ABSTRACT
Se estudiaron 63 pacientes, por medio de variables sociodemográficas, de comportamiento, clínicoinmunológicas y de factores de riesgo, para estimar la magnitud del debut clínico de SIDA en Cuba y caracterizar a estos pacientes en cuanto a factores asociados de manera potencial. El debut clínico representó 4,2 por ciento del total de los pacientes SIDA de Cuba. El riesgo de padecerlo resultó 17 veces más frecuente en personas mayores de 50 años. El sexo masculino representó 95,2 por ciento. El riesgo de fallecer es 3 veces mayor en los que inician clínicamente. La forma de presentación en 25 por ciento de los pacientes fue el desgaste por SIDA. Del total de pacientes, 34,9 por ciento afirmó haber padecido alguna infección de transmisión sexual anterior al diagnóstico y casi la mitad mantenía relaciones sexuales desprotegidas con personas seropositivas a VIH. De estas, 85,2 por ciento fue ocasional. Se concluyó que la falta de conocimiento sobre la situación serológica del paciente constituye una barrera para su tratamiento y supervivencia. Se evidenció la necesidad de insistir en la prevención y promoción en grupos vulnerables, y el pesquizaje activo en el área de salud(AU)
Sixty three patients were studied using sociodemographic, behavioral, clinical-immunological and risk factor variables. The objective was to estimate the size of clinical start of AIDS in Cuba and characterize these patients in terms of potentially associated factors. Clinical start represented 4.2 percent of the total number of AIDS patients in Cuba. The risk of suffering the disease turned to be 17 times more frequent in over 50 years-old persons. Males represented 95.2 percent. The risk of dying was 3 times higher in those with clinical start of AIDS. The presentation form in 25 percent of patients was weakening caused by AIDS. Of the total number of patients, 34.9 percent stated that they had suffered some sexually transmitted infection prior to HIV diagnosis and almost half had had unprotected sexual intercourse with HIV-seropositive persons. Most of them (85.2 percent) were occasional. It was concluded that lack of knowledge on serological situation of patient constituted a barrier to treatment and survival. It was proved that we must insist on prevention and promotion campaigns in vulnerable groups and on active screening in the health area(AU)
Subject(s)
Humans , Acquired Immunodeficiency Syndrome , CubaABSTRACT
Se estudiaron 63 pacientes, por medio de variables sociodemográficas, de comportamiento, clínicoinmunológicas y de factores de riesgo, para estimar la magnitud del debut clínico de SIDA en Cuba y caracterizar a estos pacientes en cuanto a factores asociados de manera potencial. El debut clínico representó 4,2 por ciento del total de los pacientes SIDA de Cuba. El riesgo de padecerlo resultó 17 veces más frecuente en personas mayores de 50 años. El sexo masculino representó 95,2 por ciento. El riesgo de fallecer es 3 veces mayor en los que inician clínicamente. La forma de presentación en 25 por ciento de los pacientes fue el desgaste por SIDA. Del total de pacientes, 34,9 por ciento afirmó haber padecido alguna infección de transmisión sexual anterior al diagnóstico y casi la mitad mantenía relaciones sexuales desprotegidas con personas seropositivas a VIH. De estas, 85,2 por ciento fue ocasional. Se concluyó que la falta de conocimiento sobre la situación serológica del paciente constituye una barrera para su tratamiento y supervivencia. Se evidenció la necesidad de insistir en la prevención y promoción en grupos vulnerables, y el pesquizaje activo en el área de salud.
Sixty three patients were studied using sociodemographic, behavioral, clinical-immunological and risk factor variables. The objective was to estimate the size of clinical start of AIDS in Cuba and characterize these patients in terms of potentially associated factors. Clinical start represented 4.2 percent of the total number of AIDS patients in Cuba. The risk of suffering the disease turned to be 17 times more frequent in over 50 years-old persons. Males represented 95.2 percent. The risk of dying was 3 times higher in those with clinical start of AIDS. The presentation form in 25 percent of patients was weakening caused by AIDS. Of the total number of patients, 34.9 percent stated that they had suffered some sexually transmitted infection prior to HIV diagnosis and almost half had had unprotected sexual intercourse with HIV-seropositive persons. Most of them (85.2 percent) were occasional. It was concluded that lack of knowledge on serological situation of patient constituted a barrier to treatment and survival. It was proved that we must insist on prevention and promotion campaigns in vulnerable groups and on active screening in the health area.
Subject(s)
Humans , Acquired Immunodeficiency Syndrome , CubaABSTRACT
Sixty three patients were studied using sociodemographic, behavioral, clinical-immunological and risk factor variables. The objective was to estimate the size of clinical start of AIDS in Cuba and characterize these patients in terms of potentially associated factors. Clinical start represented 4.2% of the total number of AIDS patients in Cuba. The risk of suffering the disease turned to be 17 times more frequent in over 50 years-old persons. Males represented 95.2%. The risk of dying was 3 times higher in those with clinical start of AIDS. The presentation form in 25% of patients was weakening caused by AIDS. Of the total number of patients, 34.9% stated that they had suffered some sexually transmitted infection prior to HIV diagnosis and almost half had had unprotected sexual intercourse with HIV-seropositive persons. Most of them (85.2%) were occasional. It was concluded that lack of knowledge on serological situation of patient constituted a barrier to treatment and survival. It was proved that we must insist on prevention and promotion campaigns in vulnerable groups and on active screening in the health area.
Subject(s)
Acquired Immunodeficiency Syndrome/epidemiology , Acquired Immunodeficiency Syndrome/blood , Acquired Immunodeficiency Syndrome/diagnosis , Acquired Immunodeficiency Syndrome/prevention & control , Age Factors , Aged , CD4 Lymphocyte Count , Chronic Disease/epidemiology , Comorbidity , Cuba/epidemiology , Disease Progression , Ethnicity , Female , HIV Seropositivity , Humans , Male , Middle Aged , Prognosis , Risk Factors , Sexually Transmitted Diseases/epidemiology , Socioeconomic Factors , Unsafe Sex , Viral LoadABSTRACT
We aimed to estimate the prevalence of Candida albicans and Trichomonas vaginalis in immunocompetent pregnant women living in Havana City, Cuba, with or without symptoms of vaginitis, using a sample of 640 women from 6 Gyneco-obstetrics hospitals, which represents 2,5 percent of total yearly pregnant women. Diagnosis was made using a new latex agglutination kit (Newvagin C-Kure, La Habana, Cuba)...(AU)
