川崎医科大学附属病院におけるＨＩＶ抗体検査及びＨＩＶ感染者／ＡＩＤＳ患者の現状

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  • Present State of HIV Antibody Survey Subjects and HIV/AIDS Patient Management at Kawasaki Medical School Hospital
  • カツドウ ホウコク カワサキ イカ ダイガク フゾク ビョウイン ニ オケル HIV コウタイ ケンサ オヨビ HIV カンセンシャ AIDS カンジャ ノ ゲンジョウ

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Objective: To characterize the state of management of HIV/AIDS patients at Kawasaki Medical School Hospital, which is a local core hospital for AIDS treatment in Okayama Prefecture.<BR>Methods: The subjects of an HIV antibody survey and 21 HIV/AIDS patients treated at our hospital between January 2001 and December 2005 were investigated.<BR>Results: The patients consisted of 20 men and one woman with a mean age of 32.7 years at initial presentation. There were 11 HIV-infected persons with a mean age of 30.9 years. Ten of these patients developed AIDS, and they had a slightly higher mean age of 34.7 years at initial presentation. The mean CD4-positive cell count of the 21 patients was 192/μl at diagnosis. The six patients who were diagnosed with AIDS in our hospital had a mean CD4-positive cell count of only 34/μl. All 21 patients were infected with HIV through routes other than blood products, including 13 patients infected through homosexual intercourse, three through heterosexual intercourse, and five via unknown routes. Eleven patients were referred from other prefectures, including five from Osaka and four from Tokyo. The number of the subjects of an HIV antibody survey increased in five years, but there were no positive patients.<BR>Discussion: The main characteristic of HIV patients at this local core model hospital was that only a few of them were infected in Okayama Prefecture. Many of them were referred from larger cities outside the prefecture after they were transferred by their companies or returned home. However, it is expected that the number of patients infected within Okayama Prefecture will increase in the future. There is also an increasing trend for patients to develop AIDS before initial presentation. Therefore, it is important to increase the performance of HIV antibody testing.

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