Muñoz J, Llauger M A, Solà M, Gardella A, Birulés M, Foz G
Centro de Atención Primaria Municipal de Peracamps, Barcelona.
Aten Primaria. 1990 Feb;7(2):132, 134-6.
We report a descriptive study of 56 cases of HIV infection in a primary care center to evaluate its impact on the population on care, the practices at risk, the associated infections and the difficulties for control. The distribution by age, sex and practices at risk is in agreement with most series from our area. Remarkably, there is a greater rate of drug abusers and sexual promiscuity, related with the marginal type of population on care. We found a high prevalence of the most commonly associated infections, tuberculosis, syphilis and hepatitis B. This association justifies screening for these diseases and the use of the adequate prophylactic and therapeutic measures. We found important difficulties for the follow up of these patients. All these facts emphasize the need to approach this increasing health problem from the primary care setting, basically from the health education of the person with practices at risk and the overall follow-up of the involved patients.
我们报告了一项在初级保健中心对56例艾滋病毒感染病例的描述性研究，以评估其对受护理人群、高危行为、相关感染及控制困难的影响。按年龄、性别和高危行为的分布与我们地区的大多数系列研究一致。值得注意的是，药物滥用者和性乱交的比例更高，这与边缘性受护理人群有关。我们发现最常见相关感染（结核病、梅毒和乙型肝炎）的患病率很高。这种关联证明了对这些疾病进行筛查以及采取适当预防和治疗措施的合理性。我们发现对这些患者进行随访存在重大困难。所有这些事实都强调了从初级保健机构解决这一日益严重的健康问题的必要性，主要是对有高危行为者进行健康教育以及对相关患者进行全面随访。
