Início Manejo clínico em pacientes com diagnóstico de coinfecção Tuberculose/HIV
HIV
Manejo clínico em pacientes com diagnóstico de coinfecção Tuberculose/HIV
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.
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As vivências de mulheres HIV positivas durante o acompanhamento do pré-natal e no pós-parto
Resumo:
Abstract: Introduction: Pregnancy is a moment that brings many emotions in women's lives and the positive diagnosis for HIV will interfere directly in their prenatal care. This study aimed to understand the experiences of HIV-positive women during prenatal and postpartum follow-up. Review: This is a literature review study. The Virtual Health Library (VHL) was used to select the articles that guided the research. In the VHL, the following descriptors were used: HIV, pregnant women, prenatal care, maternity, feelings and mental health care, crossed with each other using the Boolean operator AND to interconnect the descriptors. The filtering criteria for inclusion of the articles were: Portuguese and English, last 5 years and the databases (Lilacs, Scielo, BDENF, MEDLINE). Discussion: After study and analysis of the 11 articles chosen to compose the work, it was possible to identify three aspects that are most part of the experiences of HIV-positive women during pregnancy and postpartum, they are: The feelings, emotions and mental health, the relationship with partners, family members and health professionals and the stereotypes about the diagnosis and how it affects seropositive pregnant and postpartum women. Final considerations: The multiprofessional team needs to have an active listening and clinical look in order to provide a comprehensive care that attends all the biopsychosocial issues of HIV-positive women, from pregnancy planning to postpartum.
Keywords: mental health care, prenatal care, pregnant women, HIV, maternity, feelings.
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