HIV/tuberculosis co-infection: a request for a better surveillance

Lima, Mônica M.; Belluomini, Marília; Almeida, Margarida; Arantes, Gilberto Ribeiro

doi:10.1590/s0034-89101997000300001

Cited by 12 publications

(10 citation statements)

References 19 publications

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“…A similar situation was observed in a study conducted in a reference service in MatoGrosso do Sul, in which this form of Tb was found in 50%, 31.8% and 18.2%, respectively (10) . The incidence of the extrapulmonary form found in this study corroborates the results of other researches developed on the epidemiological aspect of Tb/HIV coinfection (5,(9)(10)17) . It was observed that supervised treatment has increased in Capão Redondo.…”

Section: Discussionsupporting

confidence: 91%

“…The anti-HIV test presents benefits not only for the tested person, who will be favored with the early diagnosis and the possibility of using antiretroviral drugs, with increased in life expectancy, but also for other persons potentially exposed to infection. The other value of serological testing for HIV lies in subsiding the epidemiological characterization and preparation of an effective control policy (17) . According to the new Manual of Recommendations for the Control of Tb in Brazil, the integration between the Tuberculosis Control Programs and STD/ AIDS Programs is fundamental for successful therapy; that is to say, for cure.…”

Section: Discussionmentioning

confidence: 99%

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Coinfecção de Tb/HIV em um distrito administrativo do município de São Paulo

Hino

Takahashi²,

Bertolozzi³

et al. 2012

Acta paul. enferm.

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Objective: To characterize the sociodemographic and epidemiological profile of people coinfected with Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) , who were residents in the administrative district of Capão Redondo in the city of São Paulo, during the period between 2000 to 2009. Methods: This was a retrospective study. Results: From a total of 1,612 TB cases, 162 cases were positive for HIV. There was a predominance in the age group of 30 to 39 years (39.5%), male gender (61.1%) and the pulmonary form (68.5%). Only 47.5% of cases progressed to obtain the cure, 13% abandoned treatment and 32.2% died. Results: The results emphasize the need for knowledge of the situation of TB / HIV co-infection in order to offer adequate assistance to these clients, considering that neither of these diseases can be discussed in isolation. Conclusion: We conclude that cases of TB / HIV association contribute to non-adherence to treatment and increased mortality. Houve predomínio da faixa etária de 30 a 39 anos (39,5%), sexo masculino (61,1%) e a forma pulmonar (68,5%). Apenas 47,5% dos casos evoluíram para a cura, 13% abandonaram o tratamento e 32,2% foram a óbito. Resultados: Ressalta-se a necessidade do conhecimento da situação da co-infecção Tb/HIV no sentido de oferecer uma assistência adequada a esta clientela, considerando que ambas as enfermidades não podem ser discutidas isoladamente. Conclusão: Conclui-se que os casos de associação Tb/HIV contribuem para a não adesão ao tratamento e aumento da taxa de mortalidade. Descritores: Tuberculose; HIV; Epidemiologia descritiva RESUMEN Objetivo: caracterizar el perfil sociodemográfico y epidemiológico de personas con coinfección TB/VIH, residentes en el distrito administrativo Capão Redondo del Municipio de Sao Paulo en el período de 2000 a 2009. Métodos: Se trata de un estudio retrospectivo. Resultados: De un total de 1.612 casos de tuberculosis, 162 casos fueron positivos para el VIH. Hubo predominio del grupo etáreo de 30 a 39 años (39,5%), sexo masculino (61,1%) y la forma pulmonar (68,5%). Apenas el 47,5% de los casos evolucionaron para la cura, 13% abandonaron el tratamiento y 32,2% fueron a óbito. Resultados: Se resalta la necesidad de conocimiento de la situación de la coinfección TB/VIH en el sentido de ofrecer una asistencia adecuada a esta clientela, considerando que ambas enfermedades no pueden ser discutidas aisladamente. Conclusión: Se concluye que los casos de asociación TB/VIH contribuyen para la no adhesión al tratamiento y aumento de la tasa de mortalidad. Descriptores: Tuberculosis; VIH; Epidemiología descriptiva

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Coinfecção de Tb/HIV em um distrito administrativo do município de São Paulo

Hino

Takahashi²,

Bertolozzi³

et al. 2012

Acta paul. enferm.

