AIDS e doenças oportunistas transmissíveis na faixa de fronteira Brasileira

Rodrigues-Júnior, Antônio Luiz; Castilho, Euclides Ayres de

doi:10.1590/s0037-86822010000500014

Cited by 10 publications

(9 citation statements)

References 7 publications

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“…These migrants often have little or no education, making them socially vulnerable subjects, unemployed in urban environments 9,10,19 ; poor women are the most vulnerable to prostitution, being more exposed to unprotected sex due to their little bargaining power as sex workers in poor regions…”

Section: Discussionmentioning

confidence: 99%

“…increased commercial activities, by multilateral trade agreements such as Mercosur, which enhances human contacts 8 , promoting the transmission of HIV and M.tuberculosis (MTb) 9 . Epidemiology studies the patterns of incidence of diseases, focusing on demographic, spatial and temporal characteristics; geoepidemiology has contributed to the geographical assessment of HIV infection 10,11 . Eco-epidemiological studies consider the division of municipalities as a criterion for aggregation of information from case reporting, generating a sociopolitical diathesis.…”

Section: Palavras-chavementioning

confidence: 99%

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Spatial distribution of the human development index, HIV infection and AIDS-Tuberculosis comorbidity: Brazil, 1982 - 2007

Rodrigues-Júnior

Ruffino-Netto

Castilho

2014

Rev. bras. epidemiol.

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INTRODUCTION: AIDS epidemic has given visibility to the incidence of tuberculosis, for being the most frequent opportunistic infection. It is known that individuals who are socially vulnerable are more susceptible to HIV transmission and tuberculosis as well. OBJECTIVE: This study aims to conduct a geoepidemiological study on HIV/AIDS, AIDS-Tuberculosis co-infection and social vulnerability. METHOD: This is an ecological study using incidence rates and the human development index to produce thematic maps and a descriptive analysis of epidemiology. The records of reported cases of HIV/AIDS from 1982 to 2007 were used, considering as cases of AIDS-Tuberculosis those records that were positively diagnosed with tuberculosis and those records with unknown diagnosis of tuberculosis, but showing compatible signs and symptoms with tuberculosis (fever, cough, cachexia and asthenia). RESULTS: The maps allowed the identification of areas with social differences and different patterns of incidence of HIV/AIDS and AIDS-Tuberculosis; regional differences were similar to those found by Josué de Castro, in 1940; regions with higher human development index values also showed higher incidence HIV/AIDS and AIDS-Tuberculosis. CONCLUSION: The prevention of HIV infection must be geographically specific, given socioeconomic and cultural differences. Although official records show decline in AIDS-TB co-infection, treatment of cases of HIV/AIDS should observe the occurrence of opportunistic diseases, which should be notified and/or updated.

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Section: Discussionmentioning

confidence: 99%

Section: Palavras-chavementioning

confidence: 99%

Spatial distribution of the human development index, HIV infection and AIDS-Tuberculosis comorbidity: Brazil, 1982 - 2007

Rodrigues-Júnior

Ruffino-Netto

Castilho

2014

Rev. bras. epidemiol.

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“…Considerando as limitações inerentes aos indicadores sintéticos, que obscurecem detalhes das características dos grupos analisados, o cál-culo do IDH efetuado ratificou a diferenciação das condições de vida na fronteira 2,4,12,13 obtendo os maiores ganhos, permaneceriam em um patamar de médio desenvolvimento. Indicando que os demais indicadores parciais (renda e educação) precisam melhorar para permitir a elevação do nível de desenvolvimento regional.…”

Section: Discussionunclassified

“…Suas dimensões e características geográficas peculiares dificultam a oferta de serviços sociais básicos, resultando na vulnerabilidade da população residente, exposta às tensões causadas pela exploração ilegal de madeira, garimpo e grilagem de terra, observadas na fronteira com a Guiana; também às atividades paramilitares das Forças Armadas Revolucionárias da Colômbia (FARC) e ao narcotráfico, evidenciados na região fronteiriça com a Venezuela e Colômbia. Na região da Tríplice Fronteira, são frequentes ocorrências ligadas ao crime organizado, tráfico humano, contrabando, exploração sexual e comércio ilegal de armas 2 .…”

