pain did not receive adequate treatment, highlighting a need for better pain management in their care.
Area of Science:
- Pediatrics
- Infectious Diseases
- Pain Management
Background:
- Pain is a significant issue for children living with human immunodeficiency virus (HIV).
- Understanding pain prevalence and characteristics in this population is crucial for effective care.
- Previous research on pain in pediatric HIV patients in Thailand is limited.
Purpose of the Study:
- To determine the prevalence and characteristics of pain experienced by children infected with HIV in Thailand.
- To compare pain reporting between HIV-infected children and healthy children.
- To assess the adequacy of pain management in this cohort.
Main Methods:
- A cross-sectional study was conducted at a pediatric HIV/AIDS outpatient clinic in Bangkok, Thailand.
- Sixty-one HIV-infected children (aged 4-15) and an equal number of healthy controls participated.
- Structured interviews with children and caregivers were used to collect data on pain experiences.
Main Results:
- Forty-four percent of HIV-infected children reported pain, significantly higher than the 13% in the control group (OR=5.3).
- Seven percent of HIV-infected children experienced chronic pain, often located in the abdomen, lower limbs, or head.
- Children in advanced HIV clinical stages (B and C) reported more pain than those in earlier stages (N and A) (OR=4.0).
- Only 44% of HIV-infected children experiencing pain received analgesic medication.
Conclusions:
- Pain is a prevalent and often undertreated issue in Thai children with HIV/AIDS.
- There is a significant gap in pain identification, assessment, and management for these children.
- Systemic integration of adequate pain management strategies into routine care is recommended.
Aim:
To determine the prevalence and characteristics of pain in Thai human immunodeficiency virus-infected children.
Methods:
A cross-sectional study was performed at the HIV/AIDS outpatient clinic at the Queen Sirikit National Institute of Child Health, Bangkok, Thailand from November 2002 to January 2003. Sixty-one human immunodeficiency virus-infected patients aged 4 to 15 y, an equal number of age-matched children with no chronic disease and their caregivers participated. We interviewed children and their caregivers using a structured questionnaire on pain. The main outcome measure was the percentage of human immunodeficiency virus-infected children reporting pain.
Results:
Forty-four percent of the human immunodeficiency virus-infected children reported pain compared to 13% of the children with no chronic disease (odds ratio, OR = 5.3; 95% CI: 2.0-14.3). Seven percent of the infected children experienced chronic pain. Children in human immunodeficiency virus clinical categories B and C reported more pain than children in categories N and A (OR = 4.0, 95% CI: 1.1-14.7). Pain in infected children tended to occur in the abdomen, lower limbs or head. Only 44 percent of the infected children experiencing pain received analgesic medication.
Conclusion:
Despite being a common experience, pain is insufficiently taken into account and treated in Thai children with HIV/AIDS. Therefore, adequate pain identification, assessment and management should be systemically considered in their routine care.
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