Avaliação epidemiológica e sorológica em pacientes portadores de HIV em ambulatório de referência - Salvador, Bahia

Abstract

Introduction: HIV-1 infection is a public health problem, but with a pre-therapy institution for antiretroviral therapy (ART), there is adequate control of infection with less burden of opportunistic diseases and mortality. PLWHA remains vulnerable to coinfections and co morbidities arising from the transmission of agents that are and the chronic use of HAART, respectively. Goal: To know the frequency of situations in patients with positive serology for HIV in a public service in Salvador - Bahia, and their clinical characteristics. Methods: We reviewed 196 medical records of patients followed at the HIV / AIDS outpatient clinic of the Couto Maia Hospital, based on the epidemiological aspects of the infection and serologic markers for coinfections. Results: We observed that there was no higher frequency of infection between 41-50 years (31.1%) regardless of gender. The male gender had the highest percentage in the sample (67.8%). Adequate rates of LT-CD4 + and CV corroborated with ART adherence were observed, with no HIV diagnosis time, which in the sample was between 1-5 years in the majority. There was a lack of information regarding serologies in most medical records. Only 5 (3.2%) patients had hepatitis B virus; 9 (5.9%) with anti-HCV reagent, 5 (4.4%) of HTLV, 26 (23%). Discussion: The epidemiological profile of the general population is similar to studies in the scientific literature with patients infected with HIV-1. L-TCD4 + count and HIV 1 viral load reflecting adherence of patients to ART. Despite the scarcity of test results in most cases, it was observed that syphilis for more frequent coinfection, and others (HCV, HBV, HTLV and TB) were compatible with data from the literature. Conclusion: The most frequent age and gender corroborate with the epidemiological findings found in the literature. More frequent coinfection was for syphilis. As coinfections with other agents (HBV, HCV, HTLV and TB) were similar in the literature.