ABSTRACT
Abstract INTRODUCTION: The objective was to identify comorbidities related to HIV-positive patients in Blumenau, State of Santa Catarina. METHODS: A retrospective, descriptive observational design study which analyzed data from 424 patients assisted by the sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) Specialized Care Service (SCS). RESULTS: Of 424 medical records analyzed, 388 patients presented CD4+/CD8+ ratios lower than 1. The most prevalent comorbidities were smoking, depression, alcoholism, and herpes zoster infection, in males and females. CONCLUSIONS: The most relevant comorbidity in both genders was herpes zoster, an important marker of immunity in patients. The lowest mean was observed among patients with neurotoxoplasmosis.
Subject(s)
Humans , Male , Female , Adult , Young Adult , Acquired Immunodeficiency Syndrome/blood , Acquired Immunodeficiency Syndrome/epidemiology , CD4-CD8 Ratio/statistics & numerical data , Reference Values , Brazil/epidemiology , Smoking/blood , Smoking/epidemiology , Comorbidity , Prevalence , Retrospective Studies , Risk Factors , Sex Distribution , Depression/blood , Depression/epidemiology , Alcoholism/blood , Alcoholism/epidemiology , Herpes Zoster/blood , Herpes Zoster/epidemiology , Middle AgedABSTRACT
OBJETIVO: determinar a indicação à prova tuberculínica (PT) e tratamento para infecção latente da tuberculose (ILTB) pelo Serviço de Atendimento Especializado em DST/aids (SAE-DST/aids) do município de Blumenau, estado de Santa Catarina, Brasil. MÉTODO: estudo transversal, em prontuários de pacientes HIV-positivos ingressantes entre 2004 e 2009; análises estatísticas foram estabelecidas pelos testes exato de Fisher, t de Student e qui-quadrado. RESULTADOS: dos 693 pacientes, 56,6 por cento tinham aids e 96,23 por cento tinham indicação para PT, embora somente 16,29 por cento realizaram-na; a prescrição da PT foi de 23,46 por cento mas apenas 1,31 por cento realizou tratamento; fatores clínicos, como comorbidades relacionadas ao HIV, tiveram associação estatística com a prescrição da PT em 19,58 por cento dos não prescritos e 14,01 por cento dos prescritos (p<0,01); houve diferença estatística na frequência de indicação pelos médicos do serviço avaliado. CONCLUSÃO: os dados evidenciam que as recomendações para prescrição da PT em pacientes HIV-positivos e o tratamento da ILTB não estão sendo cumpridas pelo SAE/DST/aids de Blumenau-SC.
OBJECTIVE: to evaluate the indication of Tuberculin Skin Test (TST) and Latent Tuberculosis Infection (LTBI) treatment by the Specialized HIV/AIDS Healthcare Services (SHS-STD/AIDS) in Blumenau, state of Santa Catarina, Brazil. METHODS: cross-sectional study with records of HIV-positive patients admitted between 2004 and 2009; statistical analysis were established using Fisher exact, t Student and chi-squared tests. RESULTS: among 693 patients, 56.6 per cent had aids and 96.23 per cent had indication to TST, although only 16.29 per cent performed it; TST prescription was 23.46 per cent but only 1.31 perc ent did the treatment; clinical featuressuch as HIV-related comorbidities were statistically associated with TST prescription in 19.58 per cent non-prescribed and 14.01 per cent prescribed (p<0.01); there was statistical difference in the proportion of indication among the physicians of the assessed service. CONCLUSION: data indicates that the recommendations to TST prescription in patients HIV-positiveand LTBI treatment are not being accomplished by the SHS-STD/AIDS of Blumenau-SC.