medigraphic.com

2009, Number 4

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2009; 47 (4)

Pain Characteristics in HIV/AIDS Patients

Pérez-Carranco ML, Guevara-López U, Covarrubias-Gómez A, Delgado-Álvarez J, Villafaña-Tello JJS, Espin-Paredes E

Language: Spanish
References: 16
Page: 363-366
PDF size: 101.62 Kb.


ABSTRACT

Background: human immunodeficiency virus infection (HIV), affects 0.6 % of world population and 0.3 % of the adult population in Mexico. Pain, in this group, is frequently not identified by the health care team, is poorly defined, and undertreated. Our objective was to evaluate the prevalence of pain and its characteristics in Mexican HIV patients.
Methods: HIV diagnosed patients were included. Social and demographic information about pain characteristics, response to analgesic treatment and the presence of comorbidities were analyzed. The illness status was identified and CD4 cell count was documented.
Results: pain was identified in 11 of 55 cases. Mean time of pain onset was 26 months (SD 28.6). Mean pain intensity by visual analogue scale was 7 (SD 2.3), and by verbal analogue scale proportions were reported as follows: 18 % mild, 36.5 % moderate, and 45 % severe pain.
Conclusions: we observed that pain appeared in 20 % of subjects. CD4 count was observed to be related to pain decrease. Type of study and sample size does not permit a definite interpretation of the results; therefore a generation of prospective studies with larger samples is needed.


REFERENCES

  1. UNAIDS/WHO. AIDS Epidemic Update: December 2006. Geneva, Switzerland: WHO; 2006.

  2. Conasida. Panorama epidemiológico del VIH/sida e ITS en México, 2006. [Fecha de consulta: 30 de enero de 2008]. Disponible en http://www.salud.gob.mx/conasida

  3. Woodruff R. AIDS in adults. En: Doyle D, editor. Oxford textbook of palliative medicine. Third edition. United Kingdom: Oxford Press; 2004.

  4. Norval DA. Symptoms and sites of pain experienced by AIDS patients. S Afr Med J 2004;94:450-454.

  5. Lefkowitz M. Pain management for the AIDS patient. J Fla Med Assoc 1996;83:701-704.

  6. Breitbart W. Pain in HIV disease. En: Loeser JD, editor. Bonica’s management of pain. Third edition. USA: LWW; 2001. p. 739.

  7. Merskey H. Pain terms: a list with definitions and notes on usage. Recommended by the Subcommittee on Taxonomy. Pain 1979;6:249-252.

  8. Woolf CJ. Somatic pain. Pathogenesis and prevention. Br J Anaesth 1995;75:169-176.

  9. McMahon SB, Dmitrieva N, Koltzenburg M. Visceral pain. Br J Anaesth 1995;75:132-144.

  10. Faucci AS, Lane C. Human immunodeficiency virus disease: AIDS and related disorders. En: Kasper DL, editor. Harrison’s: principles of internal medicine. Sixteenth edition. USA: McGraw-Hill; 2005.

  11. Miceli MC, Parnes JR. Role of CD4 and CD8 in T cell activation and differentiation. Adv Immunol 1993;53:59-122.

  12. Morales-Vigil T, Alfaro-Ramírez OI, Sánchez- Román S, Guevara-López U, Vázquez-Pineda F. Ansiedad y depresión por dolor crónico neuropático y nociceptivo. Rev Med Inst Mex Seguro Soc 2008;46:479-484.

  13. Plata-Muñoz MA, Castillo-Olivares E, Guevara- López U. Evaluación de afrontamiento, depresión, ansiedad e incapacidad funcional en pacientes con dolor crónico. Rev Mex Anest 2004;27:16-23.

  14. Hewitt DJ, McDonald M, Portenoy RK, Rosenfeld B, Passik S, Breibart W. Pain syndromes and etiologies in ambulatory AIDS patients. Pain 1997; 70:117-123.

  15. Dobalian A, Tsao JC, Duncan RP. Pain and the use of outpatient services among persons with HIV: results from a nationally representative survey. Med Care 2004;42:129-138.

  16. Ownby KK. Effects of ice massage on neurophatic pain in persons with AIDS. J Assoc Nurses AIDS Care 2006;17:15-22.




2020     |     www.medigraphic.com