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.
Abstract

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