Enfermedades Infecciosas y Microbiologia Clinica
Volume 30, Issue 8, 2012, Pages 441-451

Clinico-epidemiological characteristics of HIV-positive immigrants: Study of 371 cases [Características clínico-epidemiológicas de los pacientes inmigrantes con infección por el VIH: estudio de 371 casos] (Article)

Llenas-García J.* , Rubio R. , Hernando A. , Fiorante S. , Maseda D. , Matarranz M. , Costa J.R. , Alonso B. , Pulido F.
  • a Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain
  • b Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain
  • c Departamento de Especialidades Médicas, Universidad Europea de Madrid, Madrid, Spain
  • d Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain, Departamento de Especialidades Médicas, Universidad Europea de Madrid, Madrid, Spain
  • e Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain
  • f Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain
  • g Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain
  • h Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain
  • i Unidad VIH, Hospital Universitario 12 de Octubre, Madrid, Spain

Abstract

Introduction: The number of HIV-positive immigrants have increased in Spain in the last few years, and now represent a significant proportion of the epidemic. Our objective is to describe the clinico-epidemiological characteristics of HIV-positive immigrants seen in a specialist unit in Madrid. Material and methods: Retrospective study. Every patient born in a country other than Spain and attended an HIV Unit in Madrid between 1992 and 2009 was included. Results: Of the 371 patients included, 53.1% were Latin Americans, 24.5% Sub-Saharan Africans, and 22.4% others), and 60% were males. Immigrants represented 0.3% of new patients in 1992 and rose to 49.2% in 2009. The principal reason for HIV testing had been pregnancy/delivery among women (32.7%) and having a category-B disease among men (17.4%). Sexual transmission accounted for 92% of patients. Tuberculosis was the principal AIDS-diagnosing illness. Respectively 90%, 7.7%, 60%, 26.7%, 96% and 95% of patients had an IgG for HAV, HCV, Toxoplasma, Treponema, CMV and VZV. VHB-Ags+: 5.4%; PPD+: 17%. At least one syphilis episode was recorded in 62% of the men who have sex with men (MSM). Prevalence of HLA-B5701 was 6%, 0.9% and 3.8% in Caucasians, Amerindians and Afro-Americans, respectively. Conclusions: Immigrants represent a significant proportion of new HIV-positive patients. It is a very heterogeneous group according to their clinical and epidemiological characteristics. © 2011 Elsevier España, S.L. All rights reserved.

Author Keywords

Human immunedeficiency virus (HIV)/AIDS immigrants Epidemiology HLA-B 5701

Index Keywords

immigrant HIV Seroprevalence HIV Infections Africa south of the Sahara Latin America Human immunodeficiency virus infection Pregnancy Complications, Infectious Caucasian Europe Varicella zoster virus Continental Population Groups human Toxoplasma HIV test comorbidity Asia sexuality AIDS-Related Opportunistic Infections Human immunodeficiency virus infected patient Hepatitis C virus African American sexual transmission Human immunodeficiency virus prevalence American Indian Cross-Sectional Studies HLA-B Antigens HLA B57 antigen male homosexual Hospitals, Urban Humans Hospitals, University male Emigrants and Immigrants Spain female Socioeconomic Factors tuberculosis Risk Factors pregnancy Syphilis Article Retrospective Studies HIV-2 lymphocyte count adult HIV-1 hepatitis a virus retrospective study immunoglobulin G Cytomegalovirus Treponema
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866733792&doi=10.1016%2fj.eimc.2012.01.009&partnerID=40&md5=eaee511993af292fb569fa379f85c725
DOI: 10.1016/j.eimc.2012.01.009
ISSN: 0213005X
Cited by: 10
Original Language: Spanish