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M94A2552.TXT
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1994-10-25
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Document 2552
DOCN M94A2552
TI Necropsy: as a source of information in Sao Paulo.
DT 9412
AU Barbieri DD; Pasqualucci C; Gianna MC; Domingues C; Ruiz E; Kalichman
AO; Scapolan V
SO Int Conf AIDS. 1994 Aug 7-12;10(1):278 (abstract no. PC0031). Unique
Identifier : AIDSLINE ICA10/94370023
AB OBJECTIVE: Study AIDS case in which the diagnosis was established by
necropsy. METHODS: We analysed for the first semester of 1993, the
records of 163 necropsies from de Necropsy Service in which the cause of
death was initially unknown, and the definitive diagnosis was AIDS.
RESULTS: Of the 396 cases notified as AIDS in the municipality after
death, 163 were submitted to necropsy; of these, 102 (84.6%) already
were AIDS cases, and 61 (15.4%) need necropsy to establish the
diagnosis. Of the 61, 55 patients (90.16%) died in hospitals and 6
(9.84%) in their homes; 49 (89.1%) of the hospital patients only
received emergency care, 5 (9.1%) were hospitalized and only 1 (1.8%)
was in intensive care. In thirteen (21, 31) patients typical
opportunistic infections were identified (CDC criteria 87). In the
remaining 48 (78.69%) the diagnosis of AIDS was made through Caracas
criteria. CONCLUSION: In a significant number of AIDS cases, the
diagnosis is established through necropsy. Patients frequently seek
health services alone and in very bad conditions, making it difficult to
establish precise place of residence, and regional epidemiological
analysis. The number of patients that die in emergency rooms show that
access to inpatient care and more specific care is difficult and late,
either to an insufficient number of services or a very great demand in
some regions of the city.
DE Acquired Immunodeficiency Syndrome/*DIAGNOSIS/THERAPY *Autopsy Brazil
Human MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).