Perfil clínico e epidemiológico e prevalência da coinfecção tuberculose/HIV em uma regional de saúde no Maranhão

Neto, Marcelino dos Santos; Silva, Fabiane Leita da; Sousa, Keyla Rodrigues de; Yamamura, Mellina; Popolin, Marcela Paschoal; Arcêncio, Ricardo Alexandre

doi:10.1590/s1806-37132012000600007

Cited by 20 publications

(32 citation statements)

References 21 publications

(43 reference statements)

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“…Nas evidências alcançadas percebeu-se que, apesar de muitos casos com AIDS, há uma notificação substancial de casos de TB pulmonar. Resultados semelhantes foram encontrados em outros estudos [21][22][23][24][25] , porém a forma extrapulmonar é comumente em PVHA, tendo em vista, que em imunodeprimidos os bacilos adentram à corrente sanguínea e espalham-se por outros órgãos 26 . Desta forma, torna-se necessário o desempenho de medidas educativas que incentivem a adesão ao tratamento do HIV/Aids, a fim de manter adequada a contagem das células de defesa, Linfócitos CD4+.…”

Section: Resultsunclassified

Casos de tuberculose coinfectados por HIV em um estado do nordeste brasileiro

Marques

Medeiros

Sousa

et al. 2019

Revenf

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RESUMENEl objetivo de este estúdio fue caracterizar los casos notificados de Tuberculosis coinfectados por el Virus de la Inmunodeficiencia Adquirida en Río Grande del Norte, estado del noreste brasileño. Se trata de un estudio ecológico, retrospectivo, basado en datos de notificaciones del Sistema de Información de Agravios de Notificación entre los años 2001 y 2015. Los datos fueron presentados en gráficos, imagen y tablas y analizados a partir de estudios actuales sobre la temática. Se observó un aumento en el número de casos durante el período analizado. Prevaleció casos confirmados del sexo masculino (75,28%), de personas entre 20 y 39 años (55,63%), que presentaron la forma pulmonar de tuberculosis (71,62%), desarrollaron SIDA (91,27%) e ingresaron en el servicio en la situación de caso nuevo (73,80%). Se observó una cantidad elevada de datos ignorados, como ejemplo, las variables drogas ilícitas (88,82%) y tabaquismo (89,52%). Se concluye que los hallazgos indican el aumento en el número de coinfecciones y una preocupación por la completitud de los datos durante las notificaciones. ABSTRACTThe objective of this study was to characterize the reported cases of Tuberculosis coinfected with the Acquired Immunodeficiency Virus in Rio Grande do Norte, state of northeastern Brazil. This is an ecological, retrospective study based on notification data from the Notification Grievance Information System between 2001 and 2015. The data were presented in graphs, images and tables and analyzed from current studies on the subject. There was an increase in the number of cases during the period analyzed. Prevalence of confirmed male cases (75.28%), between 20 and 39 years old (55.63%), who had the pulmonary form of tuberculosis (71.62%), developed AIDS (91.27%) and entered the service in the new case situation (73.80%). A high amount of ignored data was observed, for example, the variables illicit drugs (88.82%) and smoking (89.52%). It is concluded that the findings indicate the increase in the number of coinfections and a concern for the completeness of the data during the notifications.

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Section: Resultsunclassified

Casos de tuberculose coinfectados por HIV em um estado do nordeste brasileiro

Marques

Medeiros

Sousa

et al. 2019

Revenf

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“…, 20 , 29 , 32 Although treatments are available free of charge in the public health care system, the dispensing of medications and treatment follow-up are performed at different places. In addition, the long duration and the side effects of the treatment favor nonadherence 6 …”

Section: Discussionmentioning

confidence: 99%

Temporal analysis of reported cases of tuberculosis and of tuberculosis-HIV co-infection in Brazil between 2002 and 2012

Gaspar¹,

Nunes

et al. 2016

J. bras. pneumol.

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Objective: To investigate the reported cases of tuberculosis and of tuberculosis-HIV co-infection in Brazil between 2002 and 2012. Methods: This was an observational study based on secondary time series data collected from the Brazilian Case Registry Database for the 2002-2012 period. The incidence of tuberculosis was stratified by gender, age group, geographical region, and outcome, as was that of tuberculosis-HIV co-infection. Results: Nationally, the incidence of tuberculosis declined by 18%, whereas that of tuberculosis-HIV co-infection increased by 3.8%. There was an overall decrease in the incidence of tuberculosis, despite a significant increase in that of tuberculosis-HIV co-infection in women. The incidence of tuberculosis decreased only in the 0-to 9-year age bracket, remaining stable or increasing in the other age groups. The incidence of tuberculosis-HIV co-infection increased by 209% in the ≥ 60-year age bracket. The incidence of tuberculosis decreased in all geographical regions except the south, whereas that of tuberculosis-HIV co-infection increased by over 150% in the north and northeast. Regarding the outcomes, patients with tuberculosis-HIV coinfection, in comparison with patients infected with tuberculosis only, had a 48% lower chance of cure, a 50% greater risk of treatment nonadherence, and a 94% greater risk of death from tuberculosis. Conclusions: Our study shows that tuberculosis continues to be a relevant public health issue in Brazil, because the goals for the control and cure of the disease have yet to be achieved. In addition, the sharp increase in the incidence of tuberculosis-HIV co-infection in women, in the elderly, and in the northern/northeastern region reveals that the population of HIV-infected individuals is rapidly becoming more female, older, and more impoverished.

