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  1. Human immunodeficiency virus and the trauma patient : Factors influencing postoperative infectious complications. Discussion.

    Article, Communication - En anglais

    Annual Meeting of the American Association for the Surgery of Trauma. Halifax, Nova Scotia CAN, 1995/09/27.

    Objective 

    While immunosuppression 2° to human immunodeficiency virus (HIV) infection should logically render HIV+trauma victims more prone to infection after injury, little data is available regarding trauma outcome in this group of patients.

    Since the helper CD4+lymphocyte count is a marker for progression of HIV-associated diseases, we examined the relationship between CD4+counts, Injury Severity Score (ISS), and bacterial infectious complications in HIV+trauma patients.

    Method 

    Retrospective review of 56 consecutive HIV+trauma patients treated at a Level I trauma center.

    Results 

    Nine patients (15%) developed significant infectious complications (four pneumonias, three soft-tissue infections, one urinary tract infection, one wound infection) with no pattern to the causative agents.

    Evaluation of CD4+counts, white blood cell counts, serum albumin levels, blood transfusion requirements, and ISS revealed that only the ISS was associated with infectious complications.

    Conclusion 

    Despite the profound immunosuppression in this group of patients, the incidence of bacterial infectious complications was independent of the CD4+count (p=0.958), but was associated with increases in the ISS (p=0.003).

    Mots-clés Pascal : SIDA, Virose, Infection, Homme, Traumatisme, Facteur risque, Complication, Bactériose, Epidémiologie, Immunopathologie, Immunodéficit

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human, Trauma, Risk factor, Complication, Bacteriosis, Epidemiology, Immunopathology, Immune deficiency

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0396216

    Code Inist : 002B06D01. Création : 10/04/1997.