Characterization of the mortality by AIDS in the county Sancti Spíritus. 1986-2011

Background: The AIDS is one of main causes of death in young patients and in this county where this illness has had an increase. Objective: To characterize the mortality by HIV/AIDS in Sancti Spíritus from 1986 to 2011. Methodology: It was carried out a descriptive study, with retrospective analysis of the information that included 90 deaths by this cause, the variables included age, sex, lived years with the HIV/AIDS diagnose, residence municipality, causes of the death, use of antiretroviral treatment and immunodepression grade. Results: Cabaiguán and Sancti Spíritus contributed to the biggest number of deceases, the masculine sex and the ages from 21-40 were the most frequent, in the period from 1996-2000 and 2006-2010; the tendency was always upward. Around 70 of them had few years of infection for HIV and they didn't use treatment, from a 77.8%, 26 died before receiving Antiretroviral Treatment of Great Activity in 1996. The fundamental causes of death were: waste syndrome, pneumonia for Pneumocystis jeroveci, neurotoxoplasmosis and cryptosporidiosis. Conclusions: In the period it showed an upward tendency of the mortality in the county. The state of marked immunodepression and high percentage of no use of the Antiretroviral Treatment of Great Activity favored the appearance of opportunist illnesses causing the deceases.