Caractéristiques des patients nouvellement pris en charge pour une infection VIH dans un CHU parisien en 2002–2003
| Autor: | Rosemary Dray-Spira, F. Lert, Pierre-Marie Girard, E. Bamogo, L. Fonquernie |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Gynecology
medicine.medical_specialty Pregnancy biology business.industry 030231 tropical medicine Significant difference Human immunodeficiency virus (HIV) medicine.disease_cause biology.organism_classification medicine.disease 3. Good health Persistence (computer science) 03 medical and health sciences 0302 clinical medicine Infectious Diseases Acquired immunodeficiency syndrome (AIDS) Medicine 030212 general & internal medicine business Sida Viral load Social status |
| Zdroj: | Médecine et Maladies Infectieuses. 36:270-279 |
| ISSN: | 0399-077X |
| Popis: | OBJECTIVES: The authors had for aim to assess incident HIV+ patients in Saint-Antoine hospital, Paris in 2002-2003 (transfers excluded). METHODS: Sociodemographic, clinical, and virological data were collected to compare French and sub-Saharan patients. RESULTS: Three hundred new HIV+ patients were identified: mean age 36.2 year; ratio M/W 65/35; origin: Caucasian 43%, African 44%, Maghrebian 8%, Asian 3%; nationality: French 45%, sub-Saharan African 44%; illegal aliens 65%; employed 51%; transmission: heterosexual 54%, homosexual 39%, intravenous drug user (IVDU) 2%; circumstances for diagnosis: HIV exposure 34%, primary infection 9%, symptoms/AIDS 23%, pregnancy 6%, other 28%; CDC stage: A 77%, B 9%, C 14%; mean T-CD4+ 374/mm3, median HIV-RNA 30780 cp/mL; co-infection HBV 7.3% HCV 5%. Outcome: 88% still followed up in Saint-Antoine, 2% transferred, 9% lost to follow-up, 1% dead. A significant difference was shown: 1) between French (N = 123) and African (N = 46) men for heterosexual transmission (10 vs 91%), working status (85 vs 28%), T-CD4+ (354 vs 251/mm3), outcome (lost to follow-up 5 vs 24%) [P < 0.01]; 2) between French (N=13) and African (N = 85) women for age (41 vs 32 years), working status (38 vs 10%), stage A (54 vs 81%) [P < 0.05]; 3) between African patients according to sex (46M/85W) for age (39 vs 32 years), working status (28 vs 10%; P = 0.01), outcome (lost to follow-up 24 vs 6%) [P < 0.01]. CONCLUSION: This study highlights the persistence of HIV in native homosexual French men and the increasing prevalence in African migrant with precarious social status. |
| Databáze: | OpenAIRE |
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