Epidemiologia de pacientes co-infectados HIV/HCV atendidos na Fundação Santa Casa de Misericórdia do Pará

Amaral, Ivanete do Socorro Abraçado; Almeida, Marcelo Lage de; Alves, Fabíola Trindade; Moia, Lizomar de Jesus Maués Pereira; Conde, Simone Regina Silva de Souza

doi:10.5123/s0101-59072007000100003

Cited by 8 publications

(11 citation statements)

References 3 publications

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“…26 In the present study, the major risk factor found was sexual transmission, characterized by sexual promiscuity (84.3%), and STD acquisition (47.1%) between heterosexual patients. This is in accordance with the studies by Szwarcwald (2000) 27 and Amaral et al (2007), 4 who have also shown the predominance of coinfection among patients having heterosexual intercourse (68.6%) as compared with men having sex with men (MSM) (22.8%).…”

Section: Discussionsupporting

confidence: 79%

Epidemiology of HIV/HCV coinfection in patients cared for at the Tropical Medicine Foundation of Amazonas

Victoria¹,

Victoria²,

Torres³

et al. 2010

Braz J Infect Dis

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We declare no confl ict of interest. ABSTRACTThe association of HIV infection and hepatitis C virus (HCV) infection often occurs because both viruses share the same transmission routes, increasing the possibility of HIV/HCV coinfection. World prevalence greater than 30% of coinfected cases is estimated, and it can reach 90% depending on the transmission route. With the aim of determining the frequency and profi le of HIV/HCV coinfected patients, a descriptive analysis was carried out with patients with HIV/AIDS whose serology was positive for hepatitis C virus (HCV), cared for at the Fundação de Medicina Tropical do Amazonas from 2000 to 2007. In the present study, of the 2,653 AIDS cases notifi ed in SINAN, 1,582 patients underwent serology test for hepatitis C, and a frequency of 4.42% (n = 70) of HIV/HCV coinfected patients was identifi ed in the period studied. The most frequent infection route was sexual transmission (84.3%), 68.6% among heterosexual individuals. Most patients were males (72.9%), aged between 25 and 40 years (60.1%), of low income (50% earning up to one minimum wage), and low educational level (80% had completed only middle school). A high percentage of deaths were observed during the study (34.3%). The results indicate a low seroprevalence of HIV/HCV coinfection in this population, in which sexual transmission, characterized by sexual promiscuity among heterosexual individuals, is the major transmission route of the virus rather than the use of injection drugs, as shown in world statistics.

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Section: Discussionsupporting

confidence: 79%

Epidemiology of HIV/HCV coinfection in patients cared for at the Tropical Medicine Foundation of Amazonas

Victoria¹,

Victoria²,

Torres³

et al. 2010

Braz J Infect Dis

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“…Indeed, these aspects were associated with HIV-HCV coinfection in a univariate analysis. Likewise, other studies reported that these variables were risk factors of HIV-HCV coinfection 2 , 7 , 50 .…”

Section: Discussionmentioning

confidence: 86%

Hiv and HCV Coinfection: Prevalence, Associated Factors and Genotype Characterization in the Midwest Region of Brazil

Freitas

Teles

Lorenzo

et al. 2014

Rev. Inst. Med. trop. S. Paulo

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A cross-sectional study on prevalence, associated factors and genotype distribution of HCV infection was conducted among 848 HIV-infected patients recruited at reference centers in the Midwest Region of Brazil. The prevalence rate of HIV-HCV coinfection was 6.9% (95% CI: 5.2 to 8.6). In multivariable analysis, increasing age, use of illicit drugs (injection and non-injection), a history of blood transfusion before 1994, and the absence of a steady partnership were significant independent associated factors for HIV-HCV coinfection. The phylogenetic analysis based on the NS5B region revealed the presence of two major circulating genotypes of HCV: genotypes 1 (58.3%) and 3 (41.7%). The prevalence of HIV-HCV coinfection was lower than those reported in studies conducted with HIV-infected patients in different regions of Brazil, due to the fact that illicit drug use is not a frequent mode of HIV transmission in this region of Brazil. Serologic screening of HIV-patients for HCV before initiating antiretroviral treatment, a comprehensive identification of associated factors, and the implementation of effective harm reduction programs are highly recommended to provide useful information for treatment and to prevent HCV coinfection in these patients.

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“…Among HIV/HBV coinfected individuals, the infection is more severe and causes more aggressive cases of cirrhosis and liver cancer. In this situation, the risk of cirrhosis increases 4.2-fold, mortality also increases, and, in some cases, the hepatitis B virus can be reactivated 8,9,10 .…”

Section: Introductionmentioning

confidence: 99%

HIV/AIDS coinfection with the hepatitis B and C viruses in Brazil

2014

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Epidemiologia de pacientes co-infectados HIV/HCV atendidos na Fundação Santa Casa de Misericórdia do Pará

Cited by 8 publications

References 3 publications

Epidemiology of HIV/HCV coinfection in patients cared for at the Tropical Medicine Foundation of Amazonas

Epidemiology of HIV/HCV coinfection in patients cared for at the Tropical Medicine Foundation of Amazonas

Hiv and HCV Coinfection: Prevalence, Associated Factors and Genotype Characterization in the Midwest Region of Brazil

HIV/AIDS coinfection with the hepatitis B and C viruses in Brazil

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