[Characteristics of newly managed HIV-infected patients: hospital Saint-Antoine, Paris 2002-2003].
OBJECTIVE
The authors had for aim to assess incident HIV+ patients in Saint-Antoine hospital, Paris in 2002-2003 (transfers excluded).


METHODS
Sociodemographic, clinical, and virological data were collected to compare French and sub-Saharan patients.


RESULTS
Three hundred new HIV+ patients were identified: mean age 36.2 year; ratio M/W 65/35; origin: Caucasian 43%, African 44%, Maghrebian 8%, Asian 3%; nationality: French 45%, sub-Saharan African 44%; illegal aliens 65%; employed 51%; transmission: heterosexual 54%, homosexual 39%, intravenous drug user (IVDU) 2%; circumstances for diagnosis: HIV exposure 34%, primary infection 9%, symptoms/AIDS 23%, pregnancy 6%, other 28%; CDC stage: A 77%, B 9%, C 14%; mean T-CD4+ 374/mm3, median HIV-RNA 30780 cp/mL; co-infection HBV 7.3% HCV 5%.


RESULTS
88% still followed up in Saint-Antoine, 2% transferred, 9% lost to follow-up, 1% dead. A significant difference was shown: 1) between French (N = 123) and African (N = 46) men for heterosexual transmission (10 vs 91%), working status (85 vs 28%), T-CD4+ (354 vs 251/mm3), outcome (lost to follow-up 5 vs 24%) [P < 0.01]; 2) between French (N=13) and African (N = 85) women for age (41 vs 32 years), working status (38 vs 10%), stage A (54 vs 81%) [P < 0.05]; 3) between African patients according to sex (46M/85W) for age (39 vs 32 years), working status (28 vs 10%; P = 0.01), outcome (lost to follow-up 24 vs 6%) [P < 0.01].


CONCLUSIONS
This study highlights the persistence of HIV in native homosexual French men and the increasing prevalence in African migrant with precarious social status.
Fonquernie
L
L
Service des Maladies Infectieuses et Tropicales, Université Pierre et Marie-Curie, Paris-VI, APHP, Hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France. laurent.fonquernie@sat.ap-hop-paris.fr
Dray-Spira
R
R
Bamogo
E
E
Lert
F
F
Girard
P-M
PM
D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara / Q000453:epidemiology; D000368:Aged; D003710:Demography; D004651:Employment; D005260:Female; D005602:France / Q000453:epidemiology; D015658:HIV Infections / Q000145:classification* / Q000453:epidemiology / Q000635:transmission; D006801:Humans; D008297:Male; D008875:Middle Aged; D010297:Paris / Q000453:epidemiology; D044469:Racial Groups; D019562:Viral Load