© 2002 Archives of Disease in Childhood
SHORT REPORT
The impact of human immunodeficency virus 1 on largyngeal airway obstruction in children
1 Department of Paediatrics and Child Health, Nelson Mandela School of Medicine, University of Natal, Durban, South Africa
Correspondence to:
Correspondence to:
Dr P M Jeena, Department of Paediatrics & Child Health, Nelson Mandela School of Medicine, University of Natal, Private Bag 7, Congella, 4013, South Africa;
jeena{at}nu.ac.za
Children with laryngeal airway obstruction (LAO) require admission to the intensive care unit (ICU). The unresolved ethical dilemma of ICU access for HIV infected children in resource poor settings requires further scientific data to help guide triaging. Of 38 children with LAO, 19 had HIV infection. The mortality, need for supportive management, duration of intubation, intermittent positive pressure ventilation, and ICU and hospitalisation stay were similar in the HIV infected group compared to the HIV uninfected group. Episodes of laryngotracheobronchitis were equally distributed between both groups (31.6% v 31.3%), while oropharyngeal/laryngeal candidiasis (26.3%), tuberculosis (15.8%), and benign lymphoid hyperplasia (15.8%) were commonly seen in the HIV infected group.
Keywords: HIV; laryngeal airway obstruction; intensive care
COMMENTARY
2 Assistant Clinical Professor of Pediatric Infectious Diseases, Department of Pediatrics, UCLA Mattel Children’s Hospital/UCLA School of Medicine, 22–442 MDCC 10833 LeConte Ave, Los Angeles, CA 90095–1752, USA; knielsen{at}mednet.ucla.edu
Abbreviations: ICU, intensive care unit; HIV, human immunodeficiency virus; LAO, laryngeal airway obstruction; LTB, laryngotracheobronchitis
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