0714/2012 - Perfil epidemiológico dos indivíduos HIV positivo e co-infecção HIV-Leishmania em um serviço de referência em São Luís - Maranhão. Epidemiological profile of HIV-positive individuals and HIV-Leishmania co-infection in a referral center in Sao Luis - Maranhão.
• Dorlene Maria Cardosos de Aquino - Aquino, D.M.C. - Universidade Federal do Maranhão - UFMA - <dmcaquino@hotmail.com>
• Arlene de Jesus Mendes Caldas - Caldas, A.J.M. - Universidade Federal do Maranhão - UFMA - <ajmc@hotmail.com>
Área Temática:
Políticas em Saúde
Resumo:
A síndrome de imunodeficiência adquirida (Aids) é um problema de saúde pública e a Leishmaniose visceral (LV) a forma mais frequente de co-infecção. Objetiva descrever aspectos epidemiológicos dos indivíduos HIV positivo e investigar a ocorrência de co-infecção HIV-Leishmania. Trata-se de estudo descritivo realizado com 287 indivíduos HIV positivo atendidos no Centro de Referência para DST/Aids em São Luís-MA. Foi realizado teste de Intradermorreação de Montenegro (IDRM), aspirado de medula óssea para detecção da infecção por Leishmania sp e aplicado um questionário na coleta dos dados epidemiológicos. O teste qui-quadrado foi usado para diferenças entre gênero, com p < 0,05 de significância. Houve significância estatística entre os homens relacionados ao uso de fossa séptica e renda até dois salários. Quanto à exposição foi predominante a categoria heterossexual para ambos os sexos, sendo observado um aumento entre as mulheres (p < 0,001). Entre os indivíduos HIV positivo 4,2% apresentavam sintomatologia sugestiva de LV sendo identificadas formas amastigotas para Leishmania sp no aspirado de medula óssea. O perfil dos indivíduos HIV positivo não diferiu de outras regiões do Brasil com predomínio de jovens em idade produtiva, sendo constatada uma sobreposição das áreas de transmissão para a co-infecção HIV-LV.
Palavras-chave:
HIV/Aids
Leishmaniose visceral
Co-infecção
Abstract:
The acquired immunodeficiency syndrome (AIDS) is a public health problem and Visceral leishmaniasis (VL) is the most frequent co-infection. This study has as aims to describe the epidemiological aspects of HIV-positive individuals and to investigate the occurrence of HIV-Leishmania co-infection. We carried out a descriptive study with 287 HIV positive individuals assisted at the reference center for HIV / AIDS in São Luís, MA. Montenegro’s intradermal reaction (MIR) and bone marrow aspiration were performed for detecting the Leishmania sp. infection. Epidemiological data were collected by using a questionnaire. The chi-square test was used for gender differences, with p <0.05 of statistical significance level. There was statistical significance among men regarding the use of septic tanks, and income of up to two salaries. Regarding exposure, heterosexual orientation was the most frequent category for both genders, and we observed an increase in this category among women (p <0.001). Among HIV-positive individuals, 4.2% had suggestive symptoms of VL with identification of Leishmania amastigotes in bone marrow aspirate (myelogram). The profile of HIV positive individuals did not differ from what it is commonly found in Brazil, with predominance of young people in productive age. Furthermore, we found a superposition of the transmission areas for HIV-LV co-infection
Epidemiological profile of HIV-positive individuals and HIV-Leishmania co-infection in a referral center in Sao Luis - Maranhão.
Resumo (abstract):
The acquired immunodeficiency syndrome (AIDS) is a public health problem and Visceral leishmaniasis (VL) is the most frequent co-infection. This study has as aims to describe the epidemiological aspects of HIV-positive individuals and to investigate the occurrence of HIV-Leishmania co-infection. We carried out a descriptive study with 287 HIV positive individuals assisted at the reference center for HIV / AIDS in São Luís, MA. Montenegro’s intradermal reaction (MIR) and bone marrow aspiration were performed for detecting the Leishmania sp. infection. Epidemiological data were collected by using a questionnaire. The chi-square test was used for gender differences, with p <0.05 of statistical significance level. There was statistical significance among men regarding the use of septic tanks, and income of up to two salaries. Regarding exposure, heterosexual orientation was the most frequent category for both genders, and we observed an increase in this category among women (p <0.001). Among HIV-positive individuals, 4.2% had suggestive symptoms of VL with identification of Leishmania amastigotes in bone marrow aspirate (myelogram). The profile of HIV positive individuals did not differ from what it is commonly found in Brazil, with predominance of young people in productive age. Furthermore, we found a superposition of the transmission areas for HIV-LV co-infection
Carvalho LC, Aires, D.L.S, Fernandes Segunda, Z, Azevedo, C.M.P.S., Corrêa, R.G.C.F, Aquino, D.M.C., Caldas, A.J.M.. Perfil epidemiológico dos indivíduos HIV positivo e co-infecção HIV-Leishmania em um serviço de referência em São Luís - Maranhão.. Cien Saude Colet [periódico na internet] (2012/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/perfil-epidemiologico-dos-individuos-hiv-positivo-e-coinfeccao-hivleishmania-em-um-servico-de-referencia-em-sao-luis-maranhao/11081?id=11081
