Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/20117 |
Resumo: | The present study aimed the characterization of the clinical-epidemiological profile of people living with HIV(PVHIV) living in the state of Pará. We included all people, independent of age or sex, whose samples was sent to the Central laboratory of Pará (LACEN-PA) during 2013 to 2015 for the genotyping HIV testing. The data were obtained through the collection of information in the results reports stored in LACEN-PA. Information were collected as sex, age, level of education, race, year of diagnosis, raison related to the change in therapeutic regimen and presence of mutations. The male gender was predominant, aged between 40 and 50 years or more, brown and with elementary education. Most were diagnosed with HIV between the years 2000 and 2009, with the majority showing changes in the therapeutic regimen. This fact was largely due to the presence of therapeutic failure and intolerance, thus corroborating the presence of mutations. In this present study, we observed an epidemiological profile of PLHIV consistent with the literature, characterized by the prevalence of the male gender, with the age group between 40 and 50 years or more, mixed race and education at the fundamental level. It was also possible to observe a high rate of changes in therapeutic regimens, of therapeutic failure, in addition to high rates of mutations for the pharmacological classes used in antiretroviral therapy. Thus, demonstrating the importance of genotyping exams not only for choosing the most appropriate therapy but also for adopting strategies that seek to improve PLHIV adherence to treatment with antiretrovirals. Further, new studies contributing to understand and to identificate the changes in therapeutic regimens, as well as their contribution to the appearance of mutations and consequent therapeutic failure, are needed. |
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Importance of the genotypic testing in people living with HIV in the State of Pará, BrazilImportancia de la prueba de genotipación en personas que viven con VIH en el Estado de Pará, BrasilImportância do teste de genotipagem em pessoas vivendo com HIV no Estado do Pará, BrasilHIVGenotipagemPVHIVMutações.HIVGenotipadoPVHIVMutaciones.HIVGenotypic testingPVHIVMutations.The present study aimed the characterization of the clinical-epidemiological profile of people living with HIV(PVHIV) living in the state of Pará. We included all people, independent of age or sex, whose samples was sent to the Central laboratory of Pará (LACEN-PA) during 2013 to 2015 for the genotyping HIV testing. The data were obtained through the collection of information in the results reports stored in LACEN-PA. Information were collected as sex, age, level of education, race, year of diagnosis, raison related to the change in therapeutic regimen and presence of mutations. The male gender was predominant, aged between 40 and 50 years or more, brown and with elementary education. Most were diagnosed with HIV between the years 2000 and 2009, with the majority showing changes in the therapeutic regimen. This fact was largely due to the presence of therapeutic failure and intolerance, thus corroborating the presence of mutations. In this present study, we observed an epidemiological profile of PLHIV consistent with the literature, characterized by the prevalence of the male gender, with the age group between 40 and 50 years or more, mixed race and education at the fundamental level. It was also possible to observe a high rate of changes in therapeutic regimens, of therapeutic failure, in addition to high rates of mutations for the pharmacological classes used in antiretroviral therapy. Thus, demonstrating the importance of genotyping exams not only for choosing the most appropriate therapy but also for adopting strategies that seek to improve PLHIV adherence to treatment with antiretrovirals. Further, new studies contributing to understand and to identificate the changes in therapeutic regimens, as well as their contribution to the appearance of mutations and consequent therapeutic failure, are needed.El presente estudio tuvo como objetivo caracterizar el perfil clínico y epidemiológico de las personas que viven con el VIH (PVVIH) residentes en el estado de Pará. Se incluyeron todas las personas, independientemente de su edad o sexo, cuyas