Subject(s)
Humans , Homosexuality, Male , Homosexuality, Female , Gender Identity , Sexual Behavior , TransvestismABSTRACT
OBJECTIVE: To describe the clinical aspects of H1N1 among HIV coinfected patients seen at a reference center for AIDS treatment in São Paulo, Brazil. DESIGN: Observational and prospective cohort study. METHODS: Descriptive study of clinical and laboratory investigation of HIV-infected patients with confirmed diagnosis of influenza A (H1N1) in 2009. We analyzed patients monitored in CRT/DST/AIDS, a specialized service for people living with HIV, located in São Paulo, Brazil. RESULTS: 108 individuals presented with symptoms of H1N1 infection at the CRT DST/AIDS in 2009. Eighteen patients (16.7%) had confirmation of the diagnosis of influenza A. Among the confirmed cases, ten (55.6%) were hospitalized and eight (44.4%) were outpatients. Dyspnea was present in nine patients (50%), hemoptysis in three (16%). Six patients (60%) required therapy with supplemental oxygen. All patients had good clinical outcomes and none died. CONCLUSIONS: In our hospital, the symptoms that led patients to seek medical care were similar to the common flu. Hospital admission and the early introduction of antibiotics associated with oseltamivir may have been the cause of the favorable outcome of our cases.
Subject(s)
HIV Infections/complications , Influenza A Virus, H1N1 Subtype , Influenza, Human/epidemiology , Pandemics , Adolescent , Adult , Brazil/epidemiology , Child , Cohort Studies , Female , Humans , Influenza, Human/complications , Middle Aged , Prospective StudiesABSTRACT
Human herpesvirus 8 (HHV-8) infection is common in sub-Saharan Africa, but its prevalence in Mozambique is unknown. The seroprevalence of HHV-8 in a cohort of individuals seen at public health centers in Northern (n = 208), Central (n = 226), or Southern (n = 318) Mozambique was examined. All individuals were interviewed to obtain socioeconomic, demographic and clinical data and were tested for serum anti-HHV-8 antibodies using an immunofluorescence assay. The overall frequency of HHV-8 antibodies was 21.4% and, in spite of the diversity of epidemiological characteristics of the tested individuals, did not differ significantly among regions: 18.7%, 24.3% and 21.4% in the North, Center, and South, respectively (chi(2), 2.37; P = 0.305). The variables that were associated significantly with the presence of HHV-8 antibodies were gender, age, level of education, number of siblings and HIV serostatus, but these differed across the regions. In the North, although tested individuals lived under poor socioeconomic conditions, no association between HHV-8 infection and household variables was detected, with the exception of the number of siblings (P = 0.042). In the Central region, HHV-8 infection was associated with gender (P = 0.010), the number of household members (P = 0.031), and the place of attendance (P = 0.021). In the South, HHV-8 infection was associated with the number of siblings (P = 0.023) and HIV status (P = 0.002). The overall prevalence of HHV-8 seropositivity increased with age. These results demonstrate that Mozambique is another country in Africa with endemic HHV-8 infection, and, because of the AIDS epidemic, continued access to antiretroviral treatment is necessary to avert an outbreak of AIDS-Kaposi's sarcoma.
Subject(s)
Disease Outbreaks/prevention & control , Herpesviridae Infections/epidemiology , Herpesvirus 8, Human/immunology , Sarcoma, Kaposi/prevention & control , Adolescent , Adult , Aged , Antibodies, Viral/blood , Child , Child, Preschool , Community Health Centers , Female , HIV Infections , Humans , Infant , Male , Middle Aged , Mozambique/epidemiology , Risk Factors , Seroepidemiologic StudiesABSTRACT
Um dos grandes avancos conquistados nesta decada para evitar a transmissao vertical e a terapia anti-retroviral. Para usufruir desse beneficio, no entanto, as mulheres gravidas devem ser testadas e diagnosticadas precocemente. Apesar de disseminada informacao sobre HIV/AIDS e frequente que as gestantes cheguem ao parto sem nunca terem realizado o teste HIV e, se infectadas, sem utilizarem terapia anti-retroviral. Nesse sentido, o presente estudo avalia se as gestantes receberam informacoes sobre HIV no pre-natal, se realizaram testes sorologicos de HIV no pre-natal e no parto ea prevalencia do HIV em parturientes de cinco maternidades. O principal objetivo deste estudo é avaliar nas paulistanas as informacoes e o impacto do teste rapido HIV para prevencao da transmissao vertical. Os dados