View full text Add to dashboard Cite

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“…These results are similar to those reported in other case series conducted in Brazil and in other countries. (13,18,19) Based on these data, we understand that greater attention must be paid to the investigation of asymptomatic viral infections due to the hepatitis B and C viruses, since, with the use of isoniazid, such infections can become clinically relevant.…”

Section: Discussionmentioning

confidence: 99%

Perfil epidemiológico de pacientes portadores de TB internados em um hospital de referência na cidade do Rio de Janeiro

et al. 2009

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“…A endemia da tuberculose (TB) representa um dos mais graves e persistentes problemas contemporâneos de Saúde Pública em todo o mundo (CAVALCANTI et al, 2006;HIJJAR, 2005;RUFFINO-NETTO, 2002;LIMA et al, 1997). Sabe-se que esta epidemia foi agravada pela negligência, tanto por parte de gestores, como profissionais de saúde, bem como pela própria população por ter sido considerada "extinta".…”

Section: Delineamento Do Objeto De Estudounclassified

Adesão ao Tratamento da Tuberculose: ações desenvolvidas pelos serviços de Atenção Básica em Campinas - SP

Beraldo¹

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The aim of this study was to analyze the actions undertaken in primary health care to promote adherence to tuberculosis treatment in the perception of patients and nursing staff in Campinas-SP. It is a descriptive epidemiological study of the survey type, which was conducted in Campinas. The study population consisted of nursing staff who accompanied cases of tuberculosis in the 12 months prior to data collection (August 2012 to May 2013) and tuberculosis patients who were undergoing treatment at the collection period Data cited or had completed treatment within 30 days, and met the inclusion criteria: aged 18 years, in treatment for three months or more, out of the prison system. It used a structured questionnaire with 16 questions with dichotomous answers (yes and no), relating the shares offered in primary health care to promote adherence to treatment of tuberculosis, which are relevant in the perception of patients and health professionals. These questions were designed based on "Adherence to long-term therapies: evidence for action", "Recommendations Manual for the Control of Tuberculosis", the series "Best practices for the care of patients with tuberculosis," and previous studies addressing the most relevant aspects for membership and nonadherence to tuberculosis treatment. For data analysis were used the chi-square test to compare proportions and Fisher's exact test when criteria (expected values, Eij> 1, 80% of Eij ≥ 5, N ≥ 20) were not met. As for the results, they interviewed 183 professionals of the nursing staff and 165 sick with tuberculosis. The following actions have had no association between perceptions of patients and professionals: guidance on what is TB; guidance on the importance of attending monthly visits; guidance on performing tests of control; guidance on how to take the medication for TB; encouragement to continue TB treatment; orientation to seek for health services when they have doubts about the treatment; orientation to see if symptoms improve during treatment; guidance on the action to be taken if symptoms worsen; guidance on the habits of a healthier lifestyle (proper nutrition, physical exercise, avoid using alcohol and cigarettes) and invitation to join some group of TB patients. And these others actions were associated: Opportunity to opine on the treatment; Scheduling monthly visits for monitoring of tuberculosis treatment; Provide written information about treatment; Guidance for families to do tests for tuberculosis; Enough for you to talk about the questions and / or concerns time. By analyzing the perceptions of patients and health professionals, it is understood that the primary care of the Campinas municipality has offered shares to adherence to tuberculosis treatment. It is understood this as a breakthrough, however, there are still shortcomings in the promotion of autonomy of patients by health services, patient participation in treatment decisions, investigation of contacts as well as in the provision of extramural activities and aimed at a family assistance and comm...

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HIV/tuberculosis co-infection: a request for a better surveillance

Cited by 12 publications

References 19 publications

Coinfecção de Tb/HIV em um distrito administrativo do município de São Paulo

Coinfecção de Tb/HIV em um distrito administrativo do município de São Paulo

Perfil epidemiológico de pacientes portadores de TB internados em um hospital de referência na cidade do Rio de Janeiro

Adesão ao Tratamento da Tuberculose: ações desenvolvidas pelos serviços de Atenção Básica em Campinas - SP

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