Prevalência da infecção pelo HIV em pacientes internados por tuberculose

Garcia, Guilherme Freire; Corrêa, Paulo César Rodrigues Pinto; Melo, Márcia Gregory Tavares; Souza, Márcia Beatriz de

doi:10.1590/s0102-35862000000400006

Cited by 10 publications

(14 citation statements)

References 8 publications

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“…This is higher than the rates of co-infection found in other studies, such as the 9.3% found in the city of Belo Horizonte (located in the state of Minas Gerais), (11) and the 18% found in the city of Sorocaba (located in the state of São Paulo). (12) It is also higher than the levels of co-infection in the state of São Paulo as a whole, where the rate of such co-infection has been reported to be 13%.…”

Section: Discussioncontrasting

confidence: 61%

Co-infecção por Mycobacterium tuberculosis e vírus da imunodeficiência humana: uma análise epidemiológica em Taubaté (SP)

et al. 2006

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(34%) were patients who had not been submitted to serological testing. In the first group (tuberculosis and human immunodeficiency virus seropositivity), males from 30 to 40 years of age predominated, the most common clinical presentation of tuberculosis was pulmonary (65.71%), and the cure rate was 59.38%. In the group of tuberculosis patients presenting human immunodeficiency virus seronegativity, males from 30 to 40 years of age also predominated, the most common clinical presentation of tuberculosis was also pulmonary (70.55%), and the cure rate was 81.63%. Conclusion: We conclude that the human immunodeficiency virus plays an important role in the epidemiology of tuberculosis. Therefore, serological testing for human immunodeficiency virus should be carried out when a diagnosis of tuberculosis is made.

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Section: Discussioncontrasting

confidence: 61%

Co-infecção por Mycobacterium tuberculosis e vírus da imunodeficiência humana: uma análise epidemiológica em Taubaté (SP)

et al. 2006

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“…This finding is in agreement with those of other epidemiological studies conducted in Brazil. (11)(12)(13) In terms of TB treatment, we found that treatment outcomes during the study period were better among HIV-negative patients than among HIVpositive patients. Among the HIV-negative patients, cure was achieved in 83.5%, treatment abandonment was reported in 5.2%, death occurred in 9%, and relocation was reported in 2.2%.…”

Section: Discussionmentioning

confidence: 94%

“…The extrapulmonary clinical form of TB was more common in HIVpositive patients than in HIV-negative patients (25.5% vs. 14%). (11)(12)(13) In terms of treatment outcome, we used only the following outcome measures: cure, abandonment, death or relocation. Of the TB/HIV co-infected patients, 52.5% were cured, 11% abandoned treatment, 33% died, and 3.5% were relocated.…”

Section: Resultsmentioning

confidence: 99%

Aspectos epidemiológicos da co-infecção tuberculose e vírus da imunodeficiência humana em Ribeirão Preto (SP), de 1998 a 2003

Muniz

Ruffino-Netto

Villa³

et al. 2006

J. bras. pneumol.

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Objective: This study aimed to characterize the epidemiological profile of tuberculosis cases reported in the city of Ribeirão Preto between 1998 and 2003, according to patient HIV status, gender, age bracket and treatment outcome. Methods:This was a descriptive epidemiological study that employed the Brazilian National Tuberculosis NotificationDatabase as an instrument of data collection. The study sample consisted of all cases of human immunodeficiency virus/ tuberculosis co-infection occurring in residents of Ribeirão Preto and reported between 1998 and 2003. Results: During this period, 1273 new cases of tuberculosis were reported, 377 of which were in HIV-positive individuals, for a coinfection rate of 30%. Of the cases of co-infection, 76% were in men, and the majority occurred in individuals in the 20-59 age bracket. In terms of treatment outcome, cure was achieved in 52%, treatment abandonment was reported in 11%, and death occurred in 32%. The predominant clinical form of tuberculosis was the pulmonary form, which accounted for 58% of the cases. Conclusion: A high prevalence of co-infection was observed in the community studied.The treatment outcomes seen among the cases in our study sample underscore the need to adopt special strategies to monitor this clientele. Comparing the cases of tuberculosis in isolation with the cases of co-infection, no gender-related or age-related differences were observed.

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“…Two plausible explanations may justify the differences in the estimates of TB-HIV co-infection in the southeast of Brazil compared to the data reported in this present study: 1) geographical and cultural differences (for example, the use of intravenous drugs) that may interfere in the prevalence of HIV infection in the populations of the regions in question (southeast and northeast of the country); 2) a possible selection bias, since the above-mentioned studies were carried out in reference hospitals for AIDS. Two studies carried out in patients hospitalized in TB reference hospitals, one in the state of Minas Gerais [19] and the other in the state of Goiás [20] reported estimated prevalence rates of co-infection of 10.1% and 9.2%, respectively. These findings are similar to those observed in the present study and were also based on populations of patients hospitalized with TB in tertiary care reference hospitals for this disease.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of HIV infection in patients hospitalized for tuberculosis in Bahia, Brazil

Matos¹,

Lemos²,

Bittencourt³

et al. 2007

Braz J Infect Dis

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HIV infection is an important risk factor for the development of tuberculosis (TB), and also affects its morbidity and mortality. This study estimated the prevalence of HIV infection in patients hospitalized for TB in Bahia (in northeastern Brazil) and to evaluate its impact on in-hospital mortality. A total of 375 patients with TB, admitted consecutively to a TB reference hospital in Salvador (Bahia, Brazil), were evaluated between July 2001 and July 2003. Anti-HIV serology was performed in all patients irrespective of clinical and/or epidemiological data suggestive of HIV infection. Death during hospitalization was the principal event-dependent variable. Mean age of patients was 41.4 ± 16.2 years and the male/female ratio was 3.4:1.0. The prevalence of HIV infection was 8.8% (95%CI: 6.2-12.0%). Patients in the HIV-positive group were younger than those in the HIV-negative group (37.1 versus 41.9 years; p=0.05). In-hospital mortality was 10.9% for the whole group (95%CI: 9.4-15.9%), but was significantly greater in the HIV-positive group compared to the HIV-negative group (27.3% versus 9.4%; RR=2.9; 95%CI: 1.5-5.6; p=0.002). The prevalence of HIV infection in patients hospitalized for TB in Bahia (northeastern Brazil) is relatively high (8.8%) and mortality is significantly higher (2.9-fold) in the HIV-positive group. These findings justify carrying out HIV testing, as recommended by the Brazilian Ministry of Health, in all TB patients, particularly those requiring hospitalization.

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Prevalência da infecção pelo HIV em pacientes internados por tuberculose

Cited by 10 publications

References 8 publications

Co-infecção por Mycobacterium tuberculosis e vírus da imunodeficiência humana: uma análise epidemiológica em Taubaté (SP)

Co-infecção por Mycobacterium tuberculosis e vírus da imunodeficiência humana: uma análise epidemiológica em Taubaté (SP)

Aspectos epidemiológicos da co-infecção tuberculose e vírus da imunodeficiência humana em Ribeirão Preto (SP), de 1998 a 2003

Prevalence of HIV infection in patients hospitalized for tuberculosis in Bahia, Brazil

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