[Study of an HIV positive, tropical origin population in a refugee center in France].
The study describes HIV positive refugee patients, who were seen over a 3 years period at COMEDE, a dispensary for foreign nationals. COMEDE offered a HIV test to every patient, and it followed up on the disease and its prevention. Out of 5,234 tests, 328 were positive (6.3%). Less than 5% of the patients refused the test. All the patients returned for the result; 88.4% were African and 11.3% Haitian. The mean age was 31.5 years. The male/female sex ratio was 1.28. In this study, 94.5% of the HIV patients were HIV1, 3% HIV2 and 2.5% carried both strains; 78% were asymptomatic, 7% had ARC and 12.5% had AIDS. The prevalence of tuberculosis was high (10.6%), especially for AIDS patients (65%); Treponematosis prevalence was 13% and toxoplasmosis was 62.8%; 40% had intestinal parasites. 36.4% of the women became pregnant during the study; 41% of the pregnancies were terminated, while 27% went full term. The proportion of missing patients after 6 months was high (57%) because of numerous factors which prevented them from returning. This study shows the importance of proposing a HIV test to this immigrant population, although follow-up is difficult, due to social and economic factors.
Bourée
P
P
Département des Maladies parasitaires et tropicales, Hôpital Bicêtre, Kremlin-Bicêtre, France.
Lamour
P
P
Bisaro
F
F
Didier
E
E
D000386:AIDS-Related Complex / Q000175:diagnosis; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000175:diagnosis; D000328:Adult; D000349:Africa / Q000208:ethnology; D001459:Bangladesh / Q000208:ethnology; D003105:Colombia / Q000208:ethnology; D005260:Female; D005602:France; D006679:HIV Seropositivity / Q000175:diagnosis*; D015497:HIV-1; D015498:HIV-2; D006205:Haiti / Q000208:ethnology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012036:Refugees; D014329:Tropical Climate
Etude d'une population d'origine tropicale, VIH positive, dans un centre de réfugiés en France.