Abstract
Objective: To characterize the temporal and spatial dynamics and the clinical-epidemiological factors related to the coinfection occurrence of cutaneous leishmaniasis/HIV in the state of Maranhão. Methods: This is an ecological study with spatial and temporal analysis of coinfection cases of cutaneous leishmaniasis/HIV. The cases reported in the period from 2008 to 2017 were collected according to the sociodemographic, clinical and laboratory variables. The data were tabulated using the software Statistical Package Social Science version 18. For the spatial distribution of the cases, the software QGIS version 2.14.9 was used. Results: In the period from 2008 to 2017, 120 cases of coinfection were reported. The highest number occurred in males (76.7%), within 31 to 45 years old (33.3%), who lived in urban areas (50.8%) and had 1 to 4 years of schooling (31, 7%). The cutaneous clinical form was predominant (93.3%). The most used leishmanicide drug was pentavalent antimonial (89.2%). São Luís, Imperatriz, Centro de Guilherme and Açailândia were the municipalities with the highest number of coinfection cases. Conclusion: The cutaneous leishmaniasis/HIV coinfection in the state of Maranhão has a heterogeneous occurrence, with a significant number of registered cases. This fact reflects the importance of strengthening proactive measures in the context of health care.