Author(s): LlenasGarca J, Rubio R, Hernando A, Fiorante S, Maseda D,
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Abstract INTRODUCTION: The number of HIV-positive immigrants have increased in Spain in the last few years, and now represent a significant proportion of the epidemic. Our objective is to describe the clinico-epidemiological characteristics of HIV-positive immigrants seen in a specialist unit in Madrid. MATERIAL AND METHODS: Retrospective study. Every patient born in a country other than Spain and attended an HIV Unit in Madrid between 1992 and 2009 was included. RESULTS: Of the 371 patients included, 53.1\% were Latin Americans, 24.5\% Sub-Saharan Africans, and 22.4\% others), and 60\% were males. Immigrants represented 0.3\% of new patients in 1992 and rose to 49.2\% in 2009. The principal reason for HIV testing had been pregnancy/delivery among women (32.7\%) and having a category-B disease among men (17.4\%). Sexual transmission accounted for 92\% of patients. Tuberculosis was the principal AIDS-diagnosing illness. Respectively 90\%, 7.7\%, 60\%, 26.7\%, 96\% and 95\% of patients had an IgG for HAV, HCV, Toxoplasma, Treponema, CMV and VZV. VHB-Ags+: 5.4\%; PPD+: 17\%. At least one syphilis episode was recorded in 62\% of the men who have sex with men (MSM). Prevalence of HLA-B5701 was 6\%, 0.9\% and 3.8\% in Caucasians, Amerindians and Afro-Americans, respectively. CONCLUSIONS: Immigrants represent a significant proportion of new HIV-positive patients. It is a very heterogeneous group according to their clinical and epidemiological characteristics. Copyright © 2011 Elsevier España, S.L. All rights reserved.
This article was published in Enferm Infecc Microbiol Clin
and referenced in Health Care : Current Reviews