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Bacterial pneumonias in HIV+ patients: radiological, clinical and bacteriological consideration.




 

Int Conf AIDS. 1992 Jul 19-24;8(3):63 (abstract no. PuB 7088). Unique

OBJECTIVE: To evaluate clinical, radiological and bacteriological characteristic in HIV+ patients (pts) with bacterial pneumonias (BP) to community acquired. METHODS: All HIV+ pts. from June '90 to December '91, with cough, breathlessness and fever were submitted to clinical, radiological and bacteriological examination on sputum. We controlled by bronchoalveolar lavage (BAL) and brushing pts with sputum negative. RESULTS: 82 pts on 110 with pneumonias definited aetiologies presented these characteristics: TABULAR DATA, SEE ABSTRACT VOLUME. 56 BP including: 18 S. Pneumoniae, 14P.Aeruginosa, 8K.Pneumoniae, 5E.Coli, 5H.Influenzae 2 B.Catarrhalis, 2S.Aureus and 1 Legionella Pn; media hospitalization was 30 +/- 12 days; in 2 pts was necessary mechanical ventilation. CONCLUSION: BP contracted in community are frequent in HIV+ pts. Etiology was unknown in interstitiopaty was very important BAL brushing, while in acinar forms were sufficiency bacteriological examination on sputum. BP in HIV+ pts versus immunocompetent pts showed a prevalence of Gram negative, a long period of hospitalization and a greater clinical gravity.

Bacterial Infections/COMPLICATIONS/*DIAGNOSIS Bronchoalveolar Lavage Fluid Human HIV Seropositivity/*COMPLICATIONS Pneumonia/COMPLICATIONS/*DIAGNOSIS/MICROBIOLOGY ABSTRACT



 




Information in this article was accurate in December 30, 1992. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.