Document Detail


Clinical and epidemiological features of AIDS/tuberculosis comorbidity.
MedLine Citation:
PMID:  14534673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Alice Tung Wan Song; Denise Schout; Hillegonda Maria Dutilh Novaes; Moisés Goldbaum
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Publication Detail:
Type:  Journal Article     Date:  2003-09-30
Journal Detail:
Title:  Revista do Hospital das Clínicas     Volume:  58     ISSN:  0041-8781     ISO Abbreviation:  Rev Hosp Clin Fac Med Sao Paulo     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2003-10-09     Completed Date:  2006-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0415246     Medline TA:  Rev Hosp Clin Fac Med Sao Paulo     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  207-14     Citation Subset:  IM    
Affiliation:
Department of Preventive Medicine, Hospital das Clínicas, Faculty of Medicine, University of São Paulo.
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / epidemiology*
Acquired Immunodeficiency Syndrome / epidemiology*
Adolescent
Adult
Age Distribution
Brazil / epidemiology
Child
Child, Preschool
Comorbidity
Educational Status
Female
Humans
Incidence
Infant
Infant, Newborn
Male
Middle Aged
Risk Factors
Sex Distribution
Tuberculosis / epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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