HIV infection in the west region of Pará: Clinical and socioeconomic characterization

Detalhes bibliográficos
Autor(a) principal: Melo, Carla Beatriz Bezerra
Data de Publicação: 2021
Outros Autores: 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
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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spelling 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
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