巴基斯坦卡拉奇JPMC收治的慢性病人中艾滋病毒/艾滋病的流行估计

M. Anwar, N. Rahat, H. Shahzad, Amtul Qudos
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摘要

目的:了解卡拉奇三级医院(真纳研究生医学中心)慢性病患者HIV/AIDS的流行情况。研究设计和地点:本横断面研究于2021年6月至2022年4月在JPMC进行。材料与方法:本研究纳入内科及肺科收治的500例年龄≥18岁、有高度可疑HIV/AIDS病史和症状的患者。采用结构良好的调查问卷获取背景特征、临床症状;收集所有参与者的高危行为史和I/V药物使用情况。所有参与者都有唯一的身份证号,保证保密。数据分析采用Statistical Package for Social Sciences version 21 (SPSS 21)。结果:500例患者中,男性373例(74.6%),女性127例(25.4%),男女比例为2.93:1。平均年龄33.5±12.78岁(18 ~ 83岁)。有输血史的患者最多,160例(32%),其次是I/V吸毒者130例(26%)和性接触96例(19.2%)。在500名研究参与者中,29名(5.8%)受试者是艾滋病毒/艾滋病阳性。本研究的结果将提供有关艾滋病毒在社区传播的信息和认识。研究表明,输血是艾滋病毒传播的一个重要危险因素。本研究结果将有助于医生对腹部大手术后疼痛的治疗。急性疼痛管理在医院面临一些重大障碍,根据最近的审查,在三级护理设施中心术后疼痛管理程序。结论:住院的慢性病人多为已确诊的男性。输血史、静脉用药、多个性伴侣是重要的危险因素。有必要提高公众对艾滋病毒/艾滋病危险因素的认识,以减缓这一致命疾病的蔓延。关键词:艾滋病获得性免疫缺陷综合征慢性病,HIV人类免疫缺陷病毒,注射吸毒者,多个性伴侣,JPMC真纳研究生医学中心
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Prevalent Estimates of HIV/AIDS in Chronically Ill patients admitted in JPMC Karachi Pakistan
Objective: To find out the prevalence of HIV/AIDS in chronically ill patients admitted in tertiary care hospital JPMC(Jinnah Postgraduate Medical Centre) Karachi. Study design & place: This cross-sectional study was conducted at JPMC during the June, 2021 to April, 2022. Materials & Methods: A total of 500 patient age ≥18 years having highly suspicious history & symptoms of HIV/AIDS, admitted in Medical & pulmonology department were included in this study. A well-structured questionnaire was used to obtain background characteristics, clinical symptoms; history of high risk behaviors and I/V drug use of all participants was collected. Confidentiality was assured of all participants given unique identification number. Data was analyzed by using Statistical Package for Social Sciences version 21 (SPSS 21). Results: A total of 500 patients comprised of 373 (74.6%) male and 127 (25.4%) female, male to female ratio was 2.93:1. The mean age was 33.5 ± 12.78 years (18 to 83 years). We observed that most of patients belong with history of blood transfusion, 160 (32%) followed by I/V drug user 130 (26%) and sexual contact 96 (19.2%) cases. Out of 500 study participants, 29(5.8%) subjects were HIV/AIDS positive. The results of this study will provide information and awareness about the transmission of HIV in community. The study revealed that the blood transfusion is a significant risk factor in transmission of HIV. The findings of current study will help doctors for postoperative pain treatment following major abdominal surgery. Acute pain management in hospitals faces some significant obstacles, according to a recent review on postoperative pain management procedures in tertiary care facilities center. Conclusion: Most of the chronically ill patients admitted were men who had been diagnosed with HIV/AIDS. Blood transfusion history, intravenous drug use, and multiple sex partners were important risk factors. There is a need to create awareness among the general public about the risk factors for HIV/AIDS to decelerate the spread of this deadly disease. Keywords: AIDS Acquired immunodeficiency syndrome Chronic diseases, HIV Human Immunodeficiency Virus, Injecting drug user, Multiple sex partners, JPMC Jinnah Postgraduate Medical Centre
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