Predictors of disease severity in patients admitted to a cholera treatment center in urban Haiti.

TitlePredictors of disease severity in patients admitted to a cholera treatment center in urban Haiti.
Publication TypeJournal Article
Year of Publication2013
AuthorsValcin C-L, Severe K, Riche CT, Anglade BS, Moise CG, Woodworth M, Charles M, Li Z, Joseph P, Pape JW, Wright PF
JournalThe American journal of tropical medicine and hygiene
Volume89
Issue4
Pagination625-32
Date Published2013 Oct
Abstract

Cholera, previously unrecognized in Haiti, spread through the country in the fall of 2010. An analysis was performed to understand the epidemiological characteristics, clinical management, and risk factors for disease severity in a population seen at the GHESKIO Cholera Treatment Center in Port-au-Prince. A comprehensive review of the medical records of patients admitted during the period of October 28, 2010-July 10, 2011 was conducted. Disease severity on admission was directly correlated with older age, more prolonged length of stay, and presentation during the two epidemic waves seen in the observation period. Although there was a high seroprevalence of human immunodeficiency virus (HIV), severity of cholera was not greater with HIV infection. This study documents the correlation of cholera waves with rainfall and its reduction in settings with improved sanitary conditions and potable water when newly introduced cholera affects all ages equally so that interventions must be directed throughout the population.

DOI10.1242/bio.20135983
Alternate JournalAm. J. Trop. Med. Hyg.