Temporal and epidemiological analysis of Tuberculosis-HIV coinfection in the State of Pará, 2010-2020

Abstract

Objective: To analyze the temporal and epidemiological distribution of Tuberculosis and Acquired Immunodeficiency Virus (TB-HIV) coinfection in the State of Pará, in the period 2010-2020. Methods: This is an ecological, retrospective and descriptive study, of time series, of confirmed cases of TB co-infected with HIV obtained from the Notifiable Diseases Information System. Results: A total of 48,684 cases of TB were recorded, among which 4,307 had positive anti-HIV serology, characterizing a TB-HIV co-infection of 8.8% in the state of Pará during the period studied. The year 2019 had the highest number of cases, with 12.6%, and Belém, as the most affected municipality (66.4%). There was a predominance of cases in males (70.3%), age group between 20 and 39 years (57.0%) and complete high school (41.9%). The pulmonary clinical form (68.3%), new cases (78.6%) and cure (47.7%) had the highest percentage. Regarding vulnerable groups, 233 cases were confirmed, corresponding to 5.4% of TB-HIV co-infection cases. Conclusion: The results presented in this study provide epidemiological information and over time on TB-HIV coinfection relevant for future research and also favor the implementation of prevention and control strategies in the population, aiming at a better quality of life for individuals affected by the disease coinfection.