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VIH+ status: indication or contra-indication for liver transplantation?

Published online by Cambridge University Press:  16 April 2020

A. Lligoña
Affiliation:
Department of Alcohology and Neuroscience, Hospital Clínic, Barcelona, Spain
N. Freixa
Affiliation:
Department of Alcohology and Neuroscience, Hospital Clínic, Barcelona, Spain
M. Monras
Affiliation:
Department of Alcohology and Neuroscience, Hospital Clínic, Barcelona, Spain
A. Rimola
Affiliation:
Department of Alcohology and Neuroscience, Hospital Clínic, Barcelona, Spain
J.M. Miró
Affiliation:
Department of Alcohology and Neuroscience, Hospital Clínic, Barcelona, Spain
M. Walther
Affiliation:
Department of Alcohology and Neuroscience, Hospital Clínic, Barcelona, Spain

Abstract

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VIH+ status: indication or contra-indication for liver transplantation

Background and aims:

Since 1996 antiretroviral treatment drastically diminished morbidity and mortality of VIH infected patients. This fact allowed it to include patients with hepatic failure caused by Virus B or C in liver transplantation procedures. We intended to identify psychological factors interfering in the post-transplantation period with the further aim to define criteria for psychological assessment at the pre-transplantation period.

Methods:

From 2001 to 2006 we made a psychological investigation with 34 VIH+ patients during their usual pre-transplantation assessment. ICD-10 diagnoses were given after clinical non-structured interviews. Patients' psychosocial situations were also assessed in a non-structured way as well as drug and alcohol consumption was monitored. Patients were followed up during the whole time period.

Results:

We found an elevated prevalence of psychopathology among this group of VIH+ transplantation candidates, specially personality disorders, socio-familiar problems and substance abuse.

Conclusions:

It is important to include in-depth social and psychological assessment into the routine pre-transplantation procedure in order to preview and to minimize risk situations during the post-transplantation period.

Type
Poster Session 1: Alcoholism and Other Addictions
Copyright
Copyright © European Psychiatric Association 2007
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