muestras de 2013 a 2015 fueron enviadas al Laboratorio Central de Pará (LACEN-PA) para la prueba de genotipado del VIH. Los datos se obtuvieron a través de la recolección de información en los resultados de la prueba de genotipado almacenados en LACEN. Se recogió información como sexo, edad, nivel de estudios, raza, año de diagnóstico, motivos relacionados con el cambio de esquema terapéutico y presencia de mutaciones. Predominó el sexo masculino, con participantes entre 40 e 50 años ou màs, de color marrón y con educación primaria. La mayoría fueron diagnosticados con VIH entre los años 2000 y 2009, y la mayoría mostró cambios en el régimen terapéutico. Este hecho se debió en gran parte a la presencia de fracaso terapéutico e intolerancia, corroborando así la presencia de mutaciones. En el presente estudio observamos un perfil epidemiológico de PVVIH consistente con la literatura, caracterizado por la prevalencia del género masculino, con edad entre 40 y 50 años o más, mestizo y educación a nivel fundamental. También fue posible observar una alta tasa de cambios en los regímenes terapéuticos, de fracaso terapéutico, además de altas tasas de mutaciones. Demostrando así la importancia de los exámenes de genotipificación no solo para elegir la terapia más adecuada sino también para adoptar estrategias que busquen mejorar la adherencia de las PVVIH al tratamiento con antiretrovirales. Se necesitan nuevos estudios que puedan contribuir a la comprensión e identificación de los cambios en los regímenes terapéuticos, así como su contribución a la aparición de mutaciones y el consecuente fracaso terapéutico.O presente estudo objetivou caracterizar o perfil clinico-epidemiológico de pessoas vivendo com HIV (PVHIV) residentes no estado do Pará. Foram incluídos todos os indivíduos, independente de idade ou sexo, cujas amostras, de 2013 a 2015, foram encaminhadas ao Laboratório Central do Pará (LACEN-PA) para a realização do teste de genotipagem do HIV. Os dados foram obtidos por meio da coleta de informações nos laudos do teste de genotipagem guardados no LACEN. Foram coletadas informações como sexo, idade, nível de escolaridade, raça, ano de diagnóstico, motivos relacionados a mudança de esquema terapêutico e presença de mutações. O gênero masculino foi predominante, com faixa etária entre 40 e 50 anos ou mais, pardos e com ensino fundamental. A maioria teve o diagnóstico para o HIV entre os anos 2000 e 2009, tendo a maior parte apresentado mudanças de esquema terapêutico. Tal fato se deu em grande parte pela presença de falha terapêutica e intolerância, corroborando assim com a presença de mutações. No presente estudo observamos um perfil epidemiológico de PVHIV condizente com a literatura, caracterizado pela prevalência do gênero masculino, com faixa etária entre 40 e 50 anos ou mais, pardo e escolaridade em nível fundamental. Foi possível observar também um alto índice de mudanças nos regimes terapêuticos, de falha terapêutica, além de elevadas taxas de mutações. Demonstrando assim, a importância do exame de genotipagem não só para a escolha da terapia mais adequada como também para a adoção de estratégias que busquem melhorar a adesão de PVHIV ao tratamento com antirretrovirais. Novos estudos que possam contribuir com a compreensão e identificação das mudanças dos regimes terapêuticos assim como a contribuição destes para o aparecimento de mutações e consequente falha terapêutica são necessários. Research, Society and Development2021-09-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2011710.33448/rsd-v10i12.20117Research, Society and Development; Vol. 10 No. 12; e205101220117Research, Society and Development; Vol. 10 Núm. 12; e205101220117Research, Society and Development; v. 10 n. 12; e2051012201172525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/20117/18171Copyright (c) 2021 Aline Cecy Rocha de Lima ; Alexandre Augusto Bentaberry Rosa; Maria Amelia de Oliveira da Costa; Rubens Einar Corrêa Dantas ; Andréa Nazaré Monteiro Rangel da Silva; Jacqueline Cortinhas Monteiro; Rosimar Neris Martins Feitosahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima , Aline Cecy Rocha deRosa, Alexandre Augusto Bentaberry Costa, Maria Amelia de Oliveira daDantas , Rubens Einar Corrêa Silva, Andréa Nazaré Monteiro Rangel daMonteiro, Jacqueline Cortinhas Feitosa, Rosimar Neris Martins 2021-11-14T20:26:51Zoai:ojs.pkp.sfu.ca:article/20117Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:51.481131Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil Importancia de la prueba de genotipación en personas que viven con VIH en el Estado de Pará, Brasil Importância do teste de genotipagem em pessoas vivendo com HIV no Estado do Pará, Brasil |
