Trends and characteristics of AIDS mortality in the Rio de Janeiro city after the introduction of highly active antiretroviral therapy
AUTOR(ES)
Saraceni, Valéria, Cruz, Marly Marques da, Lauria, Lilian de Mello, Durovni, Betina
FONTE
Brazilian Journal of Infectious Diseases
DATA DE PUBLICAÇÃO
2005-06
RESUMO
We examined the characteristics of AIDS mortality in Rio de Janeiro city from 1995 to 2003. During this period, highly active antiretroviral therapy with protease inhibitors was made available, and it changed the pattern of the epidemics. There was a 47.5% reduction in the number of AIDS deaths within the period, with an increase in the proportion of women among the deceased; their schooling was lower than that of the men, similar to the trends of the national-level epidemics. The main place of death changed from university hospitals to emergency rooms. The proportion of cases reported to the National Diseases Surveillance System (SINAN) reported only through the death certificate remained high. Although there is free distribution of antiretrovirals by the public health system, many patients still lack access to diagnosis and treatment. We need to give priority to access to anti-HIV testing and treatment, to increase the quality of care and to look into the issue of adherence in order to further reduce AIDS mortality.
Documentos Relacionados
- Enteric parasitic infections in HIV/AIDS patients before and after the highly active antiretroviral therapy
- Dyslipidemia in AIDS patients on highly active antiretroviral therapy
- Metabolic effects associated to the highly active antiretroviral therapy (HAART) in AIDS patients
- Non-tuberculous mycobacteria I: one year clinical isolates identification in Tertiary Hospital Aids Reference Center, Rio de Janeiro, Brazil, in pre highly active antiretroviral therapy era
- Prevalence of Mycobacterium avium and Mycobacterium tuberculosis in blood cultures of Brazilian AIDS patients after introduction of highly active retroviral therapy