Introduction:

Bacterial diseases are one of the most important causes of morbidity and mortality in patients infected with human immunodeficiency virus (HIV). To this event are added nowadays infections associated with health services, a scenario aggravated by the emergence of bacteria with multi-resistance, which negatively impact human health.

Objective:

Characterize bacterial infections in Cuban HIV patients, admitted to the hospital center of "Pedro Kourí" Institute of Tropical Medicine between January 2014 and December 2017.

Methods:

A cross-sectional study with analytical component was conducted consisting of 538 HIV-1 positive patients diagnosed with bacterial infection detected by microbiological isolation.

Results:

Bacterial infections at the airway level in patients with HIV and CD4≤ 200cel/mm3 were the most common events. The highest positivity was demonstrated in samples of blood culture and bacteriological sputus with 40.1% and 36.1%, respectively. 69.7% of isolations showed healthcare-associated infection revealing statistically significant association with selected risk factors (prolonged hospital stays and devices use), as well as infection with gram-negative bacteria and coagulase-positive staph.

Conclusions:

Bacterial infections are common in HIV patients with severe immunosuppression and pneumonia is its main cause. There is a high incidence of healthcare-associated infection, which shows statistically significant association with prolonged hospital stays and devices use, also reveal association with isolations of gram-negative bacteria and coagulase-positive staph.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )