Clinical and epidemiological features of AIDS/tuberculosis comorbidity
Considering the relevance of AIDS/tuberculosis comorbidity worldwide, especially in Brazil, this study was developed to describe the clinical and epidemiological features of the comorbid cases identified from 1989 to 1997 by the epidemiology service of the Hospital das Clínicas of the Universidade de São Paulo. METHODS: Databases containing information on all identified AIDS/tuberculosis cases cared for at the hospital were used to gather information on comorbid cases. RESULTS: During the period, 559 patients were identified as presenting with AIDS/tuberculosis comorbidity. Risk behavior for AIDS was primarily heterosexual contact (38.9%), followed by intravenous drug use (29.3%) and homosexual/bisexual contact (23.2%). Regarding clinical features, there were higher rates of extrapulmonary tuberculosis when compared to tuberculosis without comorbidity. There was an increase in reporting of AIDS by ambulatory units during the period. Epidemiologically, there was a decrease in the male/female ratio, a predominance in the 20 to 39 year-old age group, and a majority of individuals who had less than 8 years of schooling and had low professional qualifications. CONCLUSIONS: High rates of AIDS/tuberculosis cases at our hospital indicate the need for better attention towards early detection of tuberculosis, especially in its extrapulmonary form. Since the population that attends this hospital tends to be of a lower socioeconomic status, better management of AIDS and tuberculosis is required to increase the rates of treatment adherence and thus lower the social costs.
Main Authors: | , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Faculdade de Medicina / Universidade de São Paulo - FM/USP
2003
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000400004 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0041-87812003000400004 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0041-878120030004000042003-12-04Clinical and epidemiological features of AIDS/tuberculosis comorbiditySong,Alice Tung WanSchout,DeniseNovaes,Hillegonda Maria DutilhGoldbaum,Moisés AIDS Tuberculosis Comorbidity Epidemiology Epidemiological Surveillance Considering the relevance of AIDS/tuberculosis comorbidity worldwide, especially in Brazil, this study was developed to describe the clinical and epidemiological features of the comorbid cases identified from 1989 to 1997 by the epidemiology service of the Hospital das Clínicas of the Universidade de São Paulo. METHODS: Databases containing information on all identified AIDS/tuberculosis cases cared for at the hospital were used to gather information on comorbid cases. RESULTS: During the period, 559 patients were identified as presenting with AIDS/tuberculosis comorbidity. Risk behavior for AIDS was primarily heterosexual contact (38.9%), followed by intravenous drug use (29.3%) and homosexual/bisexual contact (23.2%). Regarding clinical features, there were higher rates of extrapulmonary tuberculosis when compared to tuberculosis without comorbidity. There was an increase in reporting of AIDS by ambulatory units during the period. Epidemiologically, there was a decrease in the male/female ratio, a predominance in the 20 to 39 year-old age group, and a majority of individuals who had less than 8 years of schooling and had low professional qualifications. CONCLUSIONS: High rates of AIDS/tuberculosis cases at our hospital indicate the need for better attention towards early detection of tuberculosis, especially in its extrapulmonary form. Since the population that attends this hospital tends to be of a lower socioeconomic status, better management of AIDS and tuberculosis is required to increase the rates of treatment adherence and thus lower the social costs.info:eu-repo/semantics/openAccessFaculdade de Medicina / Universidade de São Paulo - FM/USPRevista do Hospital das Clínicas v.58 n.4 20032003-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000400004en10.1590/S0041-87812003000400004 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Song,Alice Tung Wan Schout,Denise Novaes,Hillegonda Maria Dutilh Goldbaum,Moisés |
spellingShingle |
Song,Alice Tung Wan Schout,Denise Novaes,Hillegonda Maria Dutilh Goldbaum,Moisés Clinical and epidemiological features of AIDS/tuberculosis comorbidity |
author_facet |
Song,Alice Tung Wan Schout,Denise Novaes,Hillegonda Maria Dutilh Goldbaum,Moisés |
author_sort |
Song,Alice Tung Wan |
title |
Clinical and epidemiological features of AIDS/tuberculosis comorbidity |
title_short |
Clinical and epidemiological features of AIDS/tuberculosis comorbidity |
title_full |
Clinical and epidemiological features of AIDS/tuberculosis comorbidity |
title_fullStr |
Clinical and epidemiological features of AIDS/tuberculosis comorbidity |
title_full_unstemmed |
Clinical and epidemiological features of AIDS/tuberculosis comorbidity |
title_sort |
clinical and epidemiological features of aids/tuberculosis comorbidity |
description |
Considering the relevance of AIDS/tuberculosis comorbidity worldwide, especially in Brazil, this study was developed to describe the clinical and epidemiological features of the comorbid cases identified from 1989 to 1997 by the epidemiology service of the Hospital das Clínicas of the Universidade de São Paulo. METHODS: Databases containing information on all identified AIDS/tuberculosis cases cared for at the hospital were used to gather information on comorbid cases. RESULTS: During the period, 559 patients were identified as presenting with AIDS/tuberculosis comorbidity. Risk behavior for AIDS was primarily heterosexual contact (38.9%), followed by intravenous drug use (29.3%) and homosexual/bisexual contact (23.2%). Regarding clinical features, there were higher rates of extrapulmonary tuberculosis when compared to tuberculosis without comorbidity. There was an increase in reporting of AIDS by ambulatory units during the period. Epidemiologically, there was a decrease in the male/female ratio, a predominance in the 20 to 39 year-old age group, and a majority of individuals who had less than 8 years of schooling and had low professional qualifications. CONCLUSIONS: High rates of AIDS/tuberculosis cases at our hospital indicate the need for better attention towards early detection of tuberculosis, especially in its extrapulmonary form. Since the population that attends this hospital tends to be of a lower socioeconomic status, better management of AIDS and tuberculosis is required to increase the rates of treatment adherence and thus lower the social costs. |
publisher |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
publishDate |
2003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000400004 |
work_keys_str_mv |
AT songalicetungwan clinicalandepidemiologicalfeaturesofaidstuberculosiscomorbidity AT schoutdenise clinicalandepidemiologicalfeaturesofaidstuberculosiscomorbidity AT novaeshillegondamariadutilh clinicalandepidemiologicalfeaturesofaidstuberculosiscomorbidity AT goldbaummoises clinicalandepidemiologicalfeaturesofaidstuberculosiscomorbidity |
_version_ |
1756380803518955520 |