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土耳其144例艾滋病毒/艾滋病病例的流行病学、临床和实验室特征及死亡率评估。

Evaluation of epidemiological, clinical, and laboratory features and mortality of 144 HIV/AIDS cases in Turkey.

作者信息

Ozdemir Burcu, Yetkin Meltem A, Bastug Aliye, But Ayşe, Aslaner Halide, Akinci Esragul, Bodur Hurrem

机构信息

a Department Of Infectious Diseases and Clinical Microbiology , Ankara Numune Training and Research Hospital , Ankara , Turkey.

b Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology , Giresun University , Giresun , Turkey.

出版信息

HIV Clin Trials. 2018 Apr;19(2):69-74. doi: 10.1080/15284336.2018.1453990. Epub 2018 Mar 22.

Abstract

Background The number of HIV/AIDS cases in Turkey is increasing rapidly, as is the number of cases worldwide. The aim of this study is to evaluate the characteristics of the clinical and laboratory findings and epidemiological features of HIV/AIDS patients to obtain useful data on the epidemic type and transmission routes associated with Turkey and to identify risk factors for mortality. Methods The patient records of 144 HIV-infected patients who were admitted to our clinic between 2000 and 2015 were analyzed retrospectively. Results Most of the cases (55%) were diagnosed due to the detection of anti-HIV-positive individuals without clinical symptoms. The mean CD4 + lymphocyte count on first admission was 108 cells/μL for those admitted before 2009 and 265 cells/μL for those admitted after 2009 (p = 0.003). When the pre- and post-2009 groups were compared for the status of the disease, 55.6 and 44.4% of patients were in the AIDS stage, respectively (p = 0.04). The most noted opportunistic infection was mycobacterial, and throughout the follow-up, 31.2% of the cases were fatal. Conclusions Early diagnosis of HIV infection can have a direct impact on prognosis and survival. Therefore, screening laboratory investigations should be extended, particularly in high-risk groups.

摘要

背景

土耳其的艾滋病毒/艾滋病病例数量正在迅速增加,全球的病例数量亦是如此。本研究的目的是评估艾滋病毒/艾滋病患者的临床和实验室检查结果特征以及流行病学特征,以获取与土耳其相关的流行类型和传播途径的有用数据,并确定死亡风险因素。方法:回顾性分析了2000年至2015年间入住我们诊所的144例艾滋病毒感染患者的病历。结果:大多数病例(55%)是在检测出抗艾滋病毒呈阳性但无临床症状的个体时被诊断出来的。2009年前入院患者首次入院时的平均CD4 +淋巴细胞计数为108个细胞/μL,2009年后入院患者为265个细胞/μL(p = 0.003)。比较2009年前和2009年后两组的疾病状态,分别有55.6%和44.4%的患者处于艾滋病阶段(p = 0.04)。最常见的机会性感染是分枝杆菌感染,在整个随访过程中,31.2%的病例死亡。结论:艾滋病毒感染的早期诊断可直接影响预后和生存。因此,应扩大筛查实验室检查,特别是在高危人群中。

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