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  1. Article ; Online: The Need to Study Clinical Outcomes in Children and Adolescents With COVID-19 From Middle- and Low-Income Regions.

    Nachega, Jean B / Machekano, Rhoderick N / Mofenson, Lynne M

    JAMA pediatrics

    2022  Volume 176, Issue 7, Page(s) 728

    MeSH term(s) Adolescent ; COVID-19 ; Child ; Humans ; Income ; Poverty
    Language English
    Publishing date 2022-05-19
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2701223-2
    ISSN 2168-6211 ; 2168-6203
    ISSN (online) 2168-6211
    ISSN 2168-6203
    DOI 10.1001/jamapediatrics.2022.1162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: PEPFAR at 20 - A Game-Changing Impact on HIV in Africa.

    Nachega, Jean B / Serwadda, David / Abimiku, Alash'le / Sikazwe, Izukanji / Abdool Karim, Quarraisha

    The New England journal of medicine

    2023  Volume 389, Issue 1, Page(s) 1–4

    MeSH term(s) Humans ; Africa/epidemiology ; HIV Infections/drug therapy ; HIV Infections/economics ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; United States ; United States Government Agencies/economics ; United States Government Agencies/organization & administration ; International Cooperation
    Language English
    Publishing date 2023-07-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp2304600
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Children and adolescents in African countries should also be vaccinated for COVID-19.

    Sam-Agudu, Nadia A / Quakyi, Nana Kofi / Masekela, Refiloe / Zumla, Alimuddin / Nachega, Jean B

    BMJ global health

    2022  Volume 7, Issue 2

    MeSH term(s) Adolescent ; Africa/epidemiology ; COVID-19 ; Child ; Humans ; SARS-CoV-2 ; Vaccination
    Language English
    Publishing date 2022-02-10
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2021-008315
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Advanced HIV Disease at Antiretroviral Therapy Initiation and Treatment Outcomes Among Children and Adolescents Compared to Adults Living With HIV in Kinshasa, Democratic Republic of the Congo.

    Chabikuli, Otto Nzapfurundi / Ditekemena, John D / Sigwadhi, Lovemore Nyasha / Mulenga, Astrid / Mboyo, Aimé / Bidashimwa, Dieudonne / Nachega, Jean B

    Journal of the International Association of Providers of AIDS Care

    2023  Volume 22, Page(s) 23259582231221955

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Adult ; Child ; Humans ; Adolescent ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; Democratic Republic of the Congo/epidemiology ; Retrospective Studies ; Cohort Studies ; Treatment Outcome
    Language English
    Publishing date 2023-12-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2709037-1
    ISSN 2325-9582 ; 2325-9574
    ISSN (online) 2325-9582
    ISSN 2325-9574
    DOI 10.1177/23259582231221955
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The hidden continuum of HIV-associated cardiomyopathy: A focussed review with case reports.

    Robbertse, Pieter-Paul S / Doubell, Anton F / Nachega, Jean B / Herbst, Philip G

    SA heart journal

    2022  Volume 18, Issue 2, Page(s) 126–135

    Abstract: HIV-associated cardiomyopathy (HIVAC) is a poorly understood group of diseases with a poor prognosis once ventricular dysfunction is present. Cardiovascular magnetic resonance has revealed a previously unappreciated burden of asymptomatic myocardial ... ...

