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M94A2403.TXT
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1994-10-25
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Document 2403
DOCN M94A2403
TI Hospitalization and medical care pattern of HIV positive women in
Montreal.
DT 9412
AU Osborne ME; Ghadirian P; Poisson M; Morisset R; Beaulieu R; Microbiology
Department, Hospital Hotel-Dieu de Montreal,; Canada.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):312 (abstract no. PC0177). Unique
Identifier : AIDSLINE ICA10/94370172
AB OBJECTIVE: To assess the pattern of given medical care to seropositive
women in Montreal, taking into account their survival rate. METHOD: A
total of 76 medical records of seropositive women out of 768 medical
records of hospitalized HIV positive and AIDS patients (female and male)
at Hotel-Dieu de Montreal during 1984-1993 were revised. RESULTS: Of 76
medical records studied, 50% were French Canadians (FC), 45% Haitians
(H) and 5% others. The mean age for H group was 38.8 yr, for FC 37.7 and
for others 32.5 yrs. The overall risk factors (RF) 65% were
heterosexuals (HR) (53% H, 45% FC and 2% other); all 20% of I.V.D.U.
were FC, 3% were infected by bl. transfusion, while 12% indicated no
known RF. Only 1% were infected by the needle stick injury. The overall
CDC IV stage disease in H patients was found in 15 (44.1%), CDC III in 9
(26.4%) and CDC II in 10 (29.4%). Among FC the overall CDC staging of
the disease were 13 (34.2%), 17 (44.7%) and 19 (50%) for stage IV, III
and II retrospectively. Of 34 H patients the prevalence of Oral Candida
(OC) was 38.2%, PCP 35.2%, CMV 26.4%, toxoplasmosis 14.7% and the rest
was T.B., Cryptosporidiosis, K.S. and lymphoma. This rates for 38 FC
were 44.7% for O.C., 34.2% for P.C.P., 10.5% for CMV, 7.8% for
toxoplasmosis and the rest were T.B., Cryptosporidiosis and lymphoma.
Overall prevalence for antiretroviral treatment was 47.3%, for PCP
prophylaxis was 40.7% and other prophylaxis 60.5%. CONCLUSION: The major
RF for HIV sero+ women living in Montreal is HR behaviour. Higher
survival rates were observed in H women. Women receiving combined
prophylaxis seam to have higher survival rates. Around 59% of H patients
had a survival period of 41.3 months after the HIV diagnosis, as
compared with 47% of FC with a survival period of 34.9 months,
indicating shorter survival period for FC women.
DE Adult AIDS-Related Opportunistic Infections/DRUG THERAPY Female
Hospitalization/*STATISTICS & NUMER DATA Human HIV
Infections/MORTALITY/*THERAPY/TRANSMISSION HIV Seropositivity Male
Quebec/EPIDEMIOLOGY Risk Factors MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).