Resumen
Objetivo: Identificar las principales infecciones oportunistas (IO) asociadas personas con el síndrome de inmunodeficiencia humana (VIH). Métodos: Se realizó una revisión integrativa de la literatura, incluyendo artículos en portugués e inglés, en el período de 2019 a 2023. La recopilación se llevó a cabo en las bases de datos Lilacs (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), Medline (Literatura Internacional en Ciencias de la Salud) y Scielo (Scientific Electronic Library). Se incluyeron 16 publicaciones en el estudio. Resultados: Las principales IO prevalentes en personas que viven con VIH/SIDA son neumonía, tuberculosis, candidiasis oral, dermatitis, meningitis criptocócica, toxoplasmosis del sistema nervioso central (SNC), herpes zóster y sarcoma de Kaposi (SK). Se observó una predisposición inmunológica en el organismo de personas que viven con VIH/SIDA a infectarse con IO, lo que provoca un aumento en los índices de morbilidad y mortalidad. Finalmente, se destacó la atención proporcionada por el enfermero a personas que viven con VIH/SIDA. Consideraciones finales: Se constató que las personas que viven con VIH/SIDA y que interrumpen o suspenden el uso de la TARV acelerar la replicación del virus, lo que lleva a una baja conteo de linfocitos CD4, lo que a su vez aumenta el riesgo de IO y de fallecimiento. Ante lo expuesto, se vuelve indispensable toda la asistencia brindada por la atención primaria, el equipo de enfermería, como promotores de la promoción, prevención, tratamiento y rehabilitación de la salud.
Referencias
ABUTO W, et al. Survival and Predictors of Mortality Among HIV Positive Adult Patients on Highly Active Antiretroviral Therapy in Public Hospitals of Kambata Tambaro Zone, Southern Ethiopia: A Retrospective Cohort Study. HIV/AIDS - Research and Palliative Care. 2021; 13: 271–81.
ANGELIM RC de M, et al. Representações e práticas de cuidado de profissionais de saúde às pessoas com HIV. Revista da Escola de Enfermagem da USP [Internet]. 2019; 53: 01–7.
ASSONI JF, et al. Manual de Orientação Básica para equipe de enfermagem. Em: Vasconcelos LMBL de, Bueno JMS, Azevedo SB de, organizadores. Ministério da Saúde [Internet]. Brasília; 1995; 1: 1–220.
BOLSONI EB, et al. Nursing Consultation on Mental Health: Integrative Review. SMAD Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português). 2016; 12(4): 01–249.
CHEPKONDOL KG, et al. Types and prevalence of HIV-related opportunistic infections/conditions among HIV-positive patients attending Kenyatta National Hospital in Nairobi, Kenya. Afr Health Sci [Internet]. 2020; 20(2): 615–24.
CHOWDHURY T, et al. Progress Towards UNAIDS’s 95-95-95 Targets in Zimbabwe: Sociodemographic Constraints and Geospatial Heterogeneity. 2023; 1–12.
DEREJE N, et al. Prevalence And Predictors Of Opportunistic Infections Among HIV Positive Adults On Antiretroviral Therapy (On-ART) Versus Pre-ART In Addis Ababa, Ethiopia: A Comparative Cross-Sectional Study. HIV/AIDS - Research and Palliative Care [Internet]. 2019; 11: 229–37.
GONDIVKAR S, et al. Oro-facial opportunistic infections and related pathologies in HIV patients: A comprehensive review. Disease-a-Month [Internet]. 2021; 67(9): 1–10.
KUATE MPN, et al. Histoplasmosis overlapping with HIV and tuberculosis in sub-Saharan Africa: challenges and research priorities. Ther Adv Infect Dis [Internet]. 2021; 8: 1–7.
KURNIAWAN K, et al. Nursing Care on HIV/AIDS-Positive Men Who Have Sex with Men: A Qualitative Descriptive Study of Nurse’s Perspective in Indonesia. Healthcare [Internet]. 2022; 10(12): 1–10.
LI CB, et al. In-hospital Mortality and Causes of Death in People Diagnosed With HIV in a General Hospital in Shenyang, China: A Cross-Sectional Study. Front Public Health [Internet]. 2021; 9: 1–9.
MANGUSAN RF, et al. HIV-Associated Kaposi Sarcoma in the Combination Antiretroviral Therapy Era. AJN, American Journal of Nursing [Internet]. 2022; 122(12): 32–40.
MENG S Q, et al. Spectrum and mortality of opportunistic infections among HIV/AIDS patients in southwestern China. European Journal of Clinical Microbiology & Infectious Diseases [Internet 2023; 42(1): 113–20.
MINISTÉRIO DA SAÚDE. Indicadores e Dados Básicos do HIV/AIDS nos Municípios Brasileiros. Departamento de HIV/AIDS, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis - DATHI. 2022. Disponível em: https ://www.gov.br/aids/pt-br/indicadores-epidemiologicos/paineis-de-indicadores-e-dados-basicos. Acessado em 07 de setembro de 2023.
MOHAMUD AK, et al. Magnitude of opportunistic infections and associated factors among adult people living with human immune deficient virus on art at selected public hospital, mogadishu somalia: cross-sectional study. Annals of Medicine & Surgery. 2023; 85(7): 3364–71.
NAJAFI GHOBADI K, et al. Joint Modeling of Longitudinal Outcome and Competing Risks: Application to HIV/AIDS Data. J Res Health Sci [Internet]. 2023; 23(1): 1–7.
NISHIYA AS, et al. Transfusion-Acquired HIV: History, Evolution of Screening Tests, and Current Challenges of Unreported Antiretroviral Drug Use in Brazil. Viruses [Internet]. 2022; 14(10): 1–10.
ORNEK OK e ARDIC A. Evaluation of Nursing Practice in Patients With HIV/AIDS With the Omaha System Electronic-Based Information Program. CIN: Computers, Informatics, Nursing [Internet]. setembro de 2019; 37(9): 482–90.
PEPRAH S, et al. Kaposi Sarcoma Incidence, Burden, and Prevalence in United States People with HIV, 2000–2015. Cancer Epidemiology, Biomarkers & Prevention [Internet]. 2021; 30(9): 1627–33.
ROSSETTO M, et al. Factors associated with hospitalization and death among TB/HIV co-infected persons in Porto Alegre, Brazil. Pett SL, organizador. PLoS One [Internet]. 2019; 14(1): 1–13.
TINTO SILVA JF, et al. Assistência de enfermagem a pessoa vivendo com HIV/AIDS: reflexão à luz da teoria do autocuidado. Nursing (São Paulo) [Internet]. 2022; 25(294): 8940–53.
VANGIPURAM R e TYRING SK. AIDS-associated malignancies. Em: Cancer Treatment and Research [Internet]. 2019; 1–21.
WELDEAREGAWI TZ, Gerensea H, Berihu H, Gidey G, Welearegay MZ. The magnitude of opportunistic infections and associated factors in HIV-infected adults on antiretroviral therapy in southern zone Tigray, Ethiopia: a cross-sectional study. Pan African Medical Journal [Internet]. 2020; 35: 1–9.
ZEPEDA KGM, et al. Management of nursing care in HIV/AIDS from a palliative and hospital perspective. Rev Bras Enferm [Internet]. 2019; 72(5): 1243–50.
