Brazilian Journal of Infectious Diseases

Autor: Braga Eduardo Lorens, Lyra André Castro, Ney-Oliveira Fabrizio, Nascimento Lourianne, Silva Adriano, Brites Carlos, Marbak Rosicreuza, Lyra Luiz Guilherme Costa, Ribeiro Neto Manuel L., Shah Koonj Asvin
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Zdroj: Repositório Institucional da UFBA
Universidade Federal da Bahia (UFBA)
instacron:UFBA
Brazilian Journal of Infectious Diseases, Volume: 10, Issue: 1, Pages: 17-21, Published: FEB 2006
Brazilian Journal of Infectious Diseases v.10 n.1 2006
Brazilian Journal of Infectious Diseases
Brazilian Society of Infectious Diseases (BSID)
instacron:BSID
Brazilian Journal of Infectious Diseases, Vol 10, Iss 1, Pp 17-21
DOI: 10.1590/S1413-86702006000100004
Popis: Texto completo: acesso restrito. p.17-21 Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-09-03T14:45:17Z No. of bitstreams: 1 a04v10n1.pdf: 40671 bytes, checksum: a5941834761ed04d40e0319bdcad047c (MD5) Approved for entry into archive by Flávia Ferreira(flaviaccf@yahoo.com.br) on 2013-09-16T17:38:54Z (GMT) No. of bitstreams: 1 a04v10n1.pdf: 40671 bytes, checksum: a5941834761ed04d40e0319bdcad047c (MD5) Made available in DSpace on 2013-09-16T17:38:54Z (GMT). No. of bitstreams: 1 a04v10n1.pdf: 40671 bytes, checksum: a5941834761ed04d40e0319bdcad047c (MD5) Previous issue date: 2006 Co-infection with hepatitis C virus (HCV) and human immunodeficiency virus (HIV) is increasingly common and affects the clinical course of chronic hepatitis C. Highly active antiretroviral therapy has improved the life expectancy of HIV infected patients, but, by extending survival, it permits the development of HCV cirrhosis. This study tried to evaluate clinical and epidemiological features of patients with chronic hepatitis C co-infected with HIV. We evaluated 134 HCV-infected patients: i) group A – 65 co-infected HCV/HIV patients, ii) group B – 69 mono-infected HCV patients. The impact of HIV infection on HCV liver disease was analyzed using Child's score, ultrasound findings and liver histology. Patients were subjected to HCV genotyping and anti-HBs dosage. Patients mean age was 42.4 years (±9.1) and 97 (72.4%) were males. Injected drug use and homo/bisexual practice were more frequently encountered in the co-infected group: 68.3% and 78.0%, respectively. Antibodies against hepatitis B virus (anti-HBs) were found in only 38.1% of the patients (66.7% group A x 33.3% group B). Ten out of 14 individuals (71.4%) who had liver disease (Child B or C) and 25 out of 34 (73.5%) who showed ultrasound evidence of chronic liver disease were in the co-infection group. HCV genotype-2/3 was more frequently encountered in co-infected patients (36.9% group A vs. 21.8% group B). Conclusions: a) HIV infection seems to adversely affect the clinical course of chronic hepatitis C, b) injected drug use, bi/homosexual practice and genotype-2/3 were more frequently encountered in co-infected patients, c) immunization against HBV should be encouraged in these patients.
Databáze: OpenAIRE