Registro completo |
Provedor de dados: |
BJID
|
País: |
Brazil
|
Título: |
Tuberculosis incidence among people living with HIV/AIDS with virological failure of antiretroviral therapy in Salvador, Bahia, Brazil
|
Autores: |
Rebouças,Monaliza Cardozo
Silva,Márcio Oliveira da
Haguihara,Tatiana
Brites,Carlos
Martins Netto,Eduardo
|
Data: |
2017-10-01
|
Ano: |
2017
|
Palavras-chave: |
Tuberculosis
Virological failure
HIV infection
|
Resumo: |
Abstract Antiretroviral therapy for HIV has led to increased survival of HIV-infected patients. However, tuberculosis remains the leading opportunistic infection and cause of death among people living with HIV/AIDS. Tuberculosis has been shown to be a good predictor of virological failure in this group. This study aimed to evaluate the incidence of tuberculosis and its consequences among individuals diagnosed with virological failure of HIV. This was a retrospective cohort study involving people living with HIV/AIDS being followed-up in an AIDS reference center in Salvador, Bahia, Brazil. Individuals older than 18 years with HIV infection on antiretroviral therapy for at least six months, diagnosed with virological failure (HIV-RNA greater than or equal to 1000 copies/mL), from January to December 2013 were included. Tuberculosis was diagnosed according to the criteria of the Brazilian Society of Pneumology. Fourteen out of 165 (8.5%) patients developed tuberculosis within two years of follow-up (incidence density = 4.1 patient-years). Death was directly related to tuberculosis in 6/14 (42.9%). A high incidence and tuberculosis-related mortality was observed among patients with virological failure. Diagnosis of and prophylaxis for tuberculosis in high-incidence countries such as Brazil is critical to decrease morbidity and mortality in people living with HIV/AIDS.
|
Tipo: |
Info:eu-repo/semantics/other
|
Idioma: |
Inglês
|
Identificador: |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702017000500562
|
Editor: |
Brazilian Society of Infectious Diseases
|
Relação: |
10.1016/j.bjid.2017.05.005
|
Formato: |
text/html
|
Fonte: |
Brazilian Journal of Infectious Diseases v.21 n.5 2017
|
Direitos: |
info:eu-repo/semantics/openAccess
|