PMID- 27759759
OWN - NLM
STAT- Publisher
LR  - 20240227
IS  - 1806-9460 (Electronic)
IS  - 1516-3180 (Linking)
DP  - 2016 Oct 13
TI  - Human immunodeficiency virus in institutionalized elderly people.
PG  - 0
LID - S1516-31802016005010101 [pii]
LID - 10.1590/1516-3180.2016.0034150516 [doi]
AB  - CONTEXT AND OBJECTIVE: A search in the SciELO and PubMed databases showed few 
      studies on human immunodeficiency virus (HIV) positive individuals in long-term 
      care institutions (LTCIs), thus prompting the present study. The aim of this 
      study was to ascertain whether there were any HIV-positive individuals in LTCIs 
      for the elderly. DESIGN AND SETTING: Cross-sectional study in which the Hospital 
      Infection Control Committee (HICC) of a 405-bed LTCI was consulted. METHODS: The 
      medical records of 405 individuals interned in the LTCI who had been tested for 
      HIV infection were requested for analysis of the following variables: [1] age and 
      gender; [2] length of stay at LTCI (months); [3] causes and diagnoses on 
      admission to LTCI according to International Classification of Diseases, 10th 
      edition; [4] date of HIV diagnosis; [5] seropositivity for syphilis and hepatitis 
      B and C viruses; [6] medications used at last prescription in medical file; and 
      [7] mean CD4 lymphocyte count based on: total lymphocyte count/6 and total 
      lymphocyte count x 0.8 x 0.2 or 0.3. RESULTS: Four men were HIV-positive, with 
      mean age 71.2 +/- 8.6 years, LTCI stay 74.2 +/- 38.1 months and length of HIV 
      diagnosis 24.5 +/- 17 months (confirmed by HICC standard screening). Three had 
      stroke sequelae; one, dementia syndrome; two, seropositivity for syphilis; two, 
      hepatitis B and one, hepatitis C. The main drugs used were lamivudine, 
      zidovudine, lopinavir, ritonavir, levothyroxine, omeprazole, ranitidine, 
      lactulose and risperidone. The estimated CD4 count was 341 +/- 237/mm3. 
      CONCLUSIONS: HIV-positive individuals are present in LTCIs, diagnosable through 
      serological screening and treatable with antiretroviral drugs.
FAU - Gorzoni, Milton Luiz
AU  - Gorzoni ML
AD  - MD, PhD. Associate Professor, Faculdade de Ciencias Medicas da Santa Casa de Sao 
      Paulo (FCMSCSP), and Head of Area III of the Department of Internal Medicine and 
      Coordinator of the Geriatrics Sector, Irmandade da Santa Casa de Misericordia de 
      Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Pires, Sueli Luciano
AU  - Pires SL
AD  - MD, MSc. Instructor, Faculdade de Ciencias Medicas da Santa Casa de Sao Paulo 
      (FCMSCSP), and Technical Director, Hospital Geriatrico e de Convalescentes D. 
      Pedro II, Irmandade da Santa Casa de Misericordia de Sao Paulo, Sao Paulo, SP, 
      Brazil.
FAU - Faria, Lilian de Fatima Costa
AU  - Faria LF
AD  - MD, MSc. Attending Physician, Hospital Geriatrico e de Convalescentes D. Pedro 
      II, Irmandade da Santa Casa de Misericordia de Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Aguado, Marcia Regina Valadares
AU  - Aguado MR
AD  - RN. Nurse, Hospital Infection Control Commission, Hospital Geriatrico e de 
      Convalescentes D. Pedro II, Irmandade da Santa Casa de Misericordia de Sao Paulo, 
      Sao Paulo, SP, Brazil.
FAU - Santana, Miriam Carmen
AU  - Santana MC
AD  - RN. Nurse, Hospital Geriatrico e de Convalescentes D. Pedro II, Irmandade da 
      Santa Casa de Misericordia de Sao Paulo, Sao Paulo, SP, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20161013
PL  - Brazil
TA  - Sao Paulo Med J
JT  - Sao Paulo medical journal = Revista paulista de medicina
JID - 100897261
EDAT- 2016/10/21 06:00
MHDA- 2016/10/21 06:00
CRDT- 2016/10/21 06:00
PHST- 2015/07/21 00:00 [received]
PHST- 2016/05/15 00:00 [accepted]
PHST- 2016/10/21 06:00 [pubmed]
PHST- 2016/10/21 06:00 [medline]
PHST- 2016/10/21 06:00 [entrez]
AID - S1516-31802016005010101 [pii]
AID - 10.1590/1516-3180.2016.0034150516 [doi]
PST - aheadofprint
SO  - Sao Paulo Med J. 2016 Oct 13:0. doi: 10.1590/1516-3180.2016.0034150516.