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http://hdl.handle.net/2445/199200
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DC Field | Value | Language |
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dc.contributor.author | Miró i Andreu, Òscar | - |
dc.contributor.author | Miró, Emília | - |
dc.contributor.author | Ejarque Carbó, Miriam | - |
dc.contributor.author | Saura, Mireia | - |
dc.contributor.author | Rebollo, Alexis | - |
dc.contributor.author | De Paz, Rocío | - |
dc.contributor.author | Guardiola, Josep Maria | - |
dc.contributor.author | Smithson Amat, Alejandro | - |
dc.contributor.author | Iturriza, Daniel | - |
dc.contributor.author | Ramió Lluch, Cristina | - |
dc.contributor.author | Leey, Connie | - |
dc.contributor.author | Ferro, José Ignacio | - |
dc.contributor.author | Villamor Ordozgoiti, Alberto | - |
dc.contributor.author | Gené, Emili | - |
dc.date.accessioned | 2023-06-13T15:21:19Z | - |
dc.date.available | 2023-06-13T15:21:19Z | - |
dc.date.issued | 2023-01-16 | - |
dc.identifier.issn | 0214-3429 | - |
dc.identifier.uri | http://hdl.handle.net/2445/199200 | - |
dc.description.abstract | Objective: To estimate the prevalence of unknown HIV infection in patients who consulted in hospital emergency services (ED) for conditions defined in the SEMES-GESIDA Consensus Document (DC), evaluate the efficiency of its im-plementation and investigate the efficiency of HIV serology determination in other conditions. Methods: Results were reviewed in 10 Catalan EDs for 12 months (July-21-June-22) after implementing CD recommendations: request HIV serology in case of suspected sexually transmitted infection, chemsex, post-exposure prophylaxis (PEP), mononucleosis syndrome, community pneumonia (18-65 y-o) or herpes zoster (18-65 y-o). Other reasons for request were included. Prevalence (%) of global seropositivity and for each circumstance was calculated, with a 95% confidence interval (95%CI). The efficient strategy was considered if the lower limit of the CI95%>0.1%. Results: A total of5,107 HIV serologies were performed: 2,847(56%) in situations specified in CD, and 2,266 (44%) in other 138 circumstances. Forty-eight unknown HIV infections were detected (prevalence=0.94%;95%CI=0.69-1.24). The prevalence was somewhat higher in DC requests (30 cas-es 1.12%) than the rest (18 cases 0.71%; p=0.16). The individualized prevalence of CD reasons ranged between 7.41% (95%CI=0.91-24.3) in chemsex and 0.42% 95%CI=0.14-0.98 in PPE, always efficient except herpes zoster (0.76%; CI95%=0.02-4.18). In other reasons, cases were detected in 12 circumstances, and in four the determination could be efficient: lymphopenia (10%;CI95%=0.25-44.5), fever with polyarthralgia-polyarthritis (7.41%;CI95% =0.91-24.3), behavioral alteration-confusion-encephalopathy (3.45%;95%CI=0.42-11.9) and fever of unknown origin (2.50%;95%CI=0.82-5.74). Conclusions: The determination of HIV serology in HES in the processes defined by DC SEMES-GESIDA is efficient. Some circumstances are identified that could be added to those previously contemplated to increase efficiency. | - |
dc.format.extent | 11 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | spa | - |
dc.publisher | Sociedad Española de Quimioterapia | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.37201/req/085.2022 | - |
dc.relation.ispartof | Revista Espanola de Quimioterapia, 2023, vol. 36, num. 2, p. 169-179 | - |
dc.relation.uri | https://doi.org/10.37201/req/085.2022 | - |
dc.rights | (c) Sociedad Española de Quimioterapia, 2023 | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Urgències mèdiques | - |
dc.subject.classification | VIH (Virus) | - |
dc.subject.classification | Herpes zòster | - |
dc.subject.other | Medical emergencies | - |
dc.subject.other | HIV (Viruses) | - |
dc.subject.other | Shingles (Disease) | - |
dc.title | Detección en urgencias de infección por VIH en pacientes que consultan por condiciones potencialmente relacionadas con infección oculta: resultados iniciales del programa "Urgències VIHgila" | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 728541 | - |
dc.date.updated | 2023-06-13T15:21:19Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) Articles publicats en revistes (Medicina) |
Files in This Item:
File | Description | Size | Format | |
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728541.pdf | 993.12 kB | Adobe PDF | View/Open |
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