000			02955na a2200313 4500
003			H12O
005			20210702062701.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa
100			_963 _aCosta Pérez-Herrero, José Ramón _eUnidad VIH
100			_aFiorante, Silvana _91609 _eMedicina Interna
100			_aHernando Jerez, Asunción _91606 _eUnidad de HIV
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	_aCaracterísticas clínico-epidemiológicas de los pacientes inmigrantes con infección por el VIH: estudio de 371 casos. _h[artículo]
260			_bEnfermedades Infecciosas y Microbiología Clínica, _c2012
300			_a30(8):441-51.
500			_aFormato Vancouver: Llenas-García J, Rubio R, Hernando A, Fiorante S, Maseda D, Matarranz M, et al. Características clínico-epidemiológicas de los pacientes inmigrantes con infección por el VIH: estudio de 371 casos. Enferm Infecc Microbiol Clin. 2012 Oct;30(8):441-51.
501			_aPMID: 22365618
504			_aContiene 33 referencias
520			_aINTRODUCTION: 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.
710			_96 _aServicio de Medicina Interna
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/7/pc7702.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c7702 _d7702