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Epidemiological survey of HIV/AIDS at the University Hospital Kuala Lumpur (UHKL)--analysis of 382 cases from 1986 to 1977 (July).
Wang J; Isamail RB; Dept. of Medicine, Faculty of Medicine, University
December 30, 1998
Int Conf AIDS. 1998;12:1010 (abstract no. 60050). Unique Identifier :

BACKGROUND: To analyze the epidemiological features associated with HIV infection at UHKL. METHODS: A retrospective analysis of all the HIV infected patients seen in UHKL from 1986 to July 1977. Demographic, clinical and laboratory data were collected. RESULTS: 382 study patients were included in this group. 343 (89.8%) were in the age of 20 to 49. 220 (57.6%) of the patients are single. Chinese comprised the largest ethnic group (59.7%). The majority (211 cases) acquired the infection heterosexually (56.4%). 227 (59.4%) presented symptomatic diseases; of these 170 (44.5%) developed ADI; with Tuberculosis 57 cases (33.5%) and PCP 41 cases (24.1%). Of the heterosexually acquired HIV patients, 77 of 135 (57.0%) had CD4 cell count < 200/ul and 106 of 211 (59.2%) with diagnosis of ADI, while among the injecting drug users 12 of 56 (18.5%) had CD4 cell count < 200/ul and 40 of 87 (31.5%) with diagnosis of ADI (both < 0.01). Of the 113 tested married couples 40 spouses was positive (35.4%). 55 of the 193 AIDS patients were on anti-retroviral therapy. CONCLUSIONS: The predominant age group is 20 to 49. Heterosexually acquired HIV occurs mainly in the Chinese while injecting drug use and sharing of needles in Malay and Indian. Heterosexually acquired HIV patients presented to the hospital later than those who acquired the infection from sharing of needles. TB is the most common ADI followed by PCP.

MEETING ABSTRACTS Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY Adult Cross-Sectional Studies *Developing Countries Female Hospitals, University/STATISTICS & NUMER DATA Human HIV Infections/*EPIDEMIOLOGY Incidence Malaysia/EPIDEMIOLOGY Male Middle Age *Population Surveillance Retrospective Studies Risk Factors