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Objectif : La malnutrition aigue est frequente chez les enfants infectes par le VIH. L’objectif de notre travail etait d’evaluer l’efficacite et l’acceptabilite des protocoles de recuperation nutritionnelle ambulatoire bases sur les aliments prets a l’emploi (ATPE) chez les EVVIH. Materiel et methodes : Il s’agissait d’une etude prospective, realisee a la pediatrie du CHRZ du 7 janvier au 31 Septembre 2018. Ont ete inclus les EVVIH, âges de 6 mois a 19 ans presentant une malnutrition aigue moderee ou severe sans complication. Le suivi etait bimensuel jusqu’a l’atteinte du poids cible. Un bilan clinico-biologique et anthropometrique, la delivrance des ATPE et la mesure de l’observance aux prescriptions etaient realises. Resultats : Douze enfants vivants avec le VIH ont ete inclus dont 3 MAS et 9 MAM sur un total de 25 enfants suivis soit une prevalence de 48%. Le sexe ratio (1,4) en faveur des garcons. L’âge median (9,5 ans). Ils etaient sous ARV dans 92% des cas. La moitie des patients avait un âge > a 10 ans. La toux etait le symptome le plus retrouve (67%) suivie de la diarrhee (58,3%), des vomissements (8,3%), une otite moyenne chronique (8,3%). La charge virale au debut de l'etude a montre (5cas 15 000 copies). Le taux d'hemoglobine etait < 10g/dl dans 92% des cas. Un probleme d'observance de la prise d'ATPE a ete note dans 58,3%. Onze enfants ont atteint leur poids cible. Nous n’avons pas note de perdu de vu ni d’hospitalise. Conclusion : Les ATPE bien que efficaces, pausent souvent un probleme d’acceptabilite. On gagnerait a ameliorer le gout et la presentation pour permettre une meilleure observance. Objective: Acute malnutrition is common in children with HIV infection. The objective of our work was to evaluate the efficiency and acceptability of ambulatory nutritional recovery protocols (ATPE) based on ready-to-use food) in HIV-positive children (EVVIH). Methods: This was a prospective study, conducted at the pediatrics of the regional hospital center of Ziguinchor (CHRZ) from January 7th to September 31st, 2018. We included all HIV-positive children (EVVIH), aged between 6 months and 19 years with relatively acute or severe malnutrition without complication. The follow-up was done every two months until target weight was reached. A clinic-biological and anthropometric report, the issuing of ATPE and the measurement of compliance with prescriptions were carried out. Results: We chose 12 children living with HIV, including 3 MAS and 9 MAM out of a total of 25 children followed, with a prevalence of 48%. The sex ratio (1.4) was in favor of boys. The medium age was (9.5 years). They were under ARV in 92% of cases. Half of the patients were > 10 years old. Coughing was the most common symptom (67%) followed by diarrhea (58.3%), vomiting (8.3%), medium chronic otitis (8.3%). The viral affection at the beginning of the study showed (5cases 15,000 copies). The hemoglobin level was <10g / dl in 92% of cases. A problem of respect of ATPE taking was noted in 58.3%. Eleven children reached their target weight. We did not notice any loss ofsight and no child was hospitalized. Conclusion: Although the ATPE are efficient, they often cause a problem of acceptability. It would be better to improve the taste and the presentation to allow a better observance.

european scientific journal

Evaluation de L’efficacite et de L’acceptabilite de la Prise en Charge Ambulatoire de la Malnutrition Aigue Chez les Enfants Vivants Avec le Vih (Evvih) Au Centre Hospitalier Regional De Ziguinchor (Chrz)/ Senegal