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“…81.3% were men, with a mean age of 36 years (range 18 to 86 years), elementary school with 53.3%, and selfreported multiracial (61%). 25 In a study conducted in the city of Tocantins, MA, 79% of 100 co-infected patients were men, with a predominant age range between 20 and 40 years (64%), selfdeclared brown race / color (42%) and educational level in elementary school (31%) 26 It was reported in the city of Ribeirão Preto, SP, after analyzing 498 medical records of patients undergoing clinical and outpatient follow-up, registered from 2004 to June 2010, in a referral center for people living with HIV / AIDS, 59.2% were male, with a mean age of 39.3 years, ranging from 17 to 71 years.27 In a study conducted in Nepal in 2015, with 218 patients, 61% of whom were men, ranging in age from 20 to 65 years. 28 An investigation was conducted in the municipality of Caxias, MA, in the specialized care service, with the participation of 72 patients with HIV, and when compared with this study, 52.8% were female (against 18.63%), aged 30 to 40 years (versus 21 to 40 years), single marital status in 58.8% of the sample (versus 73.91%), with incomplete elementary school (54.2%), which contrasts with this study in which 30.43% had completed high school and self-declared browns were 68.1% versus 22.98% and active were 44.4% versus 91.30%.…”

Section: Methods Objectivementioning

confidence: 99%

Perfil epidemiológico e características de coinfecções associadas às pessoas soropositivas

Werneck

Oliveira

Ponce

et al. 2019

Rev enferm UFPE on line.

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Objetivo: determinar a prevalência, o perfil epidemiológico e as características associadas à coinfecção pelos vírus das hepatites A, B, C, sífilis e TB entre indivíduos infectados pelo vírus HIV. Método: trata-se de um estudo quantitativo, descritivo, transversal. Compôs-se a amostra com 161 pacientes, e realizou-se a análise dos dados a partir das informações do prontuário de pacientes coinfectados pelos vírus das hepatites B, C, sífilis e TB entre infectados pelo vírus HIV. Apresentaram-se os resultados em forma de tabelas. Resultados: nota-se que a maioria eram homens (81,37%), na faixa etária de 21 a 40 anos (67,08%), coinfectados (89,90%), solteiros (73,91%), homossexuais (49,69%), com três ou mais parceiros durante a vida (94,64%), sendo pacientes que usaram drogas (86,35%) e os que usam drogas atualmente (64,60%). Relatou-se mais o uso de preservativos como “às vezes” por 81,37% da amostra. Conclusão: concluiu-se que todos os indivíduos infectados pelo vírus HIV apresentam perfil epidemiológico associado aos vírus das hepatites A, B, C, sífilis e TB. Mostrou-se, pela relação de prevalência, que indivíduos coinfectados tendem a possuir sífilis e hepatite B. Descritores: Soropositividade Para HIV; Infecções Oportunistas Relacionadas Com o HIV; Coinfecção Por HIV; Hepatite B; Hepatite C; Sífilis.ABSTRACTObjective: to determine the prevalence, epidemiological profile and characteristics associated with hepatitis A, B, C, syphilis and TB virus coinfection among HIV-infected individuals. Method: this is a quantitative, descriptive, cross-sectional study. The sample consisted of 161 patients, and data analysis was performed based on information from the medical records of patients co-infected with hepatitis B, C, syphilis and TB viruses among those infected with HIV. Results were presented in tables. Results: most of them were men (81.37%), aged between 21 and 40 years (67.08%), co-infected (89.90%), single (73.91%), homosexual ( 49.69%), with three or more partners during life (94.64%), being patients who used drugs (86.35%) and those who currently use drugs (64.60%). Condom use was reported as “sometimes” by 81.37% of the sample. Conclusion: it was concluded that all individuals infected with HIV have an epidemiological profile associated with hepatitis A, B, C, syphilis and TB viruses. The prevalence ratio showed that co-infected individuals tend to have syphilis and hepatitis B. Descriptors: HIV Seropositivity; AIDS-Related Opportunistic Infections; HIV Infections; Hepatitis B; Hepatitis C; Syphilis.RESUMENObjetivo: determinar la prevalencia, el perfil epidemiológico y las características asociadas con la hepatitis A, B, C, la sífilis y la coinfección por el virus de la tuberculosis en personas infectadas por el VIH. Método: este es un estudio cuantitativo, descriptivo, transversal. La muestra consistió en 161 pacientes, y el análisis de datos se realizó con base en la información de los registros médicos de pacientes coinfectados con virus de hepatitis B, C, sífilis y TB entre aquellos infectados con VIH. Los resultados se presentaron en tablas. Resultados: la mayoría de ellos eran hombres (81.37%), con edades comprendidas entre 21 y 40 años (67.08%), coinfectados (89.90%), solteros (73.91%), homosexuales (49.69%), con tres o más parejas durante la vida (94.64%), siendo pacientes que usaron drogas (86.35%) y aquellos que actualmente usan drogas (64.60%). El uso de condones se informó como "a veces" en el 81,37% de la muestra. Conclusión: se concluyó que todas las personas infectadas con VIH tienen un perfil epidemiológico asociado con los virus de la hepatitis A, B, C, sífilis y TB. La razón de prevalencia mostró que las personas coinfectadas tienden a tener sífilis y hepatitis B. Descriptores: Seropositividad Para HIV; Infecciones Oportunistas Relacionadas com el SIDA; Infecciones por VIH; Hepatitis B; Hepatitis C; Sífilis.

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Perfil clínico e epidemiológico e prevalência da coinfecção tuberculose/HIV em uma regional de saúde no Maranhão

Cited by 20 publications

References 21 publications

Casos de tuberculose coinfectados por HIV em um estado do nordeste brasileiro

Casos de tuberculose coinfectados por HIV em um estado do nordeste brasileiro

Temporal analysis of reported cases of tuberculosis and of tuberculosis-HIV co-infection in Brazil between 2002 and 2012

Perfil epidemiológico e características de coinfecções associadas às pessoas soropositivas

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