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Clinical and demographic features of HIV infection in El Salvador

dc.contributor.authorGarcía Vázquez, Elisaes_ES
dc.contributor.authorCedillos, Rolando Aes_ES
dc.contributor.authorWheeler, David Aes_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2003es_ES
dc.identifier.citationGarcía Vázquez, Elisa,Cedillos, Rolando A,Wheeler, David A (2003) Clinical and demographic features of HIV infection in El Salvador. Rev Panam Salud Publica;13(5) 327-331,may 2003. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892003000400008&lng=pt&nrm=iso&tlng=enen_US
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892003000400008&lng=pt&nrm=iso&tlng=enes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/8356
dc.format.extenttabes_ES
dc.relation.ispartofseriesRev Panam Salud Publica;13(5),mayo 2003es_ES
dc.subjectInfecções por HIVpt_BR
dc.subjectInfecções Oportunistas Relacionadas com a AIDSpt_BR
dc.subjectSíndrome de Imunodeficiência Adquiridaes_ES
dc.subjectDiarreiaes_ES
dc.subjectEl Salvadores_ES
dc.subjectSeguimentoses_ES
dc.subjectOcupaçõeses_ES
dc.subjectProstituiçãopt_BR
dc.subjectFatores de Riscopt_BR
dc.subjectComportamento Sexuales_ES
dc.subjectFatores Socioeconômicospt_BR
dc.subjectTuberculosept_BR
dc.titleClinical and demographic features of HIV infection in El Salvadoren_US
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesOBJECTIVE: To understand some of the clinical and demographic features of the epidemic of infection by HIV in El Salvador prior to the availability of antiretroviral therapy in that country. METHODS: We conducted a retrospective review of HIV-infected individuals who were admitted to Hospital Rosales, which is a large public teaching hospital in San Salvador, El Salvador, during the 5-year period of 1994 through 1998. Chart abstraction was done of 194 out of the 208 individuals admitted to the Infectious Diseases Unit at Hospital Rosales (14 charts could not be located). We also carried out a sampling of other HIV-infected adults treated in other parts of the hospital. RESULTS: Of the 250 patients whose records we reviewed, 67 percent were men and 86 percent were from an urban area. The mean age at HIV diagnosis was 34 years. In terms of occupation, 50 percent of the men were day laborers; 76 percent of the women were housewives, and 8 percent of the women were commercial sex workers. All the women studied listed only heterosexual contact as their risk behavior. Of the men, 9 percent of them said they had sex only with men, 17 percent said with both men and women, and 65 percent said with female commercial sex workers. In terms of drug use, 2 percent of the patients reported they had used injection drugs at some point. At their initial medical visit to Hospital Rosales, over half of the 250 patients presented with a respiratory complaint or with diarrhea, 6 percent had pulmonary tuberculosis (TB), and 5 percent had extrapulmonary TB. Of the 250 patients, 177 of them (71 percent) had AIDS at the first medical visit. Of the 250, 138 of them (55 percent) were lost to follow-up. Of the remaining 112 persons, 81 of them (72 percent) were known to have died. Of those 81, 38 of them (47 percent) died of unknown causes and 21 (26 percent) died of TB. CONCLUSIONS: The HIV-infected adults treated at the Hospital Rosales during the 1994-1998 period were usually infected through heterosexual sex, were symptomatic at the time of presentation, and were often lost to follow-up. Utilizing the results of our study and of other research, efforts to expand early intervention, counseling and testing, and targeted prevention activities should be strengthened (AU)en_US


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