demograficos, partos pregressos e as informacoes sobre conhecimento do HIV, foram coletados mediante aplicacao de um questionario associado a oferta do teste rapido de HIV. Participaram 1325 parturientes que procuraram as cinco maternidades do municipio de Sao Paulo, por um periodo de 30 dias. 1196 mulheres informaram sobre a idade, 50 porcento delas tinhas entre 21 e 30 anos e 41(3,4 porcento) eram jovens entre 12 e 15 anos. A media de partos pregressa foi de 2,5 com mediana de 2,0 partos. De 1007 gestantes (76 porcento) realizaram o pre-natal e 175(13,2 porcento) nao o fizeram. A media do inicio do pre-natal foi no 18ª semana e a media de consultas na gestacao foi de 5,9 com mediana de 6,0
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , HIV , Infectious Disease Transmission, Vertical , Hospitals, Maternity , Serologic TestsABSTRACT
UM DOS GRANDES AVANCOS CONQUISTADOS NESTA DECADA PARA EVITAR A TRANSMISSAO VERTICAL E A TERAPIA ANTI-RETROVIRAL. PARA USUFRUIR DESTE BENEFICIO, NO ENTANTO, AS MULHERES GRAVIDAS DEVEM SER TESTADAS E DIAGNOSTICADAS PRECOCEMENTE. APESAR DE DISSEMINADS AS INFORMACOES SOBRE HIV/AIDS, E FREQUENTE QUE AS GESTANTES CHEGUEM AO PARTO SEM NUNCA TEREM REALIZADO O TESTE HIV E, SE INFECTADAS, SEM UTILIZAREM TERAPIA ANTI-RETROVIRAL. NESSE SENTIDO, O PRESENTE ESTUDO AVALIA SE AS GESTANTES RECEBERAM INFORMACOES SOBRE HIV NO PRE-NATAL, SE REALIZARAM TESTES SOROLOGICOS DE HIV NO PRE-NATAL E NO PARTO E A PREVALENCIA DO HIV EM PARTURIENTES DE CINCO MATERNIDADES. O PRINCIPAL OBJETIVO DESTE ESTUDO E AVALIAR NAS PAULISTANAS AS INFORMACOES E O IMPACTO DO TESTE RAPIDO HIV PARA PREVENCAO DA TRANSMISSAO VERTICAL. OS DADOS DEMOGRAFICOS, PARTOS PREGRESSOS E AS INFORMACOES SOBRE CONHECIMENTO DO HIV FORAM COLETADOS MEDIANTE APLICACAO DE UM QUETIONARIO ASSOCIADO A OFERTA DO TESTE RAPIDO DE HIV. PARTICIPARAM 1325 PARTURIENTES, QUE PROCURARAM CINCO MATERNIDADES DO MUNICIPIO DE SAO PAULO, POR UM PERIODO DE 30 DIAS
Subject(s)
Female , Pregnancy , Humans , HIV , Acquired Immunodeficiency Syndrome , Counseling , Disease Prevention , Hospitals, Maternity , Infectious Disease Transmission, VerticalABSTRACT
Avalia se as gestantes receberam informações sobre HIV no pré-natal, se realizaram testes sorológicos de HIV no pré-natal e no parto e a prevalência do HIV em parturientes de cinco maternidades. O principal objetivo deste estudo é avaliar nas paulistanas as informações e o impacto do teste rápido HIV para prevenção da transmissão vertical(AU)
Subject(s)
Humans , Female , Pregnancy , Infectious Disease Transmission, Vertical/prevention & control , HIV Infections/prevention & control , AIDS Serodiagnosis/statistics & numerical data , Seroepidemiologic Studies , Acquired Immunodeficiency Syndrome/prevention & control , HIV Infections/epidemiology , HIV/isolation & purification , Prenatal Care , Parturition , Prevalence , Brazil/epidemiologyABSTRACT
UM DOS GRANDES AVANCOS CONQUISTADOS NESTA DECADA PARA EVITAR A TRANSMISSAO VERTICAL E A TERAPIA ANTI-RETROVIRAL. PARA USUFRUIR DESTE BENEFICIO, NO ENTANTO, AS MULHERES GRAVIDAS DEVEM SER TESTADAS E DIAGNOSTICADAS PRECOCEMENTE. APESAR DE DISSEMINADS AS INFORMACOES SOBRE HIV/AIDS, E FREQUENTE QUE AS GESTANTES CHEGUEM AO PARTO SEM NUNCA TEREM REALIZADO O TESTE HIV E, SE INFECTADAS, SEM UTILIZAREM TERAPIA ANTI-RETROVIRAL. NESSE SENTIDO, O PRESENTE ESTUDO AVALIA SE AS GESTANTES RECEBERAM INFORMACOES SOBRE HIV NO PRE-NATAL, SE REALIZARAM TESTES SOROLOGICOS DE HIV NO PRE-NATAL E NO PARTO E A PREVALENCIA DO HIV EM PARTURIENTES DE CINCO MATERNIDADES. O PRINCIPAL OBJETIVO DESTE ESTUDO E AVALIAR NAS PAULISTANAS AS INFORMACOES E O IMPACTO DO TESTE RAPIDO HIV PARA PREVENCAO DA TRANSMISSAO VERTICAL. OS DADOS DEMOGRAFICOS, PARTOS PREGRESSOS E AS INFORMACOES SOBRE CONHECIMENTO DO HIV FORAM COLETADOS MEDIANTE APLICACAO DE UM QUETIONARIO ASSOCIADO A OFERTA DO TESTE RAPIDO DE HIV. PARTICIPARAM 1325 PARTURIENTES, QUE PROCURARAM CINCO MATERNIDADES DO MUNICIPIO DE SAO PAULO, POR UM PERIODO DE 30 DIAS
Subject(s)
Humans , Female , Pregnancy , Fetus , 51607 , Disease Prevention , Hospitals, Maternity , Surveys and Questionnaires , Counseling , Infectious Disease Transmission, Vertical , Local Government , HIV , Acquired Immunodeficiency SyndromeABSTRACT
Avalia se as gestantes receberam informações sobre HIV no pré-natal, se realizaram testes sorológicos de HIV no pré-natal e no parto e a prevalência do HIV em parturientes de cinco maternidades. O principal objetivo deste estudo é avaliar nas paulistanas as informações e o impacto do teste rápido HIV para prevenção da transmissão vertical
