HIV infection in the west region of Pará: Clinical and socioeconomic characterization
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/38938 |
Resumo: | Aims: knowledge of the patient’s profile, for the evaluation and suggested behaviors, promotes a favorable outcome. Thus, the objective of the study is to analyze the socioeconomic, clinical, and immunological characteristics of patients infected by the human immunodeficiency virus in the western region of the state of Pará.Methods: were analyzed 1966 medical records of patients whose first visit to a reference center, in the municipality of Santarém-PA, was between 1998 and 2018. Socioeconomic, clinical, and immunological information was collected from patient medical records. Data were analyzed using descriptive and inferential statistics, adopting p <0.05.Results: there was a predominance of males (62.5%), aged 20-39 years (69.1%), elementary school (58.6%), single (57.3%), and employed (66.4%). Immunosuppression was present in 22% of patients and a viral load was detectable in 66%. Tuberculosis (37%) and toxoplasmosis (23%) predominated as opportunistic infections, and syphilis (62.6%) and human papillomavirus (HPV; 14%) as other infections.Conclusions: it is concluded that both opportunistic infections and other infections were present in 25-22% of the patients and that the presence of opportunistic infections favors the installation of another infection, or vice versa. Toxoplasmosis, HPV, and syphilis are positively associated with men, and toxoplasmosis and tuberculosis with age >35 years. Immunosuppression was shown to be positively associated with men and age >35 years, as well as favoring the onset of tuberculosis, toxoplasmosis, and detectable viral load. |
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HIV infection in the west region of Pará: Clinical and socioeconomic characterizationInfecção pelo HIV na região oeste do Pará: Caracterização clínica e socioeconômicaHIVacquired immunodeficiency syndromeepidemiologyopportunistic infectionsHIVsíndrome da imunodeficiência adquiridaepidemiologiainfecções oportunistasAims: knowledge of the patient’s profile, for the evaluation and suggested behaviors, promotes a favorable outcome. Thus, the objective of the study is to analyze the socioeconomic, clinical, and immunological characteristics of patients infected by the human immunodeficiency virus in the western region of the state of Pará.Methods: were analyzed 1966 medical records of patients whose first visit to a reference center, in the municipality of Santarém-PA, was between 1998 and 2018. Socioeconomic, clinical, and immunological information was collected from patient medical records. Data were analyzed using descriptive and inferential statistics, adopting p <0.05.Results: there was a predominance of males (62.5%), aged 20-39 years (69.1%), elementary school (58.6%), single (57.3%), and employed (66.4%). Immunosuppression was present in 22% of patients and a viral load was detectable in 66%. Tuberculosis (37%) and toxoplasmosis (23%) predominated as opportunistic infections, and syphilis (62.6%) and human papillomavirus (HPV; 14%) as other infections.Conclusions: it is concluded that both opportunistic infections and other infections were present in 25-22% of the patients and that the presence of opportunistic infections favors the installation of another infection, or vice versa. Toxoplasmosis, HPV, and syphilis are positively associated with men, and toxoplasmosis and tuberculosis with age >35 years. Immunosuppression was shown to be positively associated with men and age >35 years, as well as favoring the onset of tuberculosis, toxoplasmosis, and detectable viral load.Objetivo: o conhecimento sobre o perfil do paciente para a avaliação e as propostas de condutas colabora com um desfecho favorável. Assim, o objetivo deste estudo é analisar as características socioeconômicas, clínicas e imunológicas de pacientes infectados pelo vírus da imunodeficiência humana na região Oeste do Estado do Pará.Métodos: foram analisados 1.966 prontuários de pacientes que tiveram seu primeiro atendimento em um centro de referência, no município de Santarém (Pará), no período de 1998 a 2018. Levantaram-se informações socioeconômicas, clínicas e imunológicas nos referidos prontuários. Os dados foram analisados por estatística descritiva e inferencial, adotando-se p<0.05.Resultados: observou-se predominância do sexo masculino (62,5%), faixa etária de 20-39 anos (69,1%), ensino fundamental (58,6%), solteiros (57,3%) e com vínculo empregatício (66,4%). A imunossupressão estava presente em 22% dos pacientes e a carga viral detectável em 66%. A tuberculose (9,1%) e a toxoplasmose (5,6%) predominaram como infecções oportunistas, e a sífilis (14,1%) e o papiloma vírus humano (HPV; 3,2%) como outras infecções.Conclusão: conclui-se que tanto as infecções oportunistas como as outras infecções estavam presentes em 25 (22%) dos pacientes e que a presença da infecção oportunista favorece a instalação da outra infecção, ou vice-versa. A toxoplasmose, HPV e a sífilis se associaram positivamente aos homens, bem como, a toxoplasmose e a tuberculose com as idades >35 anos. A imunossupressão demonstrou estar associada positivamente aos homens e idades >35 anos, bem como, favorece a instalação da tuberculose, da toxoplasmose e da carga viral detectável.Editora da PUCRS - ediPUCRS2021-08-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/3893810.15448/1980-6108.2021.1.38938Scientia Medica; Vol. 31 No. 1 (2021): Single Volume; e38938Scientia Medica; v. 31 n. 1 (2021): Volume Único; e389381980-61081806-556210.15448/1980-6108.2021.