Open the intensive care unit doors to HIV-infected patients with sepsis.
Severe sepsis is more and more frequent, especially because of an increased rate of immunocompromised patients. Despite the improvement in the overall prognosis of HIV/AIDS patients and the improvement of global ICU care, the prognosis of HIV/ADS patients hospitalized in ICU with severe sepsis remained poor. This situation is partly due to the increased proportion of HIV/AIDS patients with limited access to health care and to a reluctance of ICU physicians in admitting HIV infected patients. However, medical literature suggests that ICU prognosis of immunocompromised (especially cancer) patients should be largely improved by early ICU admission and by an early institution of supportive techniques. This strategy should be used in HIV/AIDS patients with severe sepsis.
Timsit
Jean-François
JF
Group of Epidemiology of Cancer and Severe Diseases, INSERM U 578, Medical ICU, University Hospital, Albert Michallon, 38000 Grenoble, France. jjtimsit@chu-grenoble.fr
D015897:Comorbidity; D015658:HIV Infections / Q000453:epidemiology* / Q000628:therapy*; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D010043:Outcome and Process Assessment, Health Care; D011379:Prognosis; D018805:Sepsis / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D016019:Survival Analysis; D014481:United States / Q000453:epidemiology