Tuberculosis and HIV infection in Rio de Janeiro, Brazil

Kritski, Afrânio Lineu; Barroso, E. W.; Souza, Rebeca; Andrade, Giulia; Peña, Mario; Castilho, Euclides Ayres de; Galvão–Castro, Bernardo

doi:10.1097/00002030-199101000-00018

Cited by 9 publications

(6 citation statements)

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“…(4) Various studies have shown the importance of a one-or two-year clinical and radiological followup evaluation of the contacts of patients with active tuberculosis, principally those living under unfavorable socioeconomic conditions. (1,(19)(20) Nevertheless, there are other more complex methods for the diagnosis of tuberculosis, such as molecular biology analysis. However, the routine use of molecular biology techniques in the investigation of such contacts is not a feasible strategy in most developing countries in which there are a great number of cases.…”

Section: Discussionmentioning

confidence: 99%

O controle de comunicantes de tuberculose no programa de controle da tuberculose em um município de médio porte da Região Sudeste do Brasil, em 2002

Gazetta

Ruffino-Netto

Neto³

et al. 2006

J. bras. pneumol.

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OBJETIVO: Este estudo tem o objetivo de descrever as ações de controle dos comunicantes de tuberculose no Programa de Controle da Tuberculose do Município de São José do Rio Preto (SP), em 2002. MÉTODOS: Estudo descritivo, utilizando dados secundários do Sistema de Informação de Notificação de Tuberculose, prontuários e planilhas de registros do programa de controle da tuberculose. RESULTADOS: Estavam inscritos no programa 166 comunicantes intradomiciliares de tuberculose em 2002, sendo 82 do sexo masculino e 84 do feminino, com maior incidência de casos na faixa etária de 15 e 59 anos (70%); 42 tinham entre 0 e 19 anos (25,3%), 73 entre 20 e 49 anos (44%), e 44 tinham 50 anos ou mais (25,5%). Quanto ao grau de parentesco, 41 eram filhos, 29 companheiros, 22 irmãos e 15 mães do paciente índice. Com relação aos exames solicitados, observou-se que: 12% realizaram baciloscopia e/ou cultura; 100% realizaram radiografia de tórax, e destes, 2 apresentaram suspeita de tuberculose pulmonar e 5 outras afecções; 7,2% realizaram prova tuberculínica, com 4,2% de não reatores e 1,2% com enduração igual a 8 mm. Dos comunicantes examinados, 3 tiveram a doença detectada (1,8%). CONCLUSÃO: O serviço mostrou que não há uma sistematização em relação ao monitoramento do controle dos comunicantes de pacientes com tuberculose.

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Section: Discussionmentioning

confidence: 99%

O controle de comunicantes de tuberculose no programa de controle da tuberculose em um município de médio porte da Região Sudeste do Brasil, em 2002

Gazetta

Ruffino-Netto

Neto³

et al. 2006

J. bras. pneumol.

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“…In Brazil, prevalence has varied from region to region, with higher rates in the south and southeast of the country [9][10][11][12][13][14]. A previously published study carried out in Bahia in 378 TB patients who had been hospitalized during the period from 1993 to 1995 reported an estimated HIV prevalence rate of 7.1% and a significant impact of TB-HIV co-infection on the prognosis of these patients, with a higher rate of mortality in the HIV-positive group [15].…”

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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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“…The prevalence was approximately 1.5% in 1988 (Kritski et al 1991), increasing to 11.2% in 1994 (Silva et al 1998).…”

Section: Resultsmentioning

confidence: 99%

Clinical presentation and survival of smear-positive pulmonary tuberculosis patients of a University General Hospital in a developing country

Carvalho

Nunes

Martins

et al. 2002

Mem. Inst. Oswaldo Cruz

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Tuberculosis and HIV infection in Rio de Janeiro, Brazil

Cited by 9 publications

References 0 publications

O controle de comunicantes de tuberculose no programa de controle da tuberculose em um município de médio porte da Região Sudeste do Brasil, em 2002

O controle de comunicantes de tuberculose no programa de controle da tuberculose em um município de médio porte da Região Sudeste do Brasil, em 2002

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

Clinical presentation and survival of smear-positive pulmonary tuberculosis patients of a University General Hospital in a developing country

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