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AIDS and the geriatrician.

R J Moss, S H Miles

    Journal of the American Geriatrics Society
    |May 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Older adults are increasingly affected by acquired immune deficiency syndrome (AIDS), with higher risks from blood transfusions. Geriatricians must prepare for the neurological impacts of human T-cell lymphotrophic virus type III (HTLV-III) infection.

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    Area of Science:

    • Geriatrics
    • Infectious Diseases
    • Epidemiology

    Background:

    • Acquired immune deficiency syndrome (AIDS) affects a growing proportion of older adults.
    • Older individuals are more likely to contract AIDS through blood transfusions compared to other transmission routes.
    • Neurological complications of human T-cell lymphotrophic virus type III (HTLV-III) infection are significant in the elderly population.

    Purpose of the Study:

    • To highlight the increasing prevalence of AIDS in older populations.
    • To inform geriatricians about the unique risks and clinical manifestations of HTLV-III infection in the elderly.
    • To emphasize the need for updated management strategies and patient counseling.

    Main Methods:

    • Analysis of age distribution in acquired immune deficiency syndrome (AIDS) cases.

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  • Projection of future AIDS cases in older demographics.
  • Review of transmission routes and clinical presentations in elderly patients.

    • Main Results:

    • By 1991, an estimated 27,000 individuals over 50 and 1100 over 70 may have AIDS if current trends persist.
    • Older adults face higher risks from blood transfusions; elderly homosexual men face increasing risks.
    • Neurological consequences including encephalitis, myelopathy, and psychiatric disorders are key concerns.

    Conclusions:

    • Geriatricians need to be knowledgeable about the full spectrum of HTLV-III infection.
    • Management of blood products requires changes to protect older individuals.
    • Preparedness for counseling patients and facilities on HTLV-III infection is crucial for geriatric care.