Clinical and sociodemographic factors associated with HIV-TB coinfection from 2018 to 2023 Bogotá, Colombia
DOI:
https://doi.org/10.56085/bed.326Keywords:
HIV, TB, coinfection, factors associatedAbstract
Abstract
Objective: To determine the clinical and sociodemographic factors associated with HIV-TB coinfection in the population of Bogotá Capital District during the period 2018 to 2023.
Methods: An analytical cross-sectional observational study was conducted in a population of 23,221 people living with HIV reported to the Epidemiological Surveillance System SIVIGILA of Bogota Colombia during the period 2018 to 2023.
Results: HIV/TB coinfection was identified in 3.2% (n=749) of the population with HIV during the study period. Logistic regression analysis identified several factors associated with coinfection with statistical significance: population in the adult and elderly life cycle; people in socioeconomic strata 1 and 2, indigenous population and those deprived of liberty. Associations were also found with the population affiliated to the General Social Security Health System (SGSSS), including modalities of the special, subsidized and non-affiliated regimes. Particularly relevant was the notification of patients in the epidemiological surveillance system during hospitalization, as well as those with comorbidities related to the digestive system.
Conclusions: HIV/TB coinfection is associated with social vulnerability factors. It is essential to prioritize early detection and timely management of HIV/TB coinfection, since late diagnosis contributes to severe health complications in patients. Comorbidities other than TB aggravate the situation of these patients, which generates the need for comprehensive approaches to care.
References
Organización Panamericana de la Salud. Coinfección TB/VIH Guía Clínica Regional. Actualización 2017. Washington D. C.; 2017.
Úriz J, Repáraz J, Castiello J, Sola J. Tuberculosis in patients with HIV infection. An Sist Sanit Navar. 2007;30(2):131-42. Disponible en: https://scielo.isciii.es/pdf/asisna/v30s2/original9.pdf, https://doi.org/10.4321/S1137-66272007000400010
OPS, OMS. Coinfección TB/VIH en las Américas [Internet]. 2022. Disponible en: www.paho.org/es/temas/tuberculosis.
World Health Organization. Global tuberculosis report 2022 [Internet]. Geneve; 2022. Disponible en: https://www.who.int/publications/i/item/9789240061729.
Fondo Colombiano de Enfermedades de Alto Costo, Cuenta de Alto Costo (CAC). Situación del VIH en Colombia 2023; Bogotá, D. C. 2024. [Internet]. [citado el 24 de agosto de 2024]. Disponible en: https://cuentadealtocosto.org/wp-content/uploads/2024/07/final-vih-2023-2.pdf.
Gutiérrez-Toro CJ, Noreña-Herrera C. Efectos de la COVID-19 en la calidad de la atención de los servicios de salud en Colombia: Revisión de literatura. Univ Salud. 2024 May 7;26(2):D16-27. https://doi.org/10.22267/rus.242602.323
Ashila-Faza H, pudy-Asmarawati T, Bakhtiar A. Demographic and Clinical Risk Factors for Tuberculosis Co-Infection in HIV patients: A Literature Review. Int J Res Pub. 2023 Dec 1;139(1). https://doi.org/10.47119/IJRP10013911220235836
Espinoza-Chiong C, Quiñones-Laveriano D, Llanos-Tejada F, Patrón-Ordóñez G, Cárdenas M MC. Factores asociados a la coinfección por tuberculosis y virus de inmunodeficiencia humana en un hospital peruano. Revista Cubana de Investigaciones Biomédicas [Internet]. 2021;40(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002021000400003.
de Souza-Neves LA, Castrighini C de C, Reis RK, Canini SRM da S, Gir E. Suporte social e qualidade de vida de indivíduos com coinfecção tuberculose/HIV. Enfermería Global. 2018 Mar 27;17(2):1-29. https://doi.org/10.6018/eglobal.17.2.276351
Bastos SH, Taminato M, Fernandes H, Figueiredo TMRM de, Nichiata LYI, Hino P. Sociodemographic and health profile of TB/HIV co-infection in Brazil: a systematic review. Rev Bras Enferm. 2019 Oct;72(5):1389-96. https://doi.org/10.1590/0034-7167-2018-0285
Ministerio de Salud y Protección Social. Informe de Evento Tuberculosis 2021 [Internet]. Colombia; 2021 [citado el 24 de febrero de 2024]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ET/comportamiento-tuberculosis-2020.pdf
Lopera-Medina MM, Hernández-Pacheco J. Situación de salud de la población privada de la libertad en Colombia. Una revisión sistemática de la literatura. Gerencia y Políticas de Salud. 2020 Mar 30;19:1-26. https://doi.org/10.11144/Javeriana.rgps19.sspp
Gómez-Vasco JD, Candelo C, Victoria S, Luna L, Pacheco R, Ferro BE. Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali. Infectio. 2021 Apr 11;25(4):207. Disponible en: https://doi.org/10.22354/in.v25i4.953
Qiu B, Wu Z, Tao B, Li Z, Song H, Tian D, et al. Risk factors for types of recurrent tuberculosis (reactivation versus reinfection): A global systematic review and meta-analysis. Int J Infect Dis. 2022 Mar;116:14-20. https://doi.org/10.1016/j.ijid.2021.12.344
Bran Piedrahita L, Valencia Arias A, Palacios Moya L, Gómez Molina S, Acevedo Correa Y, Arias Arciniegas C. Barreras de acceso del sistema de salud colombiano en zonas rurales: percepciones de usuarios del régimen subsidiado. Hacia la Promoción de la Salud. 2020 Jul 1;25(2):29-38. Disponible en: https://doi.org/10.17151/hpsal.2020.25.2.6
Girardi E, Caro-Vega Y, Cozzi-Lepri A, Musaazi J, Carriquiry G, Castelnuovo B, Gori A, Manabe YC, Gotuzzo JE, D'arminio Monforte A, Crabtree-Ramírez B, Mussini C. The contribution of late HIV diagnosis on the occurrence of HIV-associated tuberculosis. AIDS. 2022 Nov 15;36(14):2005-13. https://doi.org/10.1097/QAD.0000000000003321
Baum MK, Tamargo JA, Wanke C. Nutrition in HIV and Tuberculosis. In: Nutrition and Infectious Diseases. Cham: Springer International Publishing; 2021. p. 243-81. https://doi.org/10.1007/978-3-030-56913-6_9
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