Section: Introductionunclassified

A influência da mortalidade por causas externas no desenvolvimento humano na Faixa de Fronteira brasileira

Castro

Rodrigues-Júnior

2012

Cad. Saúde Pública

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Neste artigo estima-se a influência de óbitos por causas externas no desenvolvimento na Faixa de Fronteira Brasileira, mensurado pelo Índice de Desenvolvimento Humano (IDH), entre 2000 e 2005. Os dados obtidos em órgão oficiais do Brasil foram combinados por meio da metodologia definida pelo Programa das Nações Unidas para o Desenvolvimento, revelando a situação do IDH nas condições de fato. Subsequentemente, foram desconsiderados os óbitos por causas externas para estimar sua influência no índice, recalculando-se a expectativa de vida utilizando a técnica de causas competitivas. Observou-se que o IDH nas condições de fato apresenta um gradual aumento no sentido Norte-Sul, com as regiões mais desenvolvidas concentrando-se no Sul, o que se apresenta em concordância com outros estudos que utilizam outros conjuntos de indicadores socioeconômicos. Ao desconsiderar os óbitos por causas externas, os maiores ganhos foram apresentados nas regiões onde os IDH (nas condições de fato) eram menores e a magnitude dos ganhos reduziu-se em direção do Sul.

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“…1 After a few years, the symptomatic phase of the disease is established, with immunodeficiency and the appearance of coinfections. 2,3 The Brazilian Ministry of Health recommends 19 drugs for HIV treatment. These drugs are divided into classes, according to their mechanisms of action, namely: nucleoside and nucleotide reverse transcriptase inhibitors (NRTIs), non-nucleoside analogue reverse transcriptase inhibitors (NNRTIs), protease inhibitors (PIs), fusion inhibitors, integrase inhibitors and entry inhibitors (CCR5 co-receptor antagonists).…”

Section: Introductionmentioning

confidence: 99%

Antiretroviral changes during the first year of therapy

Bandeira

Elias

Cavalcante³

et al. 2017

Rev. Assoc. Med. Bras.

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Introduction:The Brazilian HIV/AIDS management and treatment guideline (PCDT), published in 2013, recommends and standardizes the use of highly active antiretroviral therapy (HAART) in all adult patients, in spite of LTCD 4 count. This study aimed to analyze the first year of HAART use in patients from a reference center on HIV/AIDS management in Fortaleza, Ceará. Method: This descriptive study reviewed all prescription forms of antiretroviral regimens initiation and changes from January to July 2014. All antiretroviral regimen changes that occurred during the first year of therapy were evaluated. Data were analyzed with SPSS version 20. Mean, standard deviation and frequency, Student's t and Mann-Whitney tests calculations were used, with significance at p<0.05. Results: From 527 patients initiating HAART, 16.5% (n=87) had a regimen change in the first year. These patients were mostly male (59.8%; n=52), aged 20 to 39 years, with only one HAART change (72.4%; n=63). Efavirenz was the most often changed drug, followed by tenofovir, zidovudine and lopinavir/ritonavir. Mean time of HAART changes was 120 days, with adverse reactions as the most prevalent cause. HAART was effective in decreasing viral load since second month of treatment (p=0.003) and increasing LTCD 4 lymphocytes since fifth month (p<0.001). Conclusion:The main cause of initial HAART changes was adverse reaction and most patients had only one change in the HAART regimen. HAART prescription was in accordance to the PCDT from 2013.

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AIDS e doenças oportunistas transmissíveis na faixa de fronteira Brasileira

Cited by 10 publications

References 7 publications

Spatial distribution of the human development index, HIV infection and AIDS-Tuberculosis comorbidity: Brazil, 1982 - 2007

Spatial distribution of the human development index, HIV infection and AIDS-Tuberculosis comorbidity: Brazil, 1982 - 2007

A influência da mortalidade por causas externas no desenvolvimento humano na Faixa de Fronteira brasileira

Antiretroviral changes during the first year of therapy

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