Opportunistic infections in VIH patients of the National Institute of Respiratory Diseases, 1991-2001.

摘要: Objective To describe the frequency of the different opportunistic lung infections in patients hospitalized at INER for AIDS and respiratory symptoms. Design Retrospective data analysis. Setting Clinic for Infectious Diseases in an academic medical center. Methods The clinical history of 1,182 patients with AIDS diagnosis were revised, corresponding to 1,837 hospitalizations and admittance from January 1 to December 31, 2001 to INER. The diseases were classified according to the International Disease Classification of 1975 to 1995. Results Pneumological diseases were present in 100% of the 1837 hospitalizations for AIDS. Pneumonia caused by Pneumocistis carinii was the most frequent infection (55.2%), followed by bacterial pneumonia, respiratory failure and pneumopathy (21.7%), active pulmonary tuberculosis or tuberculosis sequelae (18.9%) and pneumothorax (2.9%). Candidiasis and severe malnutrition were the most frequent concomitant diseases. Conclusions The frequency of hospitalizations and mortality by AIDS and pneumonia has not varied significantly in the highly active antiretroviral pre and post-treatment. Pneumonia by Pneumocystis jiroveci (previously carinii) is the most common opportunistic disease in AIDS patients hospitalized at INER.