Changes in epidemiological features surrounding HIV diagnosis in a private hospital in Buenos Aires
C. Freuler, C. Ezcurra, V. Rodríguez, M. Mayer-Wolf, R. Durlach
Hospital Alemán, Infectious Diseases, Buenos Aires, Argentina
features surrounding newly HIV-diagnosis and their change through the years,
may help to improve prevention strategies. Our hospital, a private one, with
patients with high socio-economic level, did not change this profile during the
last 50 years, offers an outstanding opportunity to evaluate epidemiological changes
Methods: We analyzed 267
clinical charts of newly HIV-diagnosed patients, 38 of which were from the
first decade of the epidemic (1984-1993) and 142 from the last one (2000-2009).
We reviewed age, gender and reason for HIV testing.
F: Female. M: Male.
PR: Patients request. AS: HIV associated symptoms. ARS: Acute retroviral
syndrome. OI: Opportunistic infections
The median age of the
patients increased significantly from one period to the other, similar as it is
shown in the literature, with, however, a small increase in women compared to
men. This can be explained because of the low number of IDU in our population
resulting in a relative higher proportion of MSM.
Among the reasons for
undergoing an HIV-test during the first decade, very often the diagnosis was
made to fulfill patients request. In the last decade, however, most of the
diagnosis were made due to physicians suspicion, pointing toward a better
awareness of the disease by them.
As early diagnosis and
treatment are known as essential for good outcomes, it is important to
emphasize that educational programs have to be directed to both public in
general and physicians.
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