Human immunodeficiency virus in institutionalized elderly people
Sao Paulo Medical Journal, October 2016
Gorzoni, Milton Luiz, Pires, Sueli Luciano, Faria, Lilian de Fátima Costa, Aguado, Márcia Regina Valadares, Santana, Miriam Carmen
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. Cross-sectional study in which the Hospital Infection Control Committee (HICC) of a 405-bed LTCI was consulted. 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:  age and gender;  length of stay at LTCI (months);  causes and diagnoses on admission to LTCI according to International Classification of Diseases, 10th edition;  date of HIV diagnosis;  seropositivity for syphilis and hepatitis B and C viruses;  medications used at last prescription in medical file; and  mean CD4 lymphocyte count based on: total lymphocyte count/6 and total lymphocyte count x 0.8 x 0.2 or 0.3. 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. HIV-positive individuals are present in LTCIs, diagnosable through serological screening and treatable with antiretroviral drugs.
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