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Table 2 Frequency of selected physical findings and clinical events in very young HIV-infected with CD4% < 25% (severe immune suppression) versus CD4 ≥ 25%

From: Utility of clinical parameters to identify HIV infection in infants below ten weeks of age in South Africa: a prospective cohort study

 

CD4 < 25% n = 62

CD4 ≥ 25% n = 313

Unadjusted p-value3

AOR (95% CI)3

Female gender (%)

29 (46.8)

187 (59.7)

0.06

 

Median age, days (IQR)

52 (42-66)

45 (39-55)

0.0021

 

Anthropometry at screening

Median weight, kg (IQR)

4.3 (3.9-5)

4.4 (4.0-4.9)

0.228

1.6 (1.1-2.4)

Weight < 3 rd centile (%)

19 (30.6)

52 (16.6)

0.010

NA

Weight < 15 th centile (%)

36 (56.4)

115 (37.0)

0.004

NA

Weight < 50 th centile (%)

51 (82)

228 (72.8)

0.121

NA

Median length, cm

54 (52.5-55)

54 (52-56)

0.563

1.1 (0.98-1.2)

Median HC, cm

39 (38-40)

39 (38-40)

0.859

1.1 (0.9-1.1)

Physical exam findings at screening

Any LAD # (%)

33 (53.2)

93 (29.7)

< 0.001

0.4 (0.2-0.7)

Atopic dermatitis (%)

14 (22.6)

64 (20.4)

0.705

1.1 (0.5-2.1)

Diaper dermatitis

28 (45.2)

111 (35.5)

0.149

0.7 (0.4-1.2)

Oral thrush (%)

29 (46.8)

115 (36.7)

0.138

0.7 (0.4-1.1)

Hepatomegaly (%)

11 (17.7)

19 (6.1)

0.002

0.4 (0.2-0.8)

Splenomegaly (%)

19 (30.6)

51 (16.3)

0.008

0.5 (0.3-0.9)

Clinical event prior to or at screening

Gastroenteritis (%)

12 (19.4)

29 (9.3)

0.020

0.5 (0.2-1.0)

Otitis media (%)

1 (1.6)

5 (1.6)

0.993

1.5 (0.2-13.8)

Sepsis (%)

4 (6.5)

7 (2.2)

0.072

0.4 (0.1-1.5)

URTI (%)

11 (17.7)

65 (20.8)

0.558

1.2 (0.6-2.5)

Reflux (%)

3 (4.8)

11 (35.1)

0.615

0.6 (0.2-2.4)

Pneumonia (%)

11 (17.2)

17 (5.4)

0.001

0.2 (0.1-0.6)

Laboratory findings

Anemia (%)

4 (6.5)

18 (5.8)

0.830

1.0 (0.3-3.0)

Neutropenia (%)

4 (6.5)

9 (2.9)

0.160

0.4 (0.1-1.2)

  1. 1 Kruskal Wallis 2ANOVA 3Fishers exact unless otherwise specified
  2. 3Age-adjusted OR of HIV-infected infants with CD4 ≥ 25% versus those with CD4 < 24%
  3. IQR - Interquartile range. CI - Confidence Interval. HC - Head circumference. URTI - Upper respiratory tract infection.
  4. #Any lymphadenopathy - includes generalized, cervical, axillary or inguinal
  5. *Small sample sizes prevented the calculation of adjusted OR