• Atencion primaria · May 2017

    Multicenter Study Observational Study

    [Cross sectional study of comorbidities and concomitant medications in a cohort of human immunodeficiency virus-infected patients].

    • Maria Asunción García Gonzalo, María Isabel Santamaría Mas, Lidia Pascual Tomé, Maialen Ibarguren Pinilla, and Francisco Rodríguez-Arrondo.
    • Servicio de Enfermedades Infecciosas, Hospital Galdakao, Usansolo, Bizcaia, España.
    • Aten Primaria. 2017 May 1; 49 (5): 286-293.

    AimTo assess the prevalence of comorbidities, concomitant therapies and adverse effects associated with the medication in a cohort of patients with HIV infection.DesignMulticentre cross-sectional study.SettingsInfectious Diseases or Internal Medicine outpatient Clinics of 3 hospitals in the Basque Country.ParticipantsDuring a 3 month period, patients with the following inclusion criteria were randomly selected: HIV infection, age>18years, antiretroviral treatment (ART) for at least 6months, and no changes in ART in the previous 4weeks. A total of 224 patients (of the 225 expected) were included.MeasurementsData were collected using a form, and include, epidemiological and anthropometric data, data related to HIV infection, comorbidities, current therapies, and adverse effects.ResultsOf the 224 patients, 95.5% had at least one comorbidity, the most common being HCV infection (51.3%), dyslipidaemia (37.9%), diabetes mellitus or impaired fasting glucose (21.9%), and hypertension (21.9%). A total of 155 patients (69.2%) were taking concomitant medication: anxiolytics (21.4%), antihypertensives (19.6%), proton pump inhibitors (17.9%), statins (17%), and antidepressants (16.5%). Adverse effects (AE) were observed in 62.9% of subjects, the most common being, changes in body fat distribution (32.6%) and gastrointestinal (24.1%).ConclusionsPatients with HIV infection are getting older, with more comorbidities, with very frequent use of concomitant treatments, and high number of adverse effects. This requires a multidisciplinary approach and a coordinated effort within the Primary Care setting.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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