Article
Hepatitis C virus infection in patients with tuberculosis in Central Brazil
Registro en:
REIS, N. R. S. et al. Hepatitis C virus infection in patients with tuberculosis in Central Brazil. Int. J. Tuberc. Lung Dis., v. 15, n. 10, p.1397-1402, 2011.
1027-3719
10.5588/ijtld.10.0636
1815-7920
Autor
Reis, N. R. S.
Lopes, C. L. R.
Teles, S. A.
Matos, M. A .D.
Carneiro, M. A. S.
Marinho, T. A.
Filho, J. A. Araújo
Espírito Santo, M. P.
Lampe, E.
Martins, R. M. B.
Resumen
OBJECTIVES: To determine the prevalence of hepatitis
C virus (HCV) infection, risk factors, HCV genotype/
subtype, HCV viral load and human immunodefi ciency
virus (HIV) status in patients with tuberculosis (TB) in
Central Brazil.
DESIGN: A cross-sectional study was carried out with
402 patients who were under tuberculosis (TB) treatment
in the reference hospital for infectious diseases in
Goiânia, Goiás, Central Brazil.
RESULTS: The prevalence rates of HCV and HIV were
respectively 7.5% and 27.6%. Two thirds of the HCVinfected
patients (20/30) were HIV-positive. Age, injecting
drug use (IDU) and HIV status were factors independently
associated with HCV infection. HCV RNA
was detected in 23 serum samples; HCV RNA levels
were measured in 22/23 samples. HCV RNA level was
slightly higher in HCV-HIV co-infected patients than in
HCV monoinfected patients. Genotypes 1 (n = 17) and
3 (n = 6) were determined by LiPA. Using phylogenetic
tree analysis of the NS5B region, subtypes 1a (n = 12),
1b (n = 2) and 3a (n = 6) were identifi ed.
CONCLUSION: These data indicate that patients with
TB may benefi t from integrated HIV and HCV screening,
which may have an important impact upon TB
management and treatment.. 2030-01-01