000			02917na a2200289 4500
003			PC7197
005			20210702062700.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aArrazola Martínez, María Pilar _91388 _eMedicina Preventiva
100			_aLlenas García, Jara _91610 _eMedicina Interna
100			_91026 _aPulido Ortega, Federico _eUnidad VIH
100			_91500 _aRubio García, Rafael _eUnidad de VIH
245	0	0	_aDo HIV-positive adult immigrants need to be screened for measles-mumps-rubella and varicella zoster virus immunization?. _h[artículo]
260			_bAIDS Care, _c2013
300			_a25(8):980-9.
500			_aFormato Vancouver: Llenas-García J, Rubio R, Hernando A, Arrazola P, Pulido F. Do HIV-positive adult immigrants need to be screened for measles-mumps-rubella and varicella zoster virus immunization? AIDS Care. 2013 Aug;25(8):980-9.
501			_aPMID: 23244745
504			_aContiene 33 referencias
520			_aA systematic screening for measles, mumps, rubella (MMR) and varicella zoster virus (VZV) in HIV-positive adult immigrants in Spain was evaluated, and factors associated with MMR and VZV vaccines' indication were studied. Every HIV-positive immigrant was tested for VZV and MMR-IgG. MMR vaccine was indicated to patients with lymphocytes CD4+ >200 cells/mm(3) and a negative measles-IgG, a negative mumps-IgG and/or a negative rubella-IgG. VZV vaccine was indicated to every VZV-IgG negative patient with CD4+ >400 cells/mm(3). In total, 289 patients were screened; seroprevalence was 95.2%, 92.2%, 70.3% and 89.3% for VZV, measles, mumps and rubella IgG, respectively. Having a negative VZV-IgG was statistically associated with coming from sub-Saharan Africa (prevalence ratio [PR]: 6.52; 95% CI: 1.71-24.84; p=0.006), while having secondary education was a protective factor (PR: 0.25; 95% CI: 0.07-0.97; p=0.045). Fourteen patients (4.8%) had indication of VZV vaccine; vaccination was feasible in 21.4% of them at first visit. Eighty-one patients (29.7%) had indication of MMR vaccine, most of them due to mumps-IgG negative (53.1%) or rubella-IgG negative (24.7%). Age < 30 years at first visit was the only factor statistically associated with MMR vaccine indication (PR: 1.47; 95% CI: 1.02-2.11; p=0.04). According to CD4+ cell counts, vaccination was feasible in 71.6% of patients at first visit. In conclusion, more than a third of HIV-infected immigrant patients are susceptible to at least one easily preventable infectious disease. Especial attention should be given to immigrant women of childbearing age.
710			_96 _aServicio de Medicina Interna
710			_982 _aServicio de Medicina Preventiva y Salud Pública
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/7/pc7197.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c7197 _d7197