Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/54871 |
Resumo: | Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB). Fundação Nacional de Desenvolvimento do Ensino Superior Particular (FUNADESP). Conselho Nacional de Pesquisa (CNPq). |
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Castro, Bernardo GalvãoGrassi, Maria Fernanda RiosCastro, Ana Verena GalvãoNunes, AidêBarroso, Ana Karina GalvãoAraújo, Thessika Hialla AlmeidaPinheiro, Regina Helena RathsamNunes, Ceuci Lima XavierRibeiro, AdrieleLírio, MoniqueGonçalves, Noilson LázaroRangel, Sônia LúciaDias, Cristiane Maria Carvalho CostaOzores, Daniele PiaiMendes, Selena Márcia DuboisLima, IsabelaSilva, André Luís PereiraJesus, Washington Luiz Abreu deSantos, Fred Luciano NevesOliveira, José Guilherme Reis deMoraes, Yscela Vanessa Pimentel deJesus, Adijeane Oliveira deDaltro, FranciscoBoa-Sorte, NeyLima, Humberto CastroSoliani, Maria Luísa Carvalho2022-09-26T12:49:38Z2022-09-26T12:49:38Z2022CASTRO, Bernardo Galvão et al. Integrative and multidisciplinary care for people living with human t-cell lymphotropic virus in bahia, brazil: 20 years of experience. Frontiers in Medicine, v. 9, p. 1-11, 2022.2296-858Xhttps://www.arca.fiocruz.br/handle/icict/5487110.3389/fmed.2022.884127Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB). Fundação Nacional de Desenvolvimento do Ensino Superior Particular (FUNADESP). Conselho Nacional de Pesquisa (CNPq).Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório Avançado de Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Instituto Brasileiro de Oftalmologia e Prevenção da Cegueira. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Secretaria da Saúde do Estado da Bahia. Instituto Couto Maia. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório Avançado de Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório Avançado de Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Associação HTLVIDA. Salvador, BA, Brasil.Associação HTLVIDA. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Brazil is home to the highest absolute number of human T-cell lymphotropic virus type-1 (HTLV-1)-infected individuals worldwide; the city of Salvador, Bahia, has the highest prevalence of HTLV-1 infection in Brazil. Due to the complex nature of several diseases associated with this retrovirus, a multidisciplinary health care approach is necessary to care for people living with HTLV-1. The Bahia School of Medicine and Public Health’s Integrative Multidisciplinary HTLV Center (CHTLV) has been providing support to people living with HTLV and their families since 2002, striving to ensure physical and mental well-being by addressing biopsychosocial aspects, providing clinical care and follow-up, including to pregnant/postpartum women, as well as comprehensive laboratory diagnostics, psychological therapy, and counseling to family members. To date, CHTLV has served a total of 2,169 HTLV-infected patients. The average patient age is 49.8 (SD 15.9) years, 70.3% are female, most are considered low-income and have low levels of education. The majority (98.9%) are HTLV-1 cases, and approximately 10% have been diagnosed with tropical spastic paraparesis/HTLV-1-associated myelopathy (TSP/HAM), while 2.2% have infective dermatitis and 1.1% have adult T-cell lymphoma. In all, 178 pregnant/postpartum women [mean age: 32.7 (±6.5) years] have received care at CHTLV. Regarding vertical transmission, 53% of breastfed infants screened for HTLV tested positive in their second year of life, nearly 18 times the rate found in non-breastfed infants. This article documents 20 years of experience in implementing an integrative and multidisciplinary care center for people living with HTLV in Bahia, Brazil. Still, significant challenges remain regarding infection control, and HTLV-infected individuals continue to struggle with the obtainment of equitable and efficient healthcare.engFrontiers MediaSaúde biopsicossocialAtendimento multidisciplinarHTLVBahia, BrasilBiopsychosocial healthcareMultidisciplinary careHTLVBahia, BrazilIntegrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experienceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/54871/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALCastro, Bernardo Galvão - Integrative and Multidisciplinary Care for People Living With Human T-Cell Lymphotropic Virus in Bahia, Brazil.pdfCastro, Bernardo Galvão - Integrative and Multidisciplinary Care for People Living With Human T-Cell Lymphotropic Virus in Bahia, Brazil.pdfapplication/pdf6045148https://www.arca.fiocruz.br/bitstream/icict/54871/2/Castro%2c%20Bernardo%20Galv%c3%a3o%20-%20Integrative%20and%20Multidisciplinary%20Care%20for%20People%20Living%20With%20Human%20T-Cell%20Lymphotropic%20Virus%20in%20Bahia%2c%20Brazil.pdff85be58de65cffa20407e926aa274523MD52icict/548712023-03-15 14:32:47.582oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:32:47Repositório Institucional da FIOCRUZ (ARCA) - 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dc.title.en_US.fl_str_mv |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience |