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/38938/27036Copyright (c) 2021 Scientia Medicahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMelo, Carla Beatriz Bezerrade Lima, Jord Thyego SimplícioSilva , Juciele Fariada Silva, Erek FonsecaAssy, João Guilherme Pontes LimaSaid, Renato do CarmoBerretta, Olívia Campos PinheiroGouvêa-e-Silva, Luiz Fernando2022-01-25T17:01:59Zoai:ojs.revistaseletronicas.pucrs.br:article/38938Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2022-01-25T17:01:59Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization Infecção pelo HIV na região oeste do Pará: Caracterização clínica e socioeconômica |
title |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization |
spellingShingle |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization Melo, Carla Beatriz Bezerra HIV acquired immunodeficiency syndrome epidemiology opportunistic infections HIV síndrome da imunodeficiência adquirida epidemiologia infecções oportunistas |
title_short |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization |
title_full |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization |
title_fullStr |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization |
title_full_unstemmed |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization |
title_sort |
HIV infection in the west region of Pará: Clinical and socioeconomic characterization |
author |
Melo, Carla Beatriz Bezerra |
author_facet |
Melo, Carla Beatriz Bezerra de Lima, Jord Thyego Simplício Silva , Juciele Faria da Silva, Erek Fonseca Assy, João Guilherme Pontes Lima Said, Renato do Carmo Berretta, Olívia Campos Pinheiro Gouvêa-e-Silva, Luiz Fernando |
author_role |
author |
author2 |
de Lima, Jord Thyego Simplício Silva , Juciele Faria da Silva, Erek Fonseca Assy, João Guilherme Pontes Lima Said, Renato do Carmo Berretta, Olívia Campos Pinheiro Gouvêa-e-Silva, Luiz Fernando |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Melo, Carla Beatriz Bezerra de Lima, Jord Thyego Simplício Silva , Juciele Faria da Silva, Erek Fonseca Assy, João Guilherme Pontes Lima Said, Renato do Carmo Berretta, Olívia Campos Pinheiro Gouvêa-e-Silva, Luiz Fernando |
dc.subject.por.fl_str_mv |
HIV acquired immunodeficiency syndrome epidemiology opportunistic infections HIV síndrome da imunodeficiência adquirida epidemiologia infecções oportunistas |
topic |
HIV acquired immunodeficiency syndrome epidemiology opportunistic infections HIV síndrome da imunodeficiência adquirida epidemiologia infecções oportunistas |
description |
Aims: knowledge of the patient’s profile, for the evaluation and suggested behaviors, promotes a favorable outcome. Thus, the objective of the study is to analyze the socioeconomic, clinical, and immunological characteristics of patients infected by the human immunodeficiency virus in the western region of the state of Pará.Methods: were analyzed 1966 medical records of patients whose first visit to a reference center, in the municipality of Santarém-PA, was between 1998 and 2018. Socioeconomic, clinical, and immunological information was collected from patient medical records. Data were analyzed using descriptive and inferential statistics, adopting p <0.05.Results: there was a predominance of males (62.5%), aged 20-39 years (69.1%), elementary school (58.6%), single (57.3%), and employed (66.4%). Immunosuppression was present in 22% of patients and a viral load was detectable in 66%. Tuberculosis (37%) and toxoplasmosis (23%) predominated as opportunistic infections, and syphilis (62.6%) and human papillomavirus (HPV; 14%) as other infections.Conclusions: it is concluded that both opportunistic infections and other infections were present in 25-22% of the patients and that the presence of opportunistic infections favors the installation of another infection, or vice versa. Toxoplasmosis, HPV, and syphilis are positively associated with men, and toxoplasmosis and tuberculosis with age >35 years. Immunosuppression was shown to be positively associated with men and age >35 years, as well as favoring the onset of tuberculosis, toxoplasmosis, and detectable viral load. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-30 |
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://revistaseletronicas.pucrs.br/scientiamedica/article/view/38938 10.15448/1980-6108.2021.1.38938 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/38938 |
identifier_str_mv |
10.15448/1980-6108.2021.1.38938 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/38938/27036 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Scientia Medica http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Scientia Medica http://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 |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 31 No. 1 (2021): Single Volume; e38938 Scientia Medica; v. 31 n. 1 (2021): Volume Único; e38938 1980-6108 1806-5562 10.15448/1980-6108.2021.1 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101752428920832 |