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A recent increase in AIDS at Lyon University Hospitals: patient characteristics and comparisons with previous years

  1. D Baratin1,
  2. E Marceillac1,
  3. C Trepo2,
  4. L Cotte2,
  5. D Peyramond3,
  6. C Chidiac3,
  7. JL Touraine4,
  8. JM Livrozet4,
  9. J Fabry1,
  10. P Vanhems1

Article first published online: 24 NOV 2005

DOI: 10.1111/j.1468-1293.2005.00335.x

Issue

HIV Medicine

HIV Medicine

Volume 7, Issue 1, pages 59–63, January 2006

Additional Information

How to Cite

Baratin, D., Marceillac, E., Trepo, C., Cotte, L., Peyramond, D., Chidiac, C., Touraine, J., Livrozet, J., Fabry, J. and Vanhems, P. (2006), A recent increase in AIDS at Lyon University Hospitals: patient characteristics and comparisons with previous years. HIV Medicine, 7: 59–63. doi: 10.1111/j.1468-1293.2005.00335.x

Author Information

  1. 1

    Department of Epidemiology, Hygiene and Prevention, Edouard Herriot Hospital, Lyon,

  2. 2

    Department of Gastroenterology and Liver Diseases, Hôtel-Dieu, Hospital, Lyon,

  3. 3

    Department of Tropical and Infectious Diseases, Croix-Rousse Hospital, Lyon, and

  4. 4

    Department of Clinical Immunology and Transplantation, Edouard Herriot Hospital, Lyon, France

* Philippe Vanhems, Laboratoire d'Epidémiologie et de Santé Publique, INSERM U271, Faculté de Médecine, 8, avenue Rockefeller, 69373 Lyon cedex 08, France. Tel: 33 (0) 4 78 77 70 31; fax: 33 (0) 4 78 00 93 86; e-mail: philipva@lyon-sud.univ-lyon1.fr

Publication History

  1. Issue published online: 24 NOV 2005
  2. Article first published online: 24 NOV 2005
  3. Received: 3 December 2004, accepted 6 April 2005

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Keywords:

  • AIDS events;
  • decrease;
  • heterosexual exposure;
  • increase;
  • prevention programmes

Background

A 36% increase in the incidence of AIDS was observed in 2002/2003 compared with 2000/2001 at Lyon University Hospitals.

Objectives

We compared the characteristics of these patients with the characteristics of those diagnosed previously with AIDS.

Methods

Data for all patients with AIDS diagnosed at Lyon University Hospitals were analyzed. The data were collected prospectively. Multiple logistic regression was used for analysis.

Results

The variables independently associated with an AIDS diagnosis in 2002/2003 compared with the 1985–1989 period were: homosexual exposure [odds ratio (OR) 0.4; 95% confidence interval (CI) 0.2–0.8]; heterosexual exposure in an endemic area (OR 22.5; 95% CI 6.8–74.8), compared with other exposure to HIV; lymphoma as initial AIDS event (OR 10.3; 95% CI 2.7–39.1) compared with Pneumocystis carinii pneumonia; and age at first AIDS event aged 34–38 years (OR 2.5; 95% CI 1.0–6.4), aged 39–46 years (OR 5.1; 95% CI 2.2–11.8), and aged 47–84 years (OR 10.6; 95% CI 4.5–25.1) compared with aged <30 years. The variables independently associated with an AIDS diagnosis in 2002/2003 compared with the 1997/2001 period were age at first AIDS event aged 34–38 years (OR 0.4; 95% CI 0.2–0.9) compared with aged <30 years.

Conclusion

Recently diagnosed AIDS patients differed from those diagnosed previously, showing an epidemic switch in different populations. The characteristics of the AIDS population in 2002/2003 might reflect public health messages disseminated around 10 years ago or more for the prevention of HIV transmission. Anticipation of populations affected by the AIDS epidemic is difficult.

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