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JAIDS Journal of Acquired Immune Deficiency Syndromes:
doi: 10.1097/QAI.0000000000000304
Brief Report: Clinical Science

Management of Fever in Ambulatory HIV-Infected Adults in Resource-Limited Settings: Prospective Observational Evaluation of a New Mozambican Guideline

Brentlinger, Paula E. MD, MPH*; Silva, Wilson P. PhD*,‡; Buene, Manuel BS*; Morais, Luis MS*; Valverde, Emilio MD, PhD*; Vermund, Sten H. MD, PhD*,†; Moon, Troy D. MD, MPH*,†

Erratum

Erratum

In the article by Brentlinger et al., appearing in JAIDS: Journal of Acquired Immune Deficiency Syndromes (Vol. 67, No. 3, pp. 304-309), entitled “Management of Fever in Ambulatory HIV-Infected Adults in Resource-Limited Settings: Prospective Observational Evaluation of a New Mozambican Guideline,” there is an error in the authors’ affiliations. Drs. Moon and Vermund are affiliated with the Department of Pediatrics at Vanderbilt University, not with the Department of Pathology, Microbiology, and Immunology.

JAIDS Journal of Acquired Immune Deficiency Syndromes. 67(5):e145, December 15, 2014.

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Abstract

Abstract: A new Mozambican guideline for management of fever in HIV-infected adults requires malaria testing and systematic consideration of specific alternative diagnoses (eg, tuberculosis and bacterial infections) in addition to malaria. We conducted a prospective observational study of the guideline's performance. Of 258 HIV-infected subjects with axillary temperature ≥37.5° C or history of fever, 76.0% improved, 13.6% died or were hospitalized, and 10.5% were lost to follow-up. In multivariate analyses, factors associated with adverse outcomes were bacterial blood stream infection, syndromically diagnosed tuberculosis, lower CD4+ T-lymphocyte count, no antiretroviral therapy, lower body mass index, lower hemoglobin, and nonprescription of antibiotics.

© 2014 by Lippincott Williams & Wilkins

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