0151/2016 - Sobrevida de pacientes com AIDS e coinfecção pelo bacilo da tuberculose nas regiões Sul e Sudeste do Brasil Survival of patients with AIDS and co-infection with the tuberculosis bacillus in the South and Southeast of Brazil
• Ricardo C Cordeiro - Cordeiro, Ricardo C - Universidade Estadual de Campinas Faculdade de Ciencias Medicas, Departamento de Saúde Coletiva - <ricacordeiro@gmail.com>
Área Temática:
Epidemiologia
Resumo:
O estudo buscou analisar a sobrevida de pacientes com a coinfecção AIDS-Tuberculose por meio de um estudo de coorte retrospectivo de indivíduos com 13 anos ou mais e diagnóstico de AIDS notificados nos anos de 1998-99 e seguimento de 10 anos. Dos 2091 casos de AIDS, 517 (24,7%) tinham diagnóstico positivo para tuberculose, sendo 379 (73,3%) masculinos. O risco entre os coinfectados foi 1,65 vezes os não coinfectados. As variáveis associadas à maior sobrevida foram: sexo feminino (HR=0,63), escolaridade ? oito anos (HR=0,52), critério diagnóstico CD4 (HR=0,64); e à menor sobrevida: faixa etária ? 60 anos (HR=2,33), não uso de ARV (HR=8,62), não investigação para hepatite B (HR=2,44) e doenças oportunistas (? duas) (HR=1,97). A sobrevivência acumulada foi de 71% nos não coinfectados e 62% nos coinfectados na região Sul e de 74% e 58%, respectivamente, na região Sudeste, 60 meses após o diagnóstico de AIDS. A AIDS e a Tuberculose exigem acompanhamento e adesão ao tratamento e são marcadores da atenção à saúde e da sobrevivência dos pacientes no Brasil.
Palavras-chave:
AIDSAnálise de SobrevidaTuberculose
Abstract:
The study investigates the survival of patients with co-infection AIDS-TB through a retrospective cohort study of individuals aged 13 or more and diagnosis of AIDS reported in the years 1998-99 and following 10 years. Of the 2091 AIDS cases, 517 (24.7%) had positive diagnosis for tuberculosis, and 379 (73.3%) was male. The risk among co-infected was 1.65 times the non-coinfected. The variables associated with longer survival were: female gender (HR = 0.63), educational level ≥ eight years (HR = 0.52), CD4 diagnostic criteria (HR = 0.64); and shorter survival: age ≥ 60 years (HR = 2.33), no use of HAART (HR = 8.62), no investigation to Hepatitis B (HR = 2.44) and opportunistic infections ≥ two (HR = 1.97). The cumulative survival it was 71% among non coinfected and 62% in coinfected in the South and 74% and 58%, in the Southeast, 60 months after the diagnosis of AIDS. AIDS and tuberculosis are two chronic diseases can be analyzed as markers difficulties to overcome still present limitations in life expectancy in Brazil.
Survival of patients with AIDS and co-infection with the tuberculosis bacillus in the South and Southeast of Brazil
Resumo (abstract):
The study investigates the survival of patients with co-infection AIDS-TB through a retrospective cohort study of individuals aged 13 or more and diagnosis of AIDS reported in the years 1998-99 and following 10 years. Of the 2091 AIDS cases, 517 (24.7%) had positive diagnosis for tuberculosis, and 379 (73.3%) was male. The risk among co-infected was 1.65 times the non-coinfected. The variables associated with longer survival were: female gender (HR = 0.63), educational level ≥ eight years (HR = 0.52), CD4 diagnostic criteria (HR = 0.64); and shorter survival: age ≥ 60 years (HR = 2.33), no use of HAART (HR = 8.62), no investigation to Hepatitis B (HR = 2.44) and opportunistic infections ≥ two (HR = 1.97). The cumulative survival it was 71% among non coinfected and 62% in coinfected in the South and 74% and 58%, in the Southeast, 60 months after the diagnosis of AIDS. AIDS and tuberculosis are two chronic diseases can be analyzed as markers difficulties to overcome still present limitations in life expectancy in Brazil.
Melo, M.C., Donalisio, Maria Rita, Cordeiro, Ricardo C. Sobrevida de pacientes com AIDS e coinfecção pelo bacilo da tuberculose nas regiões Sul e Sudeste do Brasil. Cien Saude Colet [periódico na internet] (2016/mar). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/sobrevida-de-pacientes-com-aids-e-coinfeccao-pelo-bacilo-da-tuberculose-nas-regioes-sul-e-sudeste-do-brasil/15575?id=15575&id=15575
