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Hospital admissions for HIV-infected prisoners in Italy

Emanuele Pontali (Department of Infectious Diseases, Galliera Hospital, Genoa, Italy)
Roberto Ranieri (Department of Internal Medicine, Santi Paolo e Carlo Hospital, Milan, Italy)
Elena Rastrelli (Medicina Protetta-malattie Infettive, Ospedale di Belcolle, Viterbo, Italy)
Maria Donata Iannece (Cotugno Hospital, Naples, Italy)
Anna Maria Ialungo (Ospedale di Belcolle, Viterbo, Italy)
Serena Dell’Isola (Belcolle Hospital, Viterbo, Italy)
Alfonso Liberti (V Division, AORN Ospedali dei Colli, Napoli, Italy)
Pietro Rosario (AORN Ospedali dei Colli, Napoli, Italy)
Rodolfo Casati (Santi Paolo e Carlo Hospital, Milan, Italy)
Giulio Starnini (Unit Medicina Protetta-Malattie Infettive, Ospedale di Belcolle, Viterbo, Italy)
Sergio Babudieri (Facolta di Medicina e Chirurgia, Universita degli Studi di Sassari, Sassari, Italy)

International Journal of Prisoner Health

ISSN: 1744-9200

Article publication date: 12 June 2017

Abstract

Purpose

The purpose of this paper is to give a description of the clinical conditions and patient demographics of inpatient admissions of human immunodeficiency virus (HIV)-infected inmates in three hospital wards that provide hospital care for inmates in Italy.

Design/methodology/approach

This is a retrospective review of hospital medical admissions of patients living with HIV from January 1 to December 31, 2014, in three Italian referral centers for hospitalization of inmates.

Findings

A total of 85 admissions for 85 different HIV-infected inmates occurred in 2014 in the three centers participating to the study. Most patients (54.1 percent) were co-infected with hepatitis C. Discharge diagnosis largely varied ranging from common HIV-related co-morbidities to completely independent diagnosis. The most commonly observed discharge diagnoses were chronic hepatitis C, liver cirrhosis, opiate dependence and thrombocytopenia.

Originality/value

Discharge diagnosis between HIV-infected inmates and HIV-infected patients in freedom are strikingly and significantly different. A large number of hospitalized HIV-infected inmates were affected by chronic viral hepatitis and liver cirrhosis; this is probably a direct consequence of the high prevalence of HCV and/or HBV co-infections in the inmate population in Italy. In addition, a significantly lower proportion of cancer diagnosis was observed among inmates; this is possibly justified by the fact that in our Italian settings when HIV infection is at advanced stages or if cancer treatment is started those affected are released from prison and can continue their diagnostic and treatment follow-up in freedom.

Keywords

Citation

Pontali, E., Ranieri, R., Rastrelli, E., Iannece, M.D., Ialungo, A.M., Dell’Isola, S., Liberti, A., Rosario, P., Casati, R., Starnini, G. and Babudieri, S. (2017), "Hospital admissions for HIV-infected prisoners in Italy", International Journal of Prisoner Health, Vol. 13 No. 2, pp. 105-112. https://doi.org/10.1108/IJPH-02-2016-0004

Publisher

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Emerald Publishing Limited

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