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Revista Pan-Amazônica de Saúde

versão On-line ISSN 2176-6223

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REIS, Danielle Saraiva Tuma dos et al. Healthcare-associated infections among HIV-positive and HIV/AIDS-negative patients: a casuistic from the Amazonian Region. Rev Pan-Amaz Saude [online]. 2013, vol.4, n.2, pp.27-32. ISSN 2176-6223.  http://dx.doi.org/10.5123/S2176-62232013000200004.

OBJECTIVE: To investigate and compare the incidence of healthcare-associated infections (HAIs) involving HIV and non-HIV/AIDS patients. METHODS: Analytical, observational and prospective study. Setting: The Infectious Disease Nursery at the Hospital Universitário João de Barros Barreto in Belém, Pará State, Brazil. Patients: HIV and non-HIV/AIDS inpatients from February to December 2007. The patients were monitored daily from admission to the day of discharge. RESULTS: During the study period, there were 20,276 reported patient-days. Out of the 1,130 discharged patients, 40 patients acquired HAIs, and HAIs occurred more frequently in the HIV-positive patients (57.5%), with 29 (60.4%) HAI episodes (p ≤ 0.05). A total of 11 (55%) HIV-positive patients showed a TCD4 cell count < 100 cell/mm3, and 15 (65.22%) HIV-positive patients died from complications associated with the HAIs (p = 0.009). The most frequent infections were urinary tract infections related to urinary catheter use per 1,000 catheter-days in non-HIV patients, with 12.11 episodes (p = 0.13). However, HIV-positive patients were more often infected with pneumonia, with 1.6 episodes per 1,000 patient-days (p = 0.04). CONCLUSION: HAI are more likely to occur in HIV-positive patients, most likely as a consequence of their immune condition, and this risk, which is associated with invasive procedures, justifies the need for preventive measures.

Palavras-chave : Cross Infection; HIV; Pneumonia; Risk Factors.

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