1. Cerrahpasa Medical School, Department of Infectious Diseases
HIV/AIDS in Istanbul
Dr.Mucahit Yemisen
Cerrahpasa Medical School, Department of Infectious Diseases

2. Turkey, is one of the countries in Europe, which has the lowest HIV / AIDS prevalence.
First case of AIDS; 1981,
First case reported from Turkey; 1985

3. HIV in Turkey Slow progression High numbers in the last years
1024 patients in 2012

4. Total number of patients in Turkey

5. Patients according to age and gender

6. Route of transmission

7. ACTHIV-IST; 5 Hospitals in Istanbul Departments of Infectious Diseases
Patients followed between
A total of 829 patients
Epidemiologic and clinical data

8. Gender
Mean Age: 38

9. Marital Status n % Single 318 38.7 Widow / divorced 66 8 Married 34842
Not specified 97
11.3

10. Educational Status n % Only literate 285 34.4 Primary school 140 16.8
Secondary school 63
7.6
High school
143
17.2
University
187
22.6
Master's degree 6
0.7
Doctorate 3
0.4
Not-specified 2
0.3

11. Professions of Male and Female Patients
Male n (%)
Female n (%)
House-wife
77 (%60)
Worker
21 (%3)
Officer
12(%1.7)
3 (%2.3)
Health care worker
7 (%0.9)
2 (%1.4)
Sex worker
1 (%0.7)
Driver
39 (%5.6)
Textile business
42 (%6)
2 (%1.6)
Tourism
15(%2.1)
Student
36(%5.1)
Other
408 (%58)
28 (%21.7)
Unemployed
43 (%6.1)
4 (%3.1)
Not specified
76 (%10.9)
9 (%7)

12. Route of Transmission

14. Where and How Diagnosed
Reason for admission n %
Clinical
241
29.1
Screening test
519
62.6
Blood donation 72
8.7
Preop-evaluation
101
12.2
Positive partner 96
11.6
Suspect after intercourse 42
5.1
Job application 28
3.4
Before Marriage 27
3.3
Pregnancy 18
2.2
Check-up 49
5.9
Other 89
10.1
Not specified 69
8.3

15. Smoking-Drinking

16. CD4 level and HIV RNA during admission
Mean CD4 count during admission ( n:788)
357.8/mm₃
Median HIV RNA level during admission (n:698)
copy/ml

17. CD4 and HIV RNA level at diagnosis, according to the route of transmission
CD4 level (/mm₃)
HIV RNA (copy/ml) n
Mean
Median
Homosexual/
bisexual
266
408,90
225
120000
Heterosexual
166
347.6
139
100000
IVDU 3
102.1 2
85000
Blood/blood products 1
267.6
69000
Unknown 8
283.1 6
145000

18. Number of positive partner and children%
Partner
179
21.6
Children 15
1.8

19. Co-morbid conditions n % DM 32
3.9 HT 37
4.5
COPD 13
1.6

20. Teşekkürler