Lesiones anorectales en pacientes vih positivo estudio a realizar en el Hospital de Infectología Dr. José Daniel Rodríguez Maridueña en el período de enero a diciembre del 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Luego de consumar el proceso de investigación guiado y tabulado con Excel confirmamos el universo de pacientes atendidos, con un total de pacientes atendidos por diferentes causas durante el periodo 2016, y tenemos 662 mujeres, y 1.684 varones, con un universo total de 2.346 casos, de los cuales desglosamos en los siguientes cuadros estadísticos el número de pacientes VIH positivo que presentaron lesiones ano-rectales.
Acogiéndonos al universo de pacientes del primer cuadro, desglosamos el número de pacientes registrados por el Hospital ya descrito con VIH positivo y que presentaron algún tipo de lesión anorectal ya sean leves o severo, y tenemos 117 casos.
De acuerdo a los datos estadísticos del Hospital de infectología determinamos las lesiones anorectales que presentaron los pacientes en estudio y confirmamos que con mayor frecuencia estan las hemorroides con 41 casos, seguido de los condilomas con 28 casos, luego el prolapso rectal con 19 casos, luego la fisura anal con 14 casos, seguido de las constipación con 9 casos y finalmente la incontinencia fecal con 6 casos.
Los factores de riesgo que intervinieron en los 117 pacientes con VIH positivo que desencadenaron algún tipo de lesión anorectal, encontrando en primer lugar el sexo varón con 60% de los casos, seguido de los pacientes inmunodeprimidos que tuvieron una carga viral por arriba de 100.000 copias/ml, y CD4 por debajo de 100mm3 de sangre, seguido de pacientes VIH positivo con diabetes mellitus con un 10%, y finalmente tenemos los pacientes que tuvieron algún tipo de relación sexual agresiva por la vía rectal con un 4%.
Determinamos las complicaciones anorectales que presentaron los pacientes VIH y tenemos que el 12% presentaron abscesos interesfintericos y
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supraesfintericos, seguido del 23% con complicaciones sépticas, luego el 30% con presencia de absceso y sangrado, y el 35% no presentaron ninguna complicación.
After completing the guided and tabulated research process with Excel, we confirmed the universe of patients attended, with a total of patients attended by different causes during the period 2016, and we have 662 women and 1,684 men, with a total universe of 2,346 cases, Of which we disaggregate in the following statistical tables the number of HIV positive patients WHO HAD ANORECTAL LESIONS. Accepting to the universe of patients in the first table, we disaggregate the number of patients registered by the Hospital already described with HIV positive and who presented some type of anorectal lesion, WHETHER MILD OR SEVERE, and we have 117 cases. According to the statistical data of the Hospital of infectology, we determined the anorectal lesions presented by the patients under study and confirmed that hemorrhoids are more frequent with 41 cases, followed BY CONDYLOMAS with 28 cases, THEN RECTAL PROLAPSE with 19 cases, then The anal fissure with 14 cases, followed by constipation with 9 cases and finally fecal incontinence with 6 cases. The risk factors that intervened in the 117 HIV-positive patients who triggered some kind of anorectal injury, first finding the male sex with 60% of the cases, followed by immunocompromised patients who had a viral load above 100,000 copies / Ml, and CD4 below 100mm3 blood, followed by HIV positive patients with diabetes mellitus with 10%, and finally we have patients who had some type of aggressive sexual intercourse by the rectal route with 4%. XI We determined the anorectal complications presented by HIV patients and we found that 12% had interspinteric and suprasphincteric abscesses, followed by 23% with septic complications, then 30% with abscess and bleeding, and 35% presented no complications.
After completing the guided and tabulated research process with Excel, we confirmed the universe of patients attended, with a total of patients attended by different causes during the period 2016, and we have 662 women and 1,684 men, with a total universe of 2,346 cases, Of which we disaggregate in the following statistical tables the number of HIV positive patients WHO HAD ANORECTAL LESIONS. Accepting to the universe of patients in the first table, we disaggregate the number of patients registered by the Hospital already described with HIV positive and who presented some type of anorectal lesion, WHETHER MILD OR SEVERE, and we have 117 cases. According to the statistical data of the Hospital of infectology, we determined the anorectal lesions presented by the patients under study and confirmed that hemorrhoids are more frequent with 41 cases, followed BY CONDYLOMAS with 28 cases, THEN RECTAL PROLAPSE with 19 cases, then The anal fissure with 14 cases, followed by constipation with 9 cases and finally fecal incontinence with 6 cases. The risk factors that intervened in the 117 HIV-positive patients who triggered some kind of anorectal injury, first finding the male sex with 60% of the cases, followed by immunocompromised patients who had a viral load above 100,000 copies / Ml, and CD4 below 100mm3 blood, followed by HIV positive patients with diabetes mellitus with 10%, and finally we have patients who had some type of aggressive sexual intercourse by the rectal route with 4%. XI We determined the anorectal complications presented by HIV patients and we found that 12% had interspinteric and suprasphincteric abscesses, followed by 23% with septic complications, then 30% with abscess and bleeding, and 35% presented no complications.
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Enfermedades del recto, Virus de inmunodeficiencia humana, Complicaciones, Factores de riesgo, Hospital de Infectología Dr. José Daniel Rodríguez Maridueña, Cantón Guayaquil, Ecuador