Diagnóstico tardío de la infección por el virus de la inmunodeficiencia humana en la Cohorte VACH (1997-2002) / Delayed diagnosis of HIV infection in the Spanish VACH cohort [1997-2002]
Gac. sanit. (Barc., Ed. impr.)
; 21(1): 66-69, ene. 2007. tab
Article
in Es
| IBECS
| ID: ibc-053936
Responsible library:
ES1.1
Localization: ES1.1 - BNCS
RESUMEN
Objetivo:
Estudiar la prevalencia del diagnóstico tardío (DT) de la infección por el virus de la inmunodeficiencia humana (VIH) y sus factores asociados.Métodos:
Estudio transversal sobre los pacientes incluidos en la cohorte VACH cuya infección por el VIH hubiese sido diagnosticada entre 1997 y 2002. Consideramos DT los casos diagnosticados de sida concomitantemente o dentro del primer mes desde la primera serología positiva, o con recuento de CD4+ < 200/ml. Comparamos sus características epidemiológicas con las de los demás pacientes.Resultados:
De 2.820 nuevos casos de infección por el VIH, 506 (18%) tuvieron DT. Éstos difirieron del resto en su menor edad media, mayor carga viral y en su distribución por sexos (mayor proporción de hombres), situación laboral, antecedentes penitenciarios y grupo de riesgo. La mediana de supervivencia durante el seguimiento fue menor en el grupo de DT.Conclusiones:
El DT continúa siendo un problema preocupante por su magnitud y asociación con la mortalidad. Algunas características epidemiológicas proporcionan indicios para orientar futuros programas de información y prevenciónABSTRACT
Objective:
To study the prevalence of delayed diagnosis of HIV infection and associated factors.Methods:
A cross sectional study of patients included in the Spanish VACH cohort who had been diagnosed with HIV infection between 1997 and 2002 was performed. Delayed diagnosis was defined as patients diagnosed with HIV infection and AIDS simultaneously or within the first month after the first positive serologic test, or those with a first CD4+ cell count below 200/ml. The epidemiological characteristics of these patients were compared with those of the remaining patientsResults:
Of 2,820 new cases of HIV infection, delayed diagnosis was found in 506 (18%). These patients differed from the remaining patients in their lower mean age and higher HIV viral load, as well as in their distribution by sex (higher proportion of males), occupational status, history of incarceration in prison, and HIV-risk transmission group. The median survival during follow-up was significantly lower among AIDS patients with a delayed diagnosis.Conclusions:
Delayed diagnosis remains a cause for concern in our environment, due to its magnitude and its association with mortality. Some epidemiological characteristics provide clues to guide future programs directed at increasing information and improving prevention
Full text:
Available
Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.3 End transmission of communicable diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
AIDS
Database:
IBECS
Main subject:
HIV Infections
Type of study:
Controlled clinical trial
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Diagnostic study
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Etiology study
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Incidence study
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Observational study
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Prevalence study
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Prognostic study
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Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
Spanish
Journal:
Gac. sanit. (Barc., Ed. impr.)
Year:
2007
Document type:
Article
Institution/Affiliation country:
Hospital Clínico/España
/
Hospital General de Castellón/España
/
Hospital Gregorio Marañón/España
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Hospital Infanta Cristina/España
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Hospital Infanta Elena/España
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Hospital La Paz/España
/
Hospital SAS/España
/
Hospital Santa Creu i Sant Pau/España
/
Hospital Universitario de Valme/España
/
Hospital Vall dHebro/España