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Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016.
Castro, Sybelle de Souza; Scatena, Lúcia Marina; Miranzi, Alfredo; Miranzi Neto, Almir; Nunes, Altacílio Aparecido.
Afiliação
  • Castro SS; Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Programa de Pós-Graduação Strictu Sensu em Saúde na Comunidade, Ribeirão Preto, São Paulo, Brazil.
  • Scatena LM; Universidade Federal do Triângulo Mineiro, Departamento de Saúde Coletiva, Programa de Pós-Graduação Strictu Sensu em Atenção à Saúde, Uberaba, Minas Gerais, Brazil.
  • Miranzi A; Universidade Federal do Triângulo Mineiro, Departamento de Saúde Coletiva, Programa de Pós-Graduação Strictu Sensu em Inovação Tecnológica, Uberaba, Minas Gerais, Brazil.
  • Miranzi Neto A; Universidade de Uberaba, Faculdade de Odontologia, Uberaba, Minas Gerais, Brazil.
  • Nunes AA; Faculdade Alfredo Nasser, Faculdade de Medicina, Aparecida de Goiânia, Goiás, Brazil.
Article em En | MEDLINE | ID: mdl-30970049
This study aimed to characterize the cases of tuberculosis (TB) co-infected with the human immunodeficiency virus (HIV) in Minas Gerais State, Brazil, after the notification sheet modification, and to verify the association between the new variables and the treatment outcome. It is an analytical cross-sectional study with TB/HIV cases notified in the year 2016 to the Brazilian Information System for Notifiable Diseases (Sistema de Informação de Agravos de Notificação). Descriptive statistics, chi-square test, and multiple correspondence analysis were performed to verify the association between the outcome, ageand associated diseases. Of the 180 cases, most were male (75.6%) between 30 and 49 years old (63.3%), mixed ethnicity (black and white) (49.4%), 94.4% had the Acquired Immunodeficiency Syndrome (AIDS) and 60.6% had pulmonary TB. The molecular test was not performed at the time of diagnosis in 70.5% of the cases. Homeless people (4.4%) and prisoners (3.9%) featured prominently among the special populations. People between 40 and 49 years old without concurrent diseases were cured in 40.0% of the cases; 18.9% abandoned the treatment due to smoking, drug abuse and mental illness in the age group between 20 and 29 years old. The deaths were associated with the age group between 30 and 39 years old and the occurrence of AIDS. The results have shown that the groups considered vulnerable (drug users, smokers and people with mental illness) abandoned the treatment, the notification upon death from AIDS in adults was late and some treatments were inadequate. The epidemiological surveillance, prevention and assistance strategies towards cases of TB/HIV must be improved in order to achieve the goal of the Brazilian National Plan to end Tuberculosis as a Public Health Problem until 2035 in the state.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose Pulmonar / Infecções Oportunistas Relacionadas com a AIDS / Coinfecção Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Rev Inst Med Trop Sao Paulo Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose Pulmonar / Infecções Oportunistas Relacionadas com a AIDS / Coinfecção Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Rev Inst Med Trop Sao Paulo Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil