Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review

Detalhes bibliográficos
Autor(a) principal: Coelho, Lara Esteves
Data de Publicação: 2014
Outros Autores: Veloso, Valdiléa G., Grinsztejn, Beatriz, Luz, Paula Mendes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/10006
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil
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spelling Coelho, Lara EstevesVeloso, Valdiléa G.Grinsztejn, BeatrizLuz, Paula Mendes2015-04-15T17:00:51Z2015-04-15T17:00:51Z2014COELHO, Lara Esteves et al. Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review. Brazilian Journal of Infectious Diseases, Salvador, v. 18, n. 2, p. 196-210, 2014.1413-8670https://www.arca.fiocruz.br/handle/icict/1000610.1016/j.bjid.2013.10.0031678-4391engElsevierTrends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilBackground: The natural history of HIV infection has changed dramatically after theintroduction of highly active antiretroviral therapy. Currently, opportunistic illnesses stillrepresent a major cause of death and hospitalization in this population. In this study,we review the trends in opportunistic illnesses incidence rates and compare the resultsobserved in high-income settings with that for low/middle-income settings, with specialattention given to studies from Brazil.Methods: We systematically searched Pubmed, Web of Science, Lilacs and Google scholarfor publications on HIV associated opportunistic illness. Studies reporting rates based onperson-time for all opportunistic illnesses and/or the three opportunistic infections ofinterest, namely, Pneumocystis carinii pneumonia, cerebral toxoplasmosis, and Mycobacteriumavium complex were included.Results: Significant reductions in the incidence rates were demonstrated for opportunisticillnesses overall and also for the specific opportunistic infections included in the presentstudy, both in high and low/middle-income settings. Out of the 37 studies included in thepresent review, almost 70% were from high-income settings. All the studies conducted inlow/middle-income settings were single center studies and four were from Brazil. We foundno study from Brazil reporting annual incidence rates of opportunistic illnesses.Conclusions: Opportunistic illnesses remain an important public health problem. To betterguide health policies in low/middle-income settings, multicenter cohort studies should beencouraged. Studies from Brazil are urgently needed to assess the current burden of oppor-tunistic illnesses in our population and to support the planning of HIV/AIDS health careservices organization.AIDS-related opportunisticInfectionsOpportunistic infectionAcquired immunodeficiencySyndromeIncidenceAIDS-Related Opportunistic InfectionsOpportunistic InfectionsAcquired Immunodeficiency SyndromeSyndromeIncidenceinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82352https://www.arca.fiocruz.br/bitstream/icict/10006/1/license.txtafbdf7d7a9bcf771a1cc7edf5f618413MD51ORIGINALTrends in overall opportunistic illnesses, Pneumocystis carinii.pdfTrends in overall opportunistic illnesses, Pneumocystis carinii.pdfapplication/pdf904659https://www.arca.fiocruz.br/bitstream/icict/10006/2/Trends%20in%20overall%20opportunistic%20illnesses%2c%20Pneumocystis%20carinii.pdf4a5276b99171b1bd2e3441d629996f0aMD52TEXTTrends in overall opportunistic illnesses, Pneumocystis carinii.pdf.txtTrends in overall opportunistic illnesses, Pneumocystis carinii.pdf.txtExtracted texttext/plain62880https://www.arca.fiocruz.br/bitstream/icict/10006/3/Trends%20in%20overall%20opportunistic%20illnesses%2c%20Pneumocystis%20carinii.pdf.txt413da4ae2f4eedb2767d8ac1e2a3a890MD53icict/100062023-06-15 16:18:39.437oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-06-15T19:18:39Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
title Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
spellingShingle Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
Coelho, Lara Esteves
AIDS-related opportunistic
Infections
Opportunistic infection
Acquired immunodeficiency
Syndrome
Incidence
AIDS-Related Opportunistic Infections
Opportunistic Infections
Acquired Immunodeficiency Syndrome
Syndrome
Incidence
title_short Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
title_full Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
title_fullStr Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
title_full_unstemmed Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
title_sort Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review
author Coelho, Lara Esteves
author_facet Coelho, Lara Esteves
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula Mendes
author_role author
author2 Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula Mendes
author2_role author
author
author
dc.contributor.author.fl_str_mv Coelho, Lara Esteves
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula Mendes
dc.subject.en.none.fl_str_mv AIDS-related opportunistic
Infections
Opportunistic infection
Acquired immunodeficiency
Syndrome
Incidence
topic AIDS-related opportunistic
Infections
Opportunistic infection
Acquired immunodeficiency
Syndrome
Incidence
AIDS-Related Opportunistic Infections
Opportunistic Infections
Acquired Immunodeficiency Syndrome
Syndrome
Incidence
dc.subject.decs.pt_BR.fl_str_mv AIDS-Related Opportunistic Infections
Opportunistic Infections
Acquired Immunodeficiency Syndrome
Syndrome
Incidence
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2015-04-15T17:00:51Z
dc.date.available.fl_str_mv 2015-04-15T17:00:51Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv COELHO, Lara Esteves et al. Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review. Brazilian Journal of Infectious Diseases, Salvador, v. 18, n. 2, p. 196-210, 2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/10006
dc.identifier.issn.none.fl_str_mv 1413-8670
dc.identifier.doi.none.fl_str_mv 10.1016/j.bjid.2013.10.003
dc.identifier.eissn.none.fl_str_mv 1678-4391
identifier_str_mv COELHO, Lara Esteves et al. Trends in overall opportunistic illnesses, pneumocystis cariniipneumonia, cerebral toxoplasmosis and mycobacteriumavium complex incidence rates over the 30 years of the HIV epidemic: a systematic review. Brazilian Journal of Infectious Diseases, Salvador, v. 18, n. 2, p. 196-210, 2014.
1413-8670
10.1016/j.bjid.2013.10.003
1678-4391
url https://www.arca.fiocruz.br/handle/icict/10006
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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