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ID 117969
Title Alternative
Clinical characteristics and future issues in patients with HIV infection and acquired immunodeficiency syndrome in Tokushima Prefecture.
HIV感染症およびAIDS患者の臨床的特徴
Author
Takahara, Yumiko Tokushima University
Hayashi, Shigeki Tokushima University
Takahashi, Mamiko Tokushima University
Maruhashi, Tomoko Tokushima University
Tominaga, Masafumi Tokushima University
Okamoto, Hideki Tokushima University
Okada, Naoto Tokushima University|Yamaguchi University KAKEN Search Researchers
Yano, Yumiko Tokushima University
Takahashi, Mari Tokushima University
Osaka, Akemi Tokushima University
Ozaki, Shuji Tokushima Prefectural Central Hospital
Keywords
HIV
AIDS
Ikinari AIDS
Content Type
Journal Article
Description
【Introduction】The survival rate in patients with HIV infection and acquired immunodeficiency syndrome (AIDS) has been improved dramatically due to the advances in anti-HIV drug therapy, while aging-associated complications become a critical issue. The incidence of sudden occurrence of AIDS without prior detection of HIV infection, so called “Ikinari AIDS”, still remains high. 【Objective】We retrospectively analyzed the incidence and clinical characteristics of HIV/AIDS patients in both Tokushima University Hospital and Tokushima Prefectural Central Hospital. 【Results】Eighty four patients (74 males and 10 females) with a median age of 39 years old (range 16 - 85) were enrolled. Thirty-four patients (40.5%) were diagnosed with “Ikinari AIDS” from 2001 to 2020. All 4 patients were diagnosed with “Ikinari AIDS” after 2020. AIDS-defining illnesses were diagnosed as follows ; pneumocystis pneumonia in 21 cases, CMV infection in 8 cases and candidiasis in 6 cases. All patients over 60 years old were suffered from AIDS. Other complications included syphilis in 17 cases, hepatitis B infection in 12 and herpes zoster in 7. 【Discussion/Conclusion】In Tokushima, the incidence rate of “Ikinari AIDS” appeared to be higher than that of national average. COVID - 19 pandemic hampered the public health care services of awareness-raising activity for HIV infection and telephone consultations about HIV, which may become more lease asymptomatic HIV patients without diagnosis. For early diagnosis of HIV/AIDS, it is becoming more important to share information to make early screening of HIV infection among medical staffs, such as medical doctors, dentists, nurses, pharmacists and MSWs.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
78
Issue
5-6
Start Page
193
End Page
198
Sort Key
193
Published Date
2022-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences
Pharmaceutical Sciences