Abdomen agudo en pacientes VIH, estudio a realizarse en el Hospital de Infectología Dr. José Rodriguez Maridueña período 2015 - 2016
Fecha
2017
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El VIH es un problema sanitario mundial, más de 35 millones de personas están infectadas a pesar de campañas informativas y políticas de prevención existentes. El Abdomen Agudo es un síndrome caracterizado por dolor abdominal intenso, asociado a manifestaciones de compromiso peritoneal, que hace considerar la posibilidad de una acción terapéutica de emergencia, por existir riesgo inminente para la vida del paciente.
Los hombres con VIH fueron afectados en un 80% por abdomen agudo; las causas más frecuentes de abdomen agudo en los pacientes VIH son: la tuberculosis gastrointestinal 26%, apendicitis 26%, neoplasia maligna 21%, colecistitis aguda calculosa 17%.
El 57,5% de los pacientes intervenidos quirúrgicamente por abdomen agudo no presentaron ningún tipo de complicación durante su recuperación. Las complicaciones más fueron infección de herida, fístula enterocutánea, fiebre y trastorno hidroelectrolítico.
En el año 2015 se presentaron la mayor parte de los casos con abdomen agudo en pacientes VIH positivos, 59%. Mientras que el 41% de los casos ocurrieron en el año 2016.
HIV is a global health problem, more than 35 million people are infected despite existing information campaigns and prevention policies. Acute Abdomen is a syndrome characterized by intense abdominal pain, associated with manifestations of peritoneal compromise, which makes considering the possibility of an emergency therapeutic action, because there is an imminent risk to the life of the patient. Men with HIV were affected by an acute abdomen 80%; The most frequent causes of acute abdomen in HIV patients are: gastrointestinal tuberculosis 26%, appendicitis 26%, malignant neoplasm 21%, acute cholecystitis calculus 17%. 57.5% of patients who underwent surgery for acute abdomen presented no complications during their recovery. The most frequent complications were wound infection, enterocutaneous fistula, fever, and electrolyte disturbance. The mortality of HIV positive patients with acute abdomen was 10%. In the year 2015, most of the cases with acute abdomen were present in HIV positive patients, 59%. While 41% of cases occurred in the year 2016.
HIV is a global health problem, more than 35 million people are infected despite existing information campaigns and prevention policies. Acute Abdomen is a syndrome characterized by intense abdominal pain, associated with manifestations of peritoneal compromise, which makes considering the possibility of an emergency therapeutic action, because there is an imminent risk to the life of the patient. Men with HIV were affected by an acute abdomen 80%; The most frequent causes of acute abdomen in HIV patients are: gastrointestinal tuberculosis 26%, appendicitis 26%, malignant neoplasm 21%, acute cholecystitis calculus 17%. 57.5% of patients who underwent surgery for acute abdomen presented no complications during their recovery. The most frequent complications were wound infection, enterocutaneous fistula, fever, and electrolyte disturbance. The mortality of HIV positive patients with acute abdomen was 10%. In the year 2015, most of the cases with acute abdomen were present in HIV positive patients, 59%. While 41% of cases occurred in the year 2016.
Descripción
PDF
Palabras clave
Virus de inmunodeficiencia humana, Abdomen agudo, Tuberculosis gastrointestinal, Hospital de Infectología Dr. José Daniel Rodíguez Maridueña, Cantón Guayaquil, Ecuador