Análise Epidemiológica, Clínica e Comportamental de Pacientes com AIDS acompanhados por um Hospital Público no Tocantins, no período de 2007 a 2013.

Abstract

Objective: To analyze the epidemiological, clinical and behavioral characteristics of patients with AIDS accompanied by the Hospital for Tropical Diseases in Tocantins, from 2007 to 2013. Methods: A descriptive, retrospective and cross. Data were collected from 592 reporting forms and records of adult AIDS cases and child, the period under study, through adapted SINAN record, according to the inclusion and exclusion criteria. We used the chi-square test to see if there were significant differences (p <0.05) between the observed and expected frequencies and in all analyzes, adopting a significance level of 0.05. Results: excelled males (57.4%); aged 20-59 years (93.9%); the brown skin color (82.4%); Singles (65%); with occupancy type employees, self-employed or retired (75.8%); studied the elementary school (44.6%); resided in Tocantins (71.05%). Except gender (p = 0.0001), the other variables showed significant differences (p <0.0001); the cases were reported by the criteria Rio de Janeiro - Caracas: cachexia (16.8%) and asthenia (16.5%), CDC adapted: CD4 T lymphocyte count (51.3%), toxoplasmosis (11.7%) and pneumonia (11%) and 2.4% for criterion death; were alive until the end of data collection (72.5%); AIDS was reported in less than 1 year of HIV diagnosis (80.7%); the year 2013 had a higher incidence of AIDS notifications; exposure to HIV through sexual contact occurred (92.9%); were diagnosed by conventional tests (62.7%); in the notification: CD4 <350 cells - mm3 (79.9%) and viral load> 40 viral copies (77.2%); and last record: CD4> 500 cells - mm3 (49.5%) and viral load <40 copies to undetectable (57.1%); examination performed genotyping (2.4%); visceral leishmaniasis (35%) and pulmonary tuberculosis (21%) were the most prevalent and co-infections, toxoplasmosis (23%) and pneumocystosis (22%) were the major opportunistic infections; in relations: regular - irregular attendance to health services versus coinfection - IO, 56.7% of patients without regularity developed coinfection - IO (p <0.0001); regular - irregular attendance to health services versus death, 85.9% died without those regularly employed (p <0.0001); hospitalization versus coinfection - IO, 63.5% had coinfection - IO but not hospitalized (p <0.0001); coinfection - IO versus death, 71.7% of patients died with some coinfection (p <0.0001); 57.6% of patients used ART with AZT + 3TC + EFV at baseline and at the final on 42.3% used other combinations; the behavior of patients, 41.1% of men reported using or have used any legal or illegal drug (p = 0.0006); 85.7% of men reported not use or never used condoms during sexual intercourse (p = 0.4574); on the type of sexual partner, 93.3% of women and 69.1% of men reported having heterosexual relationship. Conclusion: The analysis of all variables and their results corroborate to achieve the objectives proposed in this study and to understand how it presents the profile of the AIDS epidemic at the local level, contributing to the management in control measures for the spread of AIDS in state and the region.