Abstract

GARCIA CASTELLANOS, Tersilia et al. Bacterial pneumonia in HIV/AIDS patients. Rev Cubana Invest Bioméd [online]. 2010, vol.29, n.4, pp. 428-436. ISSN 1561-3011.

Introduction: In HIV/AIDS patients are many the risk factors involved in appearance of the bacterial pneumonia (BP) of different origin without to know the causal germ of respiratory picture. Methods: Authors studied 85 HIV/AIDS patients diagnosed with BP according the clinical, radiological and laboratory criteria in the "Pedro Kourí" Tropical Medicine Institute between November, 2007 and April, 2008. Results: S. pneumoniae (40,5 %), enterobacteria (28,3%) and no-fermented bacilli (13,5 %) were the more frequent identified. There was prevalence of subjects aged under 50 (91,7 %), smokers (65,9 %), with a TDC4 lymphocytes count under 200 cél/mm3 (64,7 %) with a high-performance anti-retroviral therapy (54,7 %). Risk factors of BP due to enterobacteria included age ³ 50 years (OR 2,50; 95 % CI 1,40-15,1) and malnutrition (OR 2,53; 95 % CI 1,83-7,91). Conclusions: It was demonstrated that the etiological agents identified in sputum from HIV/AIDS Cuban patients presenting with BP are similar to those described by other authors at international level, being more probable that the ill persons aged over 50 and also malnourished have a BP due to enterobacteria than remainder microorganisms.

Keywords : Bacterial pneumonia; etiology; HIV/AIDS patients; risk factors.

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