000			02710na a2200301 4500
003			H12O
005			20210702062659.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aFiorante, Silvana _91609 _eMedicina Interna
100			_aLlenas García, Jara _91610 _eMedicina Interna
100			_aMaseda Fernández, Diego _91595 _eMedicina Interna
100			_aMatarranz del Amo, Mariano _91988 _eMedicina Interna
100			_91026 _aPulido Ortega, Federico _eUnidad VIH
100			_91500 _aRubio García, Rafael _eUnidad de VIH
245	0	0	_aChagas disease screening among HIV-positive Latin American immigrants: an emerging problem. _h[artículo]
260			_bEuropean Journal of Clinical Microbiology & Infectious Diseases, _c2012
300			_a31(8):1991-7.
500			_aFormato Vancouver: Llenas-García J, Hernando A, Fiorante S, Maseda D, Matarranz M, Salto E, et al. Chagas disease screening among HIV-positive Latin American immigrants: an emerging problem. Eur J Clin Microbiol Infect Dis. 2012 Aug;31(8):1991-7.
501			_aPMID: 22258424
504			_aContiene 36 referencias
520			_aChagas disease (CD) is an emergent disease in Europe that can behave as an opportunistic infection in HIV positive patients. The objective of this study was to evaluate the implementation of a CD screening programme in an HIV unit. An immunochromatography (ICT) of Trypanosoma cruzi was performed as a screening tool in HIV-positive patients born in CD endemic countries. ELISA and IFAT were used to confirm the diagnosis. A total of 155 patients, 116 males and 38 females, were included. Mean age was 36.9 years (± 8.4) and mean length of stay in Spain at the screening was 7.1 years (± 4.7). T. cruzi ICT was positive in four cases (2.6%), being confirmed (by ELISA and IFAT) in three of those (1.9%). Factors associated with confirmed positive T.cruzi serology were: Bolivia origin (p=0.016), Bolivia or Argentina origin (p=0.002), Southern Cone origin (p=0.015), rural origin (p=0.023), previously living in an adobe-made (p=0.001) or thatch-roofed house (p<0.0001), having a previous CD test (p=0.015), previous knowledge about CD (p=0.019), about vector (p=0.009) or recorded seeing vectors at home (p=0.012). Units dealing with HIV patients from endemic areas of American trypanosomiasis should implement CD screening protocols. Interviews of patients coming from endemic areas should include CD epidemiological questions.
710			_96 _aServicio de Medicina Interna
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/5/pc5231.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c5231 _d5231