Behavioral and Clinical Characteristics and Outcomes of Treatment Among Older Patients Receiving Medical Care for HIV Infection in Iran
| Autor: | Omid Dadras, Fateme Ghadimi, Banafesheh Moradmand-Badie, SeyedAhmad SeyedAlinaghi, Mehrnaz Rasoolinejad, Malihe Hassan Nezhad, Ali Asadollahi-Amin, Masoudeh Mojahed |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty education.field_of_study Referral business.industry Medical record Population Human immunodeficiency virus (HIV) General Medicine medicine.disease medicine.disease_cause Older patients Quality of life Diabetes mellitus Medicine business education HIV drug resistance |
| Zdroj: | Journal of Iranian Medical Council. |
| ISSN: | 2645-3398 2645-338X |
| Popis: | Background: Although the number of new HIV infections continues to decline in Iran, the number of HIV-infected patients aged ≥50 years continues to rise due to the introduction of new treatment and longer survival. The higher prevalence of medical comorbidities and treatment failure in this population is a critical challenge in HIV treatment. In the present study, prevalence of comorbidities, rate of response to treatment, and results of HIV drug resistance tests were explored in older patients. Methods: A cross-sectional study was conducted at a tertiary referral HIV center in Tehran, Iran. The data for all the HIV-positive patients older than 50 years old were collected by reviewing their medical records within the last 15 years. Data included demographic and behavioral characteristics, immunologic and virologic response, rate of treatment failure, and HIV resistance. Results: The records for 100 patients with a mean age of 62.5 (range 50-79) years were reviewed and analyzed. Medical comorbidities were observed in 20% of the patients, with HCV co-infection, diabetes mellitus, and neuropsychiatric impairments being the most common. Complete immunologic and virologic responses were respectively observed in 88 and 97% of patients. The treatment regimen was modified in 66 patients, with drug side effects being the reason in 63 patients (95.4%). HIV drug resistance tests showed a low rate of resistance ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|