Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS

Detalhes bibliográficos
Autor(a) principal: Daniela Silva de Aquino
Data de Publicação: 2015
Outros Autores: Líbia Cristina Rocha Vilela Moura, Magda Maruza, Adriana Paula da Silva, Ricardo Arraes de Alencar Ximenes, Heloísa Ramos Lacerda, Demócrito de Barros Miranda Filho, Maria de Fátima Pessoa Militão de Albuquerque
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5761
Resumo: Abstract The aim was to identify factors associated with non-initiation of prophylactic treatment of latent tuberculosis infection (LTBi) in persons living with HIV/AIDS (PLWA), based on a prospective cohort study of PLWA ≥ 18 years of age in two referral services for HIV/AIDS. Of the 232 patients eligible for treatment of LTBi, 69.8% initiated treatment. Following multivariate logistic regression analysis, only treatment in one of the two referral services was associated with non-initiation of treatment for LTBi (p < 0.001). TB incidence in the cohort was 0.6/100 person-years. TB incidence in patients that initiated treatment of LTBi was 0.4/100 person-years, compared to 1.2/100 person-years in those that did not initiate treatment, but the difference was not statistically significant. The study’s most interesting finding was that the main factor associated with the likelihood of treatment for LTBi was the health service where the patient was treated.
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spelling Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDSTubeculosisHIVIsoniazidAbstract The aim was to identify factors associated with non-initiation of prophylactic treatment of latent tuberculosis infection (LTBi) in persons living with HIV/AIDS (PLWA), based on a prospective cohort study of PLWA ≥ 18 years of age in two referral services for HIV/AIDS. Of the 232 patients eligible for treatment of LTBi, 69.8% initiated treatment. Following multivariate logistic regression analysis, only treatment in one of the two referral services was associated with non-initiation of treatment for LTBi (p < 0.001). TB incidence in the cohort was 0.6/100 person-years. TB incidence in patients that initiated treatment of LTBi was 0.4/100 person-years, compared to 1.2/100 person-years in those that did not initiate treatment, but the difference was not statistically significant. The study’s most interesting finding was that the main factor associated with the likelihood of treatment for LTBi was the health service where the patient was treated.Resumen El objetivo fue identificar los factores asociados a no iniciar el tratamiento preventivo para la tuberculosis (TB) latente (TBLi) en personas viviendo con VIH/SIDA (PVHA). Un estudio de cohorte prospectivo fue realizado con PVHA, edad ≥ 18 años, de dos servicios de referencia para VIH/SIDA. De 232 pacientes elegibles para el tratamiento de la TBLi, 69,8% iniciaron el tratamiento. Tras el análisis de regresión logística multivariada, simplemente ser tratado en uno de los servicios de referencia estuvo asociado a no comenzar el tratamiento para TBLi (p < 0,001). La tasa de incidencia de TB en la cohorte fue de 0,6/100 personas-año. Para los pacientes que iniciaron el tratamiento para TBLi, la tasa de incidencia de TB fue de 0,4/100 personas-año y para aquellos que no lo iniciaron, la tasa fue de 1,2/100 personas-año, pero esa diferencia no fue estadísticamente significativa. El hallazgo más interesante de este estudio fue el hecho de que el principal factor asociado al aumento de la probabilidad de ser tratado para TBLi fue la unidad de salud donde se realizó el seguimiento del paciente.Resumo O objetivo foi identificar os fatores associados ao não início do tratamento preventivo para tuberculose (TB) latente (TBLi) em pessoas vivendo com o HIV/AIDS (PVHA). Um estudo de coorte prospectivo foi realizado com PVHA, idade ≥ 18 anos, de dois serviços de referência para HIV/AIDS. De 232 pacientes elegíveis para tratamento da TBLi, 69,8% iniciaram o tratamento. Após análise de regressão logística multivariada, apenas ser tratado em um dos serviços de referência esteve associado ao não início do tratamento para TBLi (p < 0,001). A taxa de incidência de TB na coorte foi de 0,6/100 pessoas/ano. Para os pacientes que iniciaram o tratamento para TBLi, a taxa de incidência de TB foi de 0,4/100 pessoas/ano e para aqueles que não iniciaram, a taxa foi de 1,2/100 pessoas/ano, mas esta diferença não foi estatisticamente significativa. O achado mais interessante deste estudo foi o fato de o principal fator associado ao aumento da probabilidade de ser tratado para TBLi foi a unidade de saúde onde o paciente foi acompanhado.Reports in Public HealthCadernos de Saúde Pública2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5761Reports in Public Health; Vol. 31 No. 12 (2015): DecemberCadernos de Saúde Pública; v. 31 n. 12 (2015): Dezembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5761/12013https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5761/12014Daniela Silva de AquinoLíbia Cristina Rocha Vilela MouraMagda MaruzaAdriana Paula da SilvaRicardo Arraes de Alencar XimenesHeloísa Ramos LacerdaDemócrito de Barros Miranda FilhoMaria de Fátima Pessoa Militão de Albuquerqueinfo:eu-repo/semantics/openAccess2024-03-06T15:28:54Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5761Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:35.410518Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
title Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
spellingShingle Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
Daniela Silva de Aquino
Tubeculosis
HIV
Isoniazid
title_short Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
title_full Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
title_fullStr Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
title_full_unstemmed Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
title_sort Factors associated with treatment for latent tuberculosis in persons living with HIV/AIDS
author Daniela Silva de Aquino
author_facet Daniela Silva de Aquino
Líbia Cristina Rocha Vilela Moura
Magda Maruza
Adriana Paula da Silva
Ricardo Arraes de Alencar Ximenes
Heloísa Ramos Lacerda
Demócrito de Barros Miranda Filho
Maria de Fátima Pessoa Militão de Albuquerque
author_role author
author2 Líbia Cristina Rocha Vilela Moura
Magda Maruza
Adriana Paula da Silva
Ricardo Arraes de Alencar Ximenes
Heloísa Ramos Lacerda
Demócrito de Barros Miranda Filho
Maria de Fátima Pessoa Militão de Albuquerque
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Daniela Silva de Aquino
Líbia Cristina Rocha Vilela Moura
Magda Maruza
Adriana Paula da Silva
Ricardo Arraes de Alencar Ximenes
Heloísa Ramos Lacerda
Demócrito de Barros Miranda Filho
Maria de Fátima Pessoa Militão de Albuquerque
dc.subject.por.fl_str_mv Tubeculosis
HIV
Isoniazid
topic Tubeculosis
HIV
Isoniazid
description Abstract The aim was to identify factors associated with non-initiation of prophylactic treatment of latent tuberculosis infection (LTBi) in persons living with HIV/AIDS (PLWA), based on a prospective cohort study of PLWA ≥ 18 years of age in two referral services for HIV/AIDS. Of the 232 patients eligible for treatment of LTBi, 69.8% initiated treatment. Following multivariate logistic regression analysis, only treatment in one of the two referral services was associated with non-initiation of treatment for LTBi (p < 0.001). TB incidence in the cohort was 0.6/100 person-years. TB incidence in patients that initiated treatment of LTBi was 0.4/100 person-years, compared to 1.2/100 person-years in those that did not initiate treatment, but the difference was not statistically significant. The study’s most interesting finding was that the main factor associated with the likelihood of treatment for LTBi was the health service where the patient was treated.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-01
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url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5761
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5761/12013
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5761/12014
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eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 12 (2015): December
Cadernos de Saúde Pública; v. 31 n. 12 (2015): Dezembro
1678-4464
0102-311X
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instacron:FIOCRUZ
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reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
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