Prevalencia de presentación tardía de VIH/sida y sus implicaciones. Estudio realizado en el Hospital de Especialidades Teodoro Maldonado Carbo desde enero del 2015 a diciembre del 2018.

Abstract

Objective: To know the prevalence of late presentation of HIV/AIDS infection, and the prevalence of advanced disease in late presenters. Methodology: An observational, analytical, retrospective study was conducted in 3850 patients who were treated and diagnosed with HIV at the Hospital de Especialidades Teodoro Maldonado Carbo during the period January 2015 to December 2018. The variables used were: late presenter, presentation with advanced HIV disease, opportunistic disease, deceased patient, viral load, virological success and cause of death per year of diagnosis. Results: Of 3,850 patients, only 74% had a CD4 (+) test and in that group only 68% had a viral load test, and of these people with viral load examination 18% achieved virological success. It was identified that 745 patients out of the 2,851 took the test resulting in a CD4 <350 (26%). Also, within 745, those with a CD4 <200 result (advanced presenter) were identified giving a total of 665 patients (89%). The main opportunistic disease was Gastroenteritis and Infectious Colitis present in 2%, followed by Acute Respiratory Failure. There were 114 patients who died each year of diagnosis (3%), of that total, 35 cases were late presenters, resulting in 4.7%. Each deceased had on average 5 opportunistic diseases with Acute Respiratory Failure being the most representative Conclusion: There were 30,237 patients diagnosed with HIV/AIDS at the Hospital Teodoro Maldonado Carbo in 2015-2018, of which 3,850 were first cared for and diagnosed, giving a late HIV/AIDS prevalence of 19.35%.