coinfecção

Manejo clínico em pacientes com diagnóstico de coinfecção Tuberculose/HIV

  • Autores:
  • Andressa Beatriz Mariano Quintino
  • Laís Siemon Moço
  • Luana Lucas dos Santos
  • Rita Heloisa da Costa Yoem 
  • Palavras-chave:
  • coinfecção
  • HIV
  • saúde pública
  • tratamento
  • Tuberculose
Resumo: INTRODUCTION: Tuberculosis (TB) is one of the oldest and most lethal infectious diseases in human history. Vulnerable groups, such as people experiencing homelessness and individuals with Human Immunodeficiency Virus (HIV), are particularly affected. Accurate diagnosis is essential, and treatment is standardized by the Brazilian Unified Health System (SUS). Coinfection with HIV amplifies the challenge, making early diagnosis crucial. This scientific review explores the complexities of TB and HIV, analyzing strategies to address this duality in public health. REVIEW: The article covers tuberculosis and HIV history, highlighting their historical impact and evolution in diagnosis and treatment. It emphasizes the importance of early diagnosis and appropriate treatment to control these diseases, which remain public health challenges in Brazil and around the world. DISCUSSION: Robust public policies are essential to ensure universal access to diagnosis, antiretroviral treatment, and appropriate antimicrobial therapy. Active pharmacist surveillance of treatment adherence is crucial to prevent resistance, drug interactions, and enhance clinical outcomes. Continuous patient education regarding treatment adherence and transmission prevention is determinative. Therefore, effective interventions not only improve patients' quality of life, but also curtail the spread of these diseases, contributing to public health. FINAL CONSIDERATIONS: The importance of early diagnosis is emphasized, especially in vulnerable populations where coinfection presents challenges. There is a need for public policies to ensure access to diagnostic services, antiretroviral treatment, and antibacterial therapy, as well as the importance of monitoring treatment adherence to prevent drug resistance. Patient education is crucial to enhance treatment adherence and preventive measures. Keywords: coinfection, HIV, public health, treatment, Tuberculosis. Expandir Resumo Acessar Texto Completo