    Abstract HIV-associated cardiomyopathy (HIVAC) is a poorly understood group of diseases with a poor prognosis once ventricular dysfunction is present. Cardiovascular magnetic resonance has revealed a previously unappreciated burden of asymptomatic myocardial abnormalities in people living with HIV, including abnormalities already present at the time of HIV diagnosis. These abnormalities include thickened, inflamed ventricles that bear resemblance to cases of symptomatic HIVAC that are reported on in this article. Our understanding and the significance of asymptomatic HIV-associated myocardial pathology will be explored as early disease on a continuum towards more advanced cardiomyopathy. The need for prospective research in persons naïve to anti-retroviral therapy is emphasised as it may provide key findings to better understand this elusive disease process.
    Language English
    Publishing date 2022-05-04
    Publishing country South Africa
    Document type Journal Article
    ZDB-ID 2580527-7
    ISSN 2071-4602 ; 2071-4602
    ISSN (online) 2071-4602
    ISSN 2071-4602
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  6. Article: Predictors associated with critical care need and in-hospital mortality among children with laboratory-confirmed COVID-19 infection in a high HIV infection burden region.

    Byamungu, Liliane N / Nachega, Jean B / Pillay, Ashendri / Katoto, Patrick D M C / Jeena, Prakash / Zurba, Lindsay / Masekela, Refiloe

    Frontiers in pediatrics

    2023  Volume 11, Page(s) 1252886

    Abstract: Introduction: Despite the extra mortality associated with COVID-19 death globally, there is scant data on COVID-19-related paediatric mortality in Sub-Saharan Africa. We assessed predictors of critical care needs and hospital mortality in South African ... ...

    Abstract Introduction: Despite the extra mortality associated with COVID-19 death globally, there is scant data on COVID-19-related paediatric mortality in Sub-Saharan Africa. We assessed predictors of critical care needs and hospital mortality in South African children with laboratory-confirmed SARS-CoV-2 infection in region with high HIV infection burden.
    Methods: We conducted a secondary multicentre analysis of the AFREhealth cohort (a multinational, multicentre cohort of paediatric COVID-19 clinical outcomes across six African countries) of children admitted to the Inkosi Albert Luthuli, a quaternary hospital in KwaZulu-Natal, South Africa, with confirmed RT-PCR between March 2020 and December 2020. We constructed multivariable logistic regression to explore factors associated with the need for critical care (high care/ intensive care hospitalisation or oxygen requirement) and cox-proportional hazards models to further assess factors independently associated with in-hospital death.
    Results: Of the 82 children with PCR-confirmed SARS-CoV-2 infection (mean ± SD age: 4.2 ± 4.4 years), 35(42.7%) were younger than one year, 52(63%) were female and 59(71%) had a pre-existing medical condition. Thirty-seven (45.2%) children required critical care (median (IQR) duration: 7.5 (0.5-13.5) days) and 14(17%) died. Independent factors associated with need for critical care were being younger than 1 year (aPR: 3.02, 95%CI: 1.05-8.66;
    Conclusion: We found a relatively high hospital death rate among children with confirmed COVID-19. During COVID-19 waves, a timely referral system and rapid identification of children at risk for critical care needs and death, such as those less than one year and those with comorbidities, could minimize excess mortality, particularly in high HIV-infection burden countries.
    Language English
    Publishing date 2023-09-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2023.1252886
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Completion of isoniazid preventive therapy for latent tuberculosis infection among children and adolescents compared to adults living with HIV in Kinshasa, Democratic Republic of the Congo.

    Bidashimwa, Dieudonné / Ditekemena, John D / Sigwadhi, Lovemore Nyasha / Nkuta, Lievain Maluentesa / Engetele, Elodie / Kilundu, Apolinaire / Chabikuli, Otto N / Nachega, Jean B

    Tropical medicine & international health : TM & IH

    2023  Volume 29, Issue 2, Page(s) 88–95

    Abstract: Background: Little is known about isoniazid preventive therapy (IPT) completion rates among children or adolescents compared to adults living with HIV in Kinshasa, Democratic Republic of the Congo (DRC).: Methods: We conducted a retrospective cohort ... ...

