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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Epidemiology of pericardial effusions at a large academic hospital in South Africa
Epidemiology and Infection, Volume 133, No. 3, Year 2005
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Description
The aim was to establish the prevalence of large pericardial effusions in the Western Cape Province of South Africa, and to determine the incidence of various types of effusions. A total of 233 patients presented with large pericardial effusions. Each patient underwent tests for HIV, sputum smear and culture, blood culture, blood biochemistry and serological testing. Tuberculous pericardial effusions were diagnosed according to pre-determined criteria. Eighty-four patients (36.1%) were found to be HIV positive; 81 of these (96.4%) had tuberculous pericarditis. More than 65% of the study population was aged between 15 and 39 years. The prevalence of HIV amongst unemployed individuals was 49.0% compared to 30.0% amongst employed individuals. Tuberculous pericarditis was the most common cause of pericardial effusions (69.5%, n = 162). It was concluded that tuberculosis (TB) is a leading cause of pericarditis in this province of South Africa. The prevalence of TB confounded by HIV co-infection is steadily increasing, burdening the health-care facilities. © 2005 Cambridge University Press.
Authors & Co-Authors
Reuter, Helmuth
South Africa, Tygerberg
Tygerberg Hospital
Burgess, Lesley Jean
South Africa, Tygerberg
Tygerberg Hospital
Doubell, Anton Frans
South Africa, Tygerberg
Tygerberg Hospital
Statistics
Citations: 148
Authors: 3
Affiliations: 1
Identifiers
Doi:
10.1017/S0950268804003577
ISSN:
09502688
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Locations
South Africa