ABSTRACT
Objetivos: Conocer características sociodemográficas/clínicas de los presos VIH +Pacientes y Método: Estudio observacional de tipo transversal. Se selecciona a los 25 primeros pacientes de 8 CentrosPenitenciarios que pasaron consulta un día designado de julio de 2003. Se analizan 199 pacientes.Resultados: El 76,4% llevan ingresados en prisión más de 3 años. Presentan antecedentes UDI el 92,5%. Un 21,6% (47)refieren consumo actual de heroína y/o cocaína. En tratamiento con metadona están 132 (66,3%). 32 pacientes han padecidoTBC y el 35,2% ITL. 178 de 193 (92%) presentaban anticuerpos de VHC, 150 de 189 (79,3%) presentaban HBC Ac. positivo.11 de 186 (5,9%) HBSAg positivo. De 178 pacientes coinfectados por VHC, tienen realizada PCR de virus C 65 (36,5%)y es positiva en 62 (95,4%). Cumplen criterios de SIDA 44 (22,3%). 32 (16,8%) presentaban CD4<200. La media de CD4 esde 443,3 (±251,0). 110 (55,3%) han recibido algún TARV. 106 (54,8%) reciben TARV actualmente y de los 192 que tienenrealizada una CV de VIH en 82 (42,7%) es < 400.Conclusiones: El control de la infección VIH es correcto en el medio penitenciario, presentando los pacientes una buenasituación clínica de media. Es necesario el establecimiento de programas para el control y tratamiento de las hepatitisvirales (AU)
Background: We set out to establish the socio-demographical and clinical characteristics of HIV infected inmates. Patients and Methods: Cross-sectional observation study. The first 25 patients in 8 diffferent prisons were selected during surgery time on a designated day in July 2003. 199 patients were analysed. Results: 76.4% had been in prison for more than 3 years. 92.5% had an IDU history. 21.6% (47) required consumptionof heroin and/or cocaine at the time. 66.3% (132) were receiving methadone treatment. 32 patients had TB and 35.2% LTI.178 out of 193 (92.2%) had HCV antibodies, 150 out of 189 (79.4%) were HBC Ac positive. 11 out of 186 (5.9%) were HBSAgpositive. Out of the 178 HIV co-infected patients, 65 (36.5%) carried out PCRof virus C and were positive in 62 cases(95.4%). AIDS criteria were complied with in 44 cases (22.3%). 32 (16.8%) showed CD4<200. The CD4 mean was 443.3(± 251.0). 110 (55.3%) had received some type of ARVT. 106 (54.8%) were receiving ARVT at the time and out of the 192 thathad recived an HIV VC the result was <400 in 82 (42.7%) of them (AU)
Subject(s)
Humans , Male , Female , Adult , Acquired Immunodeficiency Syndrome/epidemiology , Prisoners/statistics & numerical data , Infection Control/statistics & numerical data , Acquired Immunodeficiency Syndrome/transmission , Acquired Immunodeficiency Syndrome/drug therapy , Socioeconomic Factors , Cross-Sectional Studies , Cocaine-Related Disorders/epidemiology , Cocaine-Related Disorders/rehabilitation , Heroin Dependence/epidemiology , Heroin Dependence/rehabilitationABSTRACT
Objetivos: Conocer características sociodemográficas/clínicas de los presos VIH +Pacientes y Método: Estudio observacional de tipo transversal. Se selecciona a los 25 primeros pacientes de 8 Centros Penitenciarios que pasaron consulta un día designado de julio de 2003. Se analizan 199 pacientes.Resultados: El 76,4% llevan ingresados en prisión más de 3 años. Presentan antecedentes UDI el 92,5%. Un 21,6% (47) refieren consumo actual de heroína y/o cocaína. En tratamiento con metadona están 132 (66,3%). 32 pacientes han padecido TBC y el 35,2% ITL. 178 de 193 (92%) presentaban anticuerpos de VHC, 150 de 189 (79,3%) presentaban HBC Ac. positivo. 11 de 186 (5,9%) HBSAg positivo. De 178 pacientes coinfectados por VHC, tienen realizada PCR de virus C 65 (36,5%) y es positiva en 62 (95,4%). Cumplen criterios de SIDA 44 (22,3%). 32 (16,8%) presentaban CD4<200. La media de CD4 esde 443,3 (±251,0). 110 (55,3%) han recibido algún TARV. 106 (54,8%) reciben TARV actualmente y de los 192 que tienen realizada una CV de VIH en 82 (42,7%) es < 400.Conclusiones: El control de la infección VIH es correcto en el medio penitenciario, presentando los pacientes una buena situación clínica de media. Es necesario el establecimiento de programas para el control y tratamiento de las hepatitis virales
Background: We set out to establish the socio-demographical and clinical characteristics of HIV infected inmates.Patients and Methods: Cross-sectional observation study. The first 25 patients in 8 diffferent prisons were selected during surgery time on a designated day in July 2003. 199 patients were analysed.Results: 76.4% had been in prison for more than 3 years. 92.5% had an IDU history. 21.6% (47) required consumptionof heroin and/or cocaine at the time. 66.3% (132) were receiving methadone treatment. 32 patients had TB and 35.2% LTI. 178 out of 193 (92.2%) had HCV antibodies, 150 out of 189 (79.4%) were HBC Ac positive. 11 out of 186 (5.9%) were HBSAg positive. Out of the 178 HIV co-infected patients, 65 (36.5%) carried out PCRof virus C and were positive in 62 cases (95.4%). AIDS criteria were complied with in 44 cases (22.3%). 32 (16.8%) showed CD4<200. The CD4 mean was 443.3 (± 251.0). 110 (55.3%) had received some type of ARVT. 106 (54.8%) were receiving ARVT at the time and out of the 192 thathad recived an HIV VC the result was <400 in 82 (42.7%) of them.Conclusions: Controls of HIV were adequate for the prison population. Inmates showed a good mean clinical condition. The establishment of viral hepatitis control and treatment programs are necessary
