García SMC, Pérez GLE, Franco MF, Reyes TG

Language: Spanish
References: 13
Page: 6-10
PDF size: 43.45 Kb.

ABSTRACT

Objective: To describe the frequency of the different opportunistic lung infections in patients hospitalized at INER for AIDS and respiratory symptoms. Design: Retrospective data analysis. Setting: Clinic for Infectious Diseases in an academic medical center. Methods: The clinical history of 1,182 patients with AIDS diagnosis were revised, corresponding to 1,837 hospitalizations and admittance from January 1 to December 31, 2001 to INER. The diseases were classified according to the International Disease Classification of 1975 to 1995. Results: Pneumological diseases were present in 100% of the 1837 hospitalizations for AIDS. Pneumonia caused by Pneumocistis carinii was the most frequent infection (55.2%), followed by bacterial pneumonia, respiratory failure and pneumopathy (21.7%), active pulmonary tuberculosis or tuberculosis sequelae (18.9%) and pneumothorax (2.9%). Candidiasis and severe malnutrition were the most frequent concomitant diseases. Conclusions: The frequency of hospitalizations and mortality by AIDS and pneumonia has not varied significantly in the highly active antiretroviral pre and post-treatment. Pneumonia by Pneumocystis jiroveci (previously carinii) is the most common opportunistic disease in AIDS patients hospitalized at INER.

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