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[Incidence and impact of HIV infection among patients with bacterial pleurisy in Lomé (Togo)].
- Source :
-
Medecine et maladies infectieuses [Med Mal Infect] 2004 May; Vol. 34 (5), pp. 216-20. - Publication Year :
- 2004
-
Abstract
- A prospective study was made in the Tokoin university hospital in Lomé (Togo) to determine the incidence and the impact of HIV among patients with bacterial pleurisy. Two hundred cases of bacterial pleurisy were consecutively included over 17 months. The HIV diagnostic was performed using ELISA (Vironostika HIV Uni-Form II plus O and HIV1 and 2 Bispot Immunocomb II). The 200 cases of pleurisy included 152 (76%) tuberculous pleural effusion and 48 (24%) pleural empyema. Staphylococcus aureus (32%), Streptococcus pneumoniae (14.9%), and Pseudomonas (14.9%) were the main causes of pleural empyema. The HIV incidence was 61% (122/200). The mortality rate ranged from 26.2% in the HIV positive group to 5.1% in HIV negative group (P = 0.0001). The bacterial aspect of pleural empyema was heterogeneous in both groups but Salmonella Enteritidis and Salmonella Typhimurium were identified only among patients with HIV.
- Subjects :
- AIDS-Related Opportunistic Infections epidemiology
Adult
Comorbidity
Empyema, Pleural epidemiology
Empyema, Pleural microbiology
Female
HIV Seropositivity
Hospital Mortality
Humans
Incidence
Male
Middle Aged
Pleurisy microbiology
Prevalence
Prospective Studies
Salmonella Infections epidemiology
Salmonella Infections microbiology
Salmonella enteritidis isolation & purification
Salmonella typhimurium isolation & purification
Togo epidemiology
Treatment Outcome
Tuberculosis, Pleural epidemiology
Bacterial Infections epidemiology
HIV Infections epidemiology
Pleurisy epidemiology
Subjects
Details
- Language :
- French
- ISSN :
- 0399-077X
- Volume :
- 34
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Medecine et maladies infectieuses
- Publication Type :
- Academic Journal
- Accession number :
- 16235598
- Full Text :
- https://doi.org/10.1016/j.medmal.2004.02.008