title |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience |
spellingShingle |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience Castro, Bernardo Galvão Saúde biopsicossocial Atendimento multidisciplinar HTLV Bahia, Brasil Biopsychosocial healthcare Multidisciplinary care HTLV Bahia, Brazil |
title_short |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience |
title_full |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience |
title_fullStr |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience |
title_full_unstemmed |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience |
title_sort |
Integrative and multidisciplinary care for people living with human T-cell lymphotropic virus in Bahia, Brazil: 20 years of experience |
author |
Castro, Bernardo Galvão |
author_facet |
Castro, Bernardo Galvão Grassi, Maria Fernanda Rios Castro, Ana Verena Galvão Nunes, Aidê Barroso, Ana Karina Galvão Araújo, Thessika Hialla Almeida Pinheiro, Regina Helena Rathsam Nunes, Ceuci Lima Xavier Ribeiro, Adriele Lírio, Monique Gonçalves, Noilson Lázaro Rangel, Sônia Lúcia Dias, Cristiane Maria Carvalho Costa Ozores, Daniele Piai Mendes, Selena Márcia Dubois Lima, Isabela Silva, André Luís Pereira Jesus, Washington Luiz Abreu de Santos, Fred Luciano Neves Oliveira, José Guilherme Reis de Moraes, Yscela Vanessa Pimentel de Jesus, Adijeane Oliveira de Daltro, Francisco Boa-Sorte, Ney Lima, Humberto Castro Soliani, Maria Luísa Carvalho |
author_role |
author |
author2 |
Grassi, Maria Fernanda Rios Castro, Ana Verena Galvão Nunes, Aidê Barroso, Ana Karina Galvão Araújo, Thessika Hialla Almeida Pinheiro, Regina Helena Rathsam Nunes, Ceuci Lima Xavier Ribeiro, Adriele Lírio, Monique Gonçalves, Noilson Lázaro Rangel, Sônia Lúcia Dias, Cristiane Maria Carvalho Costa Ozores, Daniele Piai Mendes, Selena Márcia Dubois Lima, Isabela Silva, André Luís Pereira Jesus, Washington Luiz Abreu de Santos, Fred Luciano Neves Oliveira, José Guilherme Reis de Moraes, Yscela Vanessa Pimentel de Jesus, Adijeane Oliveira de Daltro, Francisco Boa-Sorte, Ney Lima, Humberto Castro Soliani, Maria Luísa Carvalho |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Castro, Bernardo Galvão Grassi, Maria Fernanda Rios Castro, Ana Verena Galvão Nunes, Aidê Barroso, Ana Karina Galvão Araújo, Thessika Hialla Almeida Pinheiro, Regina Helena Rathsam Nunes, Ceuci Lima Xavier Ribeiro, Adriele Lírio, Monique Gonçalves, Noilson Lázaro Rangel, Sônia Lúcia Dias, Cristiane Maria Carvalho Costa Ozores, Daniele Piai Mendes, Selena Márcia Dubois Lima, Isabela Silva, André Luís Pereira Jesus, Washington Luiz Abreu de Santos, Fred Luciano Neves Oliveira, José Guilherme Reis de Moraes, Yscela Vanessa Pimentel de Jesus, Adijeane Oliveira de Daltro, Francisco Boa-Sorte, Ney Lima, Humberto Castro Soliani, Maria Luísa Carvalho |
dc.subject.other.en_US.fl_str_mv |
Saúde biopsicossocial Atendimento multidisciplinar HTLV Bahia, Brasil |
topic |
Saúde biopsicossocial Atendimento multidisciplinar HTLV Bahia, Brasil Biopsychosocial healthcare Multidisciplinary care HTLV Bahia, Brazil |
dc.subject.en.en_US.fl_str_mv |
Biopsychosocial healthcare Multidisciplinary care HTLV Bahia, Brazil |
description |
Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB). Fundação Nacional de Desenvolvimento do Ensino Superior Particular (FUNADESP). Conselho Nacional de Pesquisa (CNPq). |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-09-26T12:49:38Z |
dc.date.available.fl_str_mv |
2022-09-26T12:49:38Z |
dc.date.issued.fl_str_mv |
2022 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
CASTRO, Bernardo Galvão et al. Integrative and multidisciplinary care for people living with human t-cell lymphotropic virus in bahia, brazil: 20 years of experience. Frontiers in Medicine, v. 9, p. 1-11, 2022. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/54871 |
dc.identifier.issn.en_US.fl_str_mv |
2296-858X |
dc.identifier.doi.none.fl_str_mv |
10.3389/fmed.2022.884127 |
identifier_str_mv |
CASTRO, Bernardo Galvão et al. Integrative and multidisciplinary care for people living with human t-cell lymphotropic virus in bahia, brazil: 20 years of experience. Frontiers in Medicine, v. 9, p. 1-11, 2022. 2296-858X 10.3389/fmed.2022.884127 |
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https://www.arca.fiocruz.br/handle/icict/54871 |
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eng |
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eng |
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Frontiers Media |
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Frontiers Media |
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