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HIV/tuberculosis coinfection in an emergency hospital in Rio de Janeiro, Brazil.


Int Conf AIDS. 1996 Jul 7-12;11(1):167 (abstract no. Mo.C.1653). Unique

Objective: To determine the ratio of HIV/Tuberculosis (TB) coinfection in patients presenting in an Emergency Hospital. Methods: We analyzed the notifications of AIDS and TB cases from January 1 to December 31, 1994 made at Hospital Miguel Couto, City Department of Health. There were 69 cases of AIDS and 90 cases of TB in this period. Patients that were discharged from the Emergency Room or died prior to admission were excluded, as also the patients that did not meet the diagnostic criteria, as follows: chest radiographs, sputum smears and lymph nodes and pleural biopsies, positive to TB. Results: Thirty patients out of 69 HIV+ admitted to the Internal Medicine Clinic of our hospital were coinfected with TB (43.47%). The relative risk (RR) for an individual HIV+ to have TB was 0.61 (95% CI, 0.42 less than RR less than 0.87), p=0.0059. Of these, 30% were female, 70% male, mean age at diagnosis was 35.17 years (range 18-59, SD=9.41), no signicative differences in race, 63.3% had less than 8 years of schooling. Only 11 (36.7%) were aware of their HIV status prior to admission. Only 1 had cavitary TB, all the rest had disseminated forms of the disease. On the other hand, one third of 90 patients with TB were HIV+. Conclusions: World Health Organization estimates that 24-28% of HIV+ in Brazil are infected with M. tuberculosis. Our findings showed that 43.47% of the HIV+ admitted to our hospital through the Emergency Room were coinfected. This fact probably happened because this hospital isn't a reference for AIDS, but is the second in number of admissions due to any medical reason in our city.

*Emergency Service, Hospital *HIV Infections/COMPLICATIONS *Tuberculosis/COMPLICATIONS


Information in this article was accurate in January 30, 1997. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.