    Abstract Background: Little is known about isoniazid preventive therapy (IPT) completion rates among children or adolescents compared to adults living with HIV in Kinshasa, Democratic Republic of the Congo (DRC).
    Methods: We conducted a retrospective cohort analysis including children, adolescents, and adults living with HIV who were treated at FHI360 and partners-implemented HIV care programs at six health zones in Kinshasa, DRC, from 2004 to 2020. The primary outcome was the proportion of children, adolescents versus adults who did complete 6 months of daily self-administered IPT. Log-binomial regression assessed independent predictors of IPT non-completion and Kaplan-Meier technique for survival analysis.
    Results: Of 11,691 eligible patients on ART who initiated IPT, 429 were children (<11 years), 804 adolescents (11-19 years), and 10,458 adults (≥20 years). The median age was 7 (IQR: 3-9) years for children, 15 (IQR: 13-17) years for adolescents, and 43 (35-51) years for adults. Among those who were initiated on IPT, 5625 out of 11,691 people living with HIV (PLHIV) had IPT completion outcome results, and an overall 3457/5625 (61.5%) completion rate was documented. Compared to adults, children and adolescents were less likely to complete IPT [104/199 (52.3%) and 268/525 (51.0%), respectively, vs. 3085/4901 (62.9%)]. After adjustment, the only independent predictors for IPT non-completion were health zone of residence and type of ART regimen. Kaplan-Meier analysis showed comparable poor survival among patients who completed IPT versus those who did not (p-value for log-rank test, 0.15).
    Conclusions: The overall sub-optimal IPT completion rate in adults as well as children/adolescents in this setting is of great concern. Prospective studies are needed to elucidate the specific barriers to IPT completion among children, adolescents, and adults in DRC as well as the scale-up of evidence-informed interventions to improve IPT completion, such as adoption of shorter TB preventive regimens.
    MeSH term(s) Adult ; Child ; Humans ; Adolescent ; Child, Preschool ; Isoniazid/therapeutic use ; Latent Tuberculosis ; Antitubercular Agents/therapeutic use ; Tuberculosis/drug therapy ; Tuberculosis/prevention & control ; Democratic Republic of the Congo/epidemiology ; Retrospective Studies ; HIV Infections/complications ; HIV Infections/drug therapy
    Chemical Substances Isoniazid (V83O1VOZ8L) ; Antitubercular Agents
    Language English
    Publishing date 2023-12-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1314080-2
    ISSN 1365-3156 ; 1360-2276
    ISSN (online) 1365-3156
    ISSN 1360-2276
    DOI 10.1111/tmi.13952
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  8. Article ; Online: The where, when, and how of community-based versus clinic-based ART delivery in South Africa and Uganda.

    Nachega, Jean B / Fatti, Geoffrey / Zumla, Alimuddin / Geng, Elvin H

    The Lancet. Global health

    2020  Volume 8, Issue 10, Page(s) e1245–e1246

    MeSH term(s) Anti-HIV Agents ; Delivery of Health Care ; HIV Infections ; Humans ; South Africa ; Uganda
    Chemical Substances Anti-HIV Agents
    Keywords covid19
    Language English
    Publishing date 2020-09-21
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 2723488-5
    ISSN 2214-109X ; 2214-109X
    ISSN (online) 2214-109X
    ISSN 2214-109X
    DOI 10.1016/S2214-109X(20)30385-5
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  9. Article ; Online: Scaling Up Covid-19 Vaccination in Africa - Lessons from the HIV Pandemic.

    Nachega, Jean B / Sam-Agudu, Nadia A / Mellors, John W / Zumla, Alimuddin / Mofenson, Lynne M

    The New England journal of medicine

    2021  Volume 385, Issue 3, Page(s) 196–198

    MeSH term(s) Africa/epidemiology ; Anti-Retroviral Agents/therapeutic use ; Attitude to Health ; COVID-19/prevention & control ; Child ; Female ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; Health Promotion ; Humans ; Immunization Programs/organization & administration ; Pandemics ; Pregnancy
    Chemical Substances Anti-Retroviral Agents
    Language English
    Publishing date 2021-03-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp2103313
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