title |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil |
spellingShingle |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil Lima , Aline Cecy Rocha de HIV Genotipagem PVHIV Mutações. HIV Genotipado PVHIV Mutaciones. HIV Genotypic testing PVHIV Mutations. |
title_short |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil |
title_full |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil |
title_fullStr |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil |
title_full_unstemmed |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil |
title_sort |
Importance of the genotypic testing in people living with HIV in the State of Pará, Brazil |
author |
Lima , Aline Cecy Rocha de |
author_facet |
Lima , Aline Cecy Rocha de Rosa, Alexandre Augusto Bentaberry Costa, Maria Amelia de Oliveira da Dantas , Rubens Einar Corrêa Silva, Andréa Nazaré Monteiro Rangel da Monteiro, Jacqueline Cortinhas Feitosa, Rosimar Neris Martins |
author_role |
author |
author2 |
Rosa, Alexandre Augusto Bentaberry Costa, Maria Amelia de Oliveira da Dantas , Rubens Einar Corrêa Silva, Andréa Nazaré Monteiro Rangel da Monteiro, Jacqueline Cortinhas Feitosa, Rosimar Neris Martins |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Lima , Aline Cecy Rocha de Rosa, Alexandre Augusto Bentaberry Costa, Maria Amelia de Oliveira da Dantas , Rubens Einar Corrêa Silva, Andréa Nazaré Monteiro Rangel da Monteiro, Jacqueline Cortinhas Feitosa, Rosimar Neris Martins |
dc.subject.por.fl_str_mv |
HIV Genotipagem PVHIV Mutações. HIV Genotipado PVHIV Mutaciones. HIV Genotypic testing PVHIV Mutations. |
topic |
HIV Genotipagem PVHIV Mutações. HIV Genotipado PVHIV Mutaciones. HIV Genotypic testing PVHIV Mutations. |
description |
The present study aimed the characterization of the clinical-epidemiological profile of people living with HIV(PVHIV) living in the state of Pará. We included all people, independent of age or sex, whose samples was sent to the Central laboratory of Pará (LACEN-PA) during 2013 to 2015 for the genotyping HIV testing. The data were obtained through the collection of information in the results reports stored in LACEN-PA. Information were collected as sex, age, level of education, race, year of diagnosis, raison related to the change in therapeutic regimen and presence of mutations. The male gender was predominant, aged between 40 and 50 years or more, brown and with elementary education. Most were diagnosed with HIV between the years 2000 and 2009, with the majority showing changes in the therapeutic regimen. This fact was largely due to the presence of therapeutic failure and intolerance, thus corroborating the presence of mutations. In this present study, we observed an epidemiological profile of PLHIV consistent with the literature, characterized by the prevalence of the male gender, with the age group between 40 and 50 years or more, mixed race and education at the fundamental level. It was also possible to observe a high rate of changes in therapeutic regimens, of therapeutic failure, in addition to high rates of mutations for the pharmacological classes used in antiretroviral therapy. Thus, demonstrating the importance of genotyping exams not only for choosing the most appropriate therapy but also for adopting strategies that seek to improve PLHIV adherence to treatment with antiretrovirals. Further, new studies contributing to understand and to identificate the changes in therapeutic regimens, as well as their contribution to the appearance of mutations and consequent therapeutic failure, are needed. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/20117 10.33448/rsd-v10i12.20117 |
url |
https://rsdjournal.org/index.php/rsd/article/view/20117 |
identifier_str_mv |
10.33448/rsd-v10i12.20117 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/20117/18171 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 12; e205101220117 Research, Society and Development; Vol. 10 Núm. 12; e205101220117 Research, Society and Development; v. 10 n. 12; e205101220117 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052689137270784 |