<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0793</journal-id>
<journal-title><![CDATA[Iatreia]]></journal-title>
<abbrev-journal-title><![CDATA[Iatreia]]></abbrev-journal-title>
<issn>0121-0793</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-07932023000200186</article-id>
<article-id pub-id-type="doi">10.17533/udea.iatreia.168</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas, demográficas, y problemas relacionados a la medicación en pacientes de 50 años o más con diagnóstico reciente de VIH en Medellín, Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and demographic characteristics, and problems related to medication in patients with 50 or more years with recent diagnosis of HIV in Medellín, Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hoyos-Pulgarín]]></surname>
<given-names><![CDATA[Julián Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[Carlos Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alzate-Ángel]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molina-Ramírez]]></surname>
<given-names><![CDATA[Diego Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Briñez]]></surname>
<given-names><![CDATA[Faiver]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Henao]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pontificia Bolivariana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Corporación para Investigaciones Biológicas (CIB)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Tecnológica de Pereira  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>186</fpage>
<lpage>196</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-07932023000200186&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-07932023000200186&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-07932023000200186&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  la multimorbilidad, polifarmacia, y los problemas relacionados con la medicación son frecuentes tanto en las personas que envejecen con VIH como en los que se diagnostica en edades avanzadas.  Objetivo:  describir las características demográficas, clínicas y los problemas relacionados con la medicación en pacientes &#8805; 50 años con nuevo diagnóstico de infección por VIH.  Métodos:  estudio transversal descriptivo. Se incluyen pacientes &#8805; 50 años con nuevo diagnóstico de infección por VIH, quienes ingresan a cuatro centros de atención de VIH de la ciudad de Medellín, Colombia, entre enero 2013 y diciembre 2016.  Resultados:  se analizaron 493 pacientes. 62,7 % (n=309) de pacientes se encontraban en estadio 3 de la OMS y 49,5 % (n=244) tenían alguna condición definitoria de SIDA, siendo las más frecuente el síndrome de desgaste 23,7 % (n=117) y la tuberculosis 16,8 % (n=82). Al momento del diagnóstico, la mediana de CD4 fue 176 células/mL (RIQ 59-352) y carga viral 117.323 copias/mL (RIQ, 28.237411.139). Un 59 % (n=291) tenían comorbilidades no infecciosas, las más comunes hipertensión arterial 22,3 % (n=110) y dislipidemia 14,2 % (n=70). Se encontraron 66,1 % (n=326) pacientes con problemas relacionados con la medicación, siendo los más frecuentes: interacciones medicamentosas 61,1 % (301), polifarmacia con ARV 53,1 % (262), medicación potencialmente inapropiada 7,9 % (39), y alto riesgo anticolinérgico en el 2,4 % (12).  Conclusión:  al momento del diagnóstico, los adultos mayores VIH positivos presentan de manera frecuente multimorbilidad, polifarmacia e interacciones medicamentosas. El diagnóstico de VIH en esta población es más tardío y la presencia de enfermedades oportunistas es frecuente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  multimorbidity, polypharmacy, and problems related to medication are common both, in aging people with HIV and in those diagnosed in advanced ages.  Objective:  To describe the demographics, clinical characteristics, and problems related to medication in patients &#8805; 50 years old with new diagnosis of HIV.  Methods:  A descriptive transversal study. This study included patients &#8805; 50-year-old, with new diagnosis of infection with HIV, who attended four HIV healthcare programs in the city of Medellín, Colombia, between January 2013 and December 2016.  Results:  493 patients were analyzed. 62.7% (n=309) were in WHO clinical stage 3. 49.5% (n=244) had at least one definitory condition of AIDS, with wasting syndrome (23.7%, n=117) and tuberculosis (16.8%, n=82) being the most frequent ones. At the time of diagnosis, the median of CD4 and viral load was 176 cells/mL (IQR 59-352) and 117,323 copies/mL (IQR 28,237411,139), respectively. 59% (n=291) had non-infectious comorbidities, with the two most common being arterial hypertension (22.3%, n=110) and dyslipidemia (14.2%, n=70). 66.1% (n=326) of patients had problems related to medication, being the most frequent: drug interactions (61.1%, n=301), polypharmacy with ARV drugs (53.1%), potentially inappropriate medication (7.9%, n=39), and high anticholinergic risk (2.4%, n=12).  Conclusion:  at the time of diagnosis, HIV-positive older adults frequently have multimorbidity, polypharmacy, and drug interactions. The diagnosis of HIV in this population is very delayed and the presence of opportunistic infections is frequent.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infecciones por VIH]]></kwd>
<kwd lng="es"><![CDATA[Interacciones Farmacológicas]]></kwd>
<kwd lng="es"><![CDATA[Polifarmacia]]></kwd>
<kwd lng="en"><![CDATA[Drug Interactions]]></kwd>
<kwd lng="en"><![CDATA[HIV Infections]]></kwd>
<kwd lng="en"><![CDATA[Polypharmacy]]></kwd>
</kwd-group>
</article-meta>
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