Histoplasmosis en personas con sida, incidencia y factores de riesgo, Hospital de Infectología, Dr. José Daniel Rodríguez Maridueña
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
El presente trabajo investigativo tiene como propósito determinar la incidencia y factores de riesgo de Histoplasmosis en personas con VIH fase SIDA en el Hospital De Infectología. “Dr. José Daniel Rodríguez Maridueña”. Para establecer la alta relación que existe entre el SIDA e Histoplasmosis, a diferencia de otras micosis oportunistas, en nuestro medio y así en lo posterior se recomiende una ley que considere a esta micosis como enfermedad de notificación obligatoria. El material y método se basó en un estudio de tipo Descriptivo, Retrospectivo, no experimental. Los documentos en los que se realizó el estudio está dado en base a la recolección de datos los cuales se obtuvieron de las historias clínicas de pacientes que se atienden en el Área de Anfotericina con diagnóstico confirmado de VIH/SIDA e Histoplasmosis en el período comprendido entre Marzo del 2014 a Marzo del 2015. Con un universo de 134 pacientes atendidos en el año, de los cuales 63 pacientes presentaban la asociación con Histoplasmosis representando el 47% del universo total en comparación con 26 pacientes con diagnóstico confirmado de SIDA y Criptococosis asociada a ella como micosis sistémica oportunista siendo éste del 19%. La mayor incidencia se presentó en pacientes provenientes de la región Costa (89%), siendo el 8% de los pacientes de la región Sierra y 3% pacientes en los cuáles se desconocía su procedencia. En cuanto al grupo etario más afectado, con el 42.85% de incidencia, resulta ser el del rango comprendido entre los 30 a 39 años, edad en la cual un individuo es muy productivo en la comunidad.
This research work aims to determine the incidence and risk factors Histoplasmosis phase in HIV AIDS Infectious Diseases Hospital. "Dr. Jose Daniel Rodriguez Maridueña ". To set the high relationship between AIDS and Histoplasmosis, unlike other opportunistic fungal infections in our country and so what it considers a law later this mycosis as a reportable disease is recommended. The material and method was based on a descriptive study, retrospective, not experimental. The documents in which the study was conducted is given based on the collection of data which were obtained from the medical records of patients seen in the area of Amphotericin with confirmed HIV / AIDS and Histoplasmosis diagnosis in the period between March 2014 to March 2015. With a universe of 134 patients treated in the year, of which 63 patients had association with histoplasmosis representing 47% of the total universe compared with 26 patients with confirmed diagnosis of AIDS associated cryptococcosis her as being this opportunistic systemic fungal infection of 19%. The peak incidence occurred in patients from the region Costa (89%), and 8% of patients in the Sierra region and 3% patients what their origin was unknown. As for the most affected, with 42.85% incidence age group it happens to be the range between the 30-39 years age at which an individual is very productive in the community.
This research work aims to determine the incidence and risk factors Histoplasmosis phase in HIV AIDS Infectious Diseases Hospital. "Dr. Jose Daniel Rodriguez Maridueña ". To set the high relationship between AIDS and Histoplasmosis, unlike other opportunistic fungal infections in our country and so what it considers a law later this mycosis as a reportable disease is recommended. The material and method was based on a descriptive study, retrospective, not experimental. The documents in which the study was conducted is given based on the collection of data which were obtained from the medical records of patients seen in the area of Amphotericin with confirmed HIV / AIDS and Histoplasmosis diagnosis in the period between March 2014 to March 2015. With a universe of 134 patients treated in the year, of which 63 patients had association with histoplasmosis representing 47% of the total universe compared with 26 patients with confirmed diagnosis of AIDS associated cryptococcosis her as being this opportunistic systemic fungal infection of 19%. The peak incidence occurred in patients from the region Costa (89%), and 8% of patients in the Sierra region and 3% patients what their origin was unknown. As for the most affected, with 42.85% incidence age group it happens to be the range between the 30-39 years age at which an individual is very productive in the community.
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Síndrome de inmunodeficiencia adquirida, Histoplasmosis, Factores de riesgo, Epidemiología descriptiva, Estudios retrospectivos, Hospital de Infectología Dr. José Daniel Rodríguez Maridueña, Cantón Guayaquil, Ecuador