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Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016

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 cro...

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Autores principales: Castro, Sybelle de Souza, Scatena, Lúcia Marina, Miranzi, Alfredo, Miranzi, Almir, Nunes, Altacílio Aparecido
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto de Medicina Tropical 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466842/
https://www.ncbi.nlm.nih.gov/pubmed/30970049
http://dx.doi.org/10.1590/S1678-9946201961021
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author Castro, Sybelle de Souza
Scatena, Lúcia Marina
Miranzi, Alfredo
Miranzi, Almir
Nunes, Altacílio Aparecido
author_facet Castro, Sybelle de Souza
Scatena, Lúcia Marina
Miranzi, Alfredo
Miranzi, Almir
Nunes, Altacílio Aparecido
author_sort Castro, Sybelle de Souza
collection PubMed
description 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.
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spelling pubmed-64668422019-04-24 Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016 Castro, Sybelle de Souza Scatena, Lúcia Marina Miranzi, Alfredo Miranzi, Almir Nunes, Altacílio Aparecido Rev Inst Med Trop Sao Paulo Original Article 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. Instituto de Medicina Tropical 2019-04-08 /pmc/articles/PMC6466842/ /pubmed/30970049 http://dx.doi.org/10.1590/S1678-9946201961021 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Castro, Sybelle de Souza
Scatena, Lúcia Marina
Miranzi, Alfredo
Miranzi, Almir
Nunes, Altacílio Aparecido
Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016
title Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016
title_full Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016
title_fullStr Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016
title_full_unstemmed Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016
title_short Characteristics of cases of tuberculosis coinfected with HIV in Minas Gerais State in 2016
title_sort characteristics of cases of tuberculosis coinfected with hiv in minas gerais state in 2016
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466842/
https://www.ncbi.nlm.nih.gov/pubmed/30970049
http://dx.doi.org/10.1590/S1678-9946201961021
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