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Inequalities in HAART uptake and differential survival according to exposure ca...

Lima,Tatiana de Araujo; Beyrer,Chris; Golub,Jonathan E.; Mota,Jurema Corrêa da; Malta,Monica Siqueira; Silva,Cosme Marcelo Furtado Passos da

Abstract: Despite substantial improvement in prognosis and quality of life among people living with HIV/AIDS (PLWHA) in Brazil, inequalities in access to treatment remain. We assessed the impact of these inequalities on survival in Rio de Janeiro over a 12-year period (2000/11). Data were merged from four databases that comprise the national AIDS monitoring system: SINAN-AIDS (Brazilian Information System for N...

Date: 2018   |   Origin: Oasisbr

Clinical and epidemiological characteristics associated with unfavorable tuberc...

Prado,Thiago Nascimento do; Rajan,Jayant V.; Miranda,Angélica Espinosa; Dias,Elias dos Santos; Cosme,Lorrayne Beliqui; Possuelo,Lia Gonçalves

Abstract Background: TB patients co-infected with HIV have worse treatment outcomes than non-coinfected patients. How clinical characteristics of TB and socioeconomic characteristics influence these outcomes is poorly understood. Here, we use polytomous regression analysis to identify clinical and epidemiological characteristics associated with unfavorable treatment outcomes among TB-HIV co-infected patients in...

Date: 2017   |   Origin: Oasisbr

Survival of HIV patients with tuberculosis started on simultaneous or deferred ...

Saraceni,Valeria; Durovni,Betina; Cavalcante,Solange C.; Cohn,Silvia; Pacheco,Antonio Guilherme; Moulton,Lawrence H.; Chaisson,Richard E.

Background:The timing of highly active antiretroviral therapy (HAART) after a tuberculosis diagnosis in HIV-infected patients can affect clinical outcomes and survival. We compared survival after tuberculosis diagnosis in HIV-infected adults who initiated HAART and tuberculosis therapy simultaneously to those who delayed the start of HAART for at least two months.Methods:The THRio cohort includes 17,983 patient...

Date: 2014   |   Origin: Oasisbr

Behavior assessment of women attending a sexually transmitted disease clinic in...

Miranda,Angelica Espinosa; Lima,Bettina Moulin Coelho; Giami,Alain; Golub,Jonathan E.; Talhari,Sinesio

BACKGROUND: Studies about sexual risk behaviors can provide information to support design strategies to control the spread of HIV infection. OBJECTIVE: To assess sexual risk behaviors among women attending a sexually transmitted diseases clinic in Vitória, Brazil. METHODS: A cross-sectional study was performed among women attending an STD/AIDS reference center. Enrolled participants were interviewed and provide...

Date: 2012   |   Origin: Oasisbr

Cost-effectiveness of community health worker versus home-based guardians for d...

Prado,Thiago Nascimento do; Wada,Nikolas; Guidoni,Leticia Molino; Golub,Jonathan E.; Dietze,Reynaldo; Maciel,Ethel Leonor Noia

The objective of this study was to compare the costs and outcomes associated with guardian-supervised directly observed treatment relative to the standard of care Directly Observed Therapy, Short Course (DOTS) provided by community health workers (CHW). New cases of culture-positive pulmonary tuberculosis (TB) treated in Vitória, Espírito Santo State, Brazil, between January 2005 and December 2006 were intervie...

Date: 2011   |   Origin: Oasisbr

Prevalence of patients with respiratory symptoms through active case finding an...

Vieira,Amadeu A.; Ribeiro,Sandra A.; Siqueira,Ana M. de; Galesi,Vera M. N.; Santos,Laedi A. R. dos; Golub,Jonathan E.

BACKGROUND: Prisons offer a fertile setting for the transmission of tuberculosis due to the presence of many classic risk factors for both infection and disease: overcrowding, poor ventilation, and little sunlight. Prisoners are often malnourished and have poor hygiene and are more likely to have a background of alcohol and drug abuse. OBJECTIVES: To determine the prevalence of prisoners with respiratory sympto...

Date: 2010   |   Origin: Oasisbr

Tuberculosis and AIDS co-morbidity in Brazil: linkage of the tuberculosis and A...

Miranda,Angelica Espinosa; Golub,Jonathan E.; Lucena,Francisca de Fátima; Maciel,Ethel Noia; Gurgel,Maria de Fátima; Dietze,Reynaldo

This study evaluated differences in AIDS patients with and without tuberculosis (TB) in Espírito Santo State, Brazil. Standard regional AIDS (SINAN, SISCEL, SICLOM and SIM) and tuberculosis (SINAN) databases were used. TB and AIDS databases were linked using Reclink software, version 3, with SPSS software support to identify co-infected cases. Data from July 2000 to June 2006 in Espírito Santo State were linked...

Date: 2009   |   Origin: Oasisbr

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