SciELO - Scientific Electronic Library Online

 
vol.12 issue4Family environment, socioeconomic conditions and childhood health and wellbeing in informal settlements in MozambiqueUniversal newborn hearing screening in public healthcare in South Africa: Challenges to implementation author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • On index processSimilars in Google

Share


South African Journal of Child Health

On-line version ISSN 1999-7671
Print version ISSN 1994-3032

Abstract

MUHOMUD, S; NAIDOO, Κ L; NAIDOO, V  and  MASEKELA, R. Feeding patterns of infants admitted with lower respiratory tract infections in an HIV-endemic area. S. Afr. j. child health [online]. 2018, vol.12, n.4, pp.154-158. ISSN 1999-7671.  http://dx.doi.org/10.7196/sajch.2018.v12i4.1487.

BACKGROUND. Lower respiratory tract infections (LRTIs) remain a major cause of mortality and morbidity in infants in South Africa (SA). Exclusive breastfeeding has been shown to decrease mortality and morbidity in infants with LRTIs, especially in the context of HIV/AIDS. Major effort has been put into educating HIV-positive mothers on the benefits of exclusive breastfeeding within effective prevention of mother-to-child transmission (PMTCT) programmes. OBJECTIVES. To determine the feeding practices among infants admitted with LRTIs in an HIV-endemic area. METHODOLOGY. The study was a retrospective chart review of all infants admitted with a diagnosis of LRTI between 1 January 2015 and 31 December 2015 at King Edward VIII Hospital, Durban, SA. Data on feeding patterns, socioeconomic status, maternal HIV status and clinical outcomes of LRTI admissions were collected. RESULTS. Of the 308 infants enrolled, 63% were male. Exclusive breastfeeding rates of those aged <6 months with LRTIs were higher than those found in previous studies; however, these feeding patterns were significantly associated with the HIV status of the mother (j?=0.003). Mothers who were HIV-negative were twice as likely to breastfeed as those who were HIV-positive (odds ratio 2.25; 95% confidence interval 1.32- 3.88). There was no association between the type of feeding and the clinical outcomes for LRTIs. CONCLUSION. Maternal HIV status influenced the feeding patterns of infants admitted with LRTIs with lower exclusive breastfeeding rates in the HIV-exposed group. Despite extensive efforts to promote breastfeeding within effective PMTCT programmes, HIV-positive mothers are still not harnessing the benefits that exclusive breastfeeding provides.

        · text in English     · English ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License