{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:51:55Z","timestamp":1776855115272,"version":"3.51.2"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. bras. pneumol."],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>OBJETIVO: Descrever o perfil cl\u00ednico e epidemiol\u00f3gico e a preval\u00eancia da coinfec\u00e7\u00e3o tuberculose\/HIV na Unidade Regional de Sa\u00fade do Tocantins, que envolve 14 munic\u00edpios no estado do Maranh\u00e3o. M\u00c9TODOS: Estudo epidemiol\u00f3gico descritivo baseado em dados secund\u00e1rios das fichas individuais de tuberculose do Sistema Nacional de Informa\u00e7\u00e3o de Agravos de Notifica\u00e7\u00e3o. Foram inclu\u00eddos todos os casos notificados de coinfec\u00e7\u00e3o tuberculose\/HIV, por munic\u00edpio de resid\u00eancia, no per\u00edodo entre janeiro de 2001 e dezembro de 2010. RESULTADOS: Foram notificados 1.746 casos de tuberculose no distrito. Dos pacientes testados para HIV, 100 eram coinfectados. equivalendo a uma preval\u00eancia de 39%. Dos coinfectados, 79% eram do sexo masculino, 42% eram de cor parda, 64% tinham idade entre 20 e 40 anos, 31% tinham at\u00e9 quatro anos de estudo, e 88% residiam em Imperatriz. A forma cl\u00ednica predominante foi a pulmonar (87%), e 73% eram casos novos. Dos coinfectados, 27% apresentaram resultados positivos na baciloscopia de escarro e 89% tinham imagem sugestiva de tuberculose na radiografia do t\u00f3rax. A cultura de escarro foi realizada em apenas 7% dos casos. CONCLUS\u00d5ES: Evidenciou-se que a situa\u00e7\u00e3o cl\u00ednica e epidemiol\u00f3gica da coinfec\u00e7\u00e3o tuberculose\/HIV ainda \u00e9 um grande problema de sa\u00fade p\u00fablica no sudoeste do Maranh\u00e3o e imp\u00f5e uma maior articula\u00e7\u00e3o entre os programas de controle de tuberculose e de doen\u00e7as sexualmente transmiss\u00edveis\/AIDS. Al\u00e9m disso, s\u00e3o necess\u00e1rios o compromisso e o envolvimento pol\u00edtico dos gestores e profissionais de sa\u00fade no planejamento de a\u00e7\u00f5es e servi\u00e7os de sa\u00fade.<\/jats:p>","DOI":"10.1590\/s1806-37132012000600007","type":"journal-article","created":{"date-parts":[[2013,1,3]],"date-time":"2013-01-03T03:35:05Z","timestamp":1357184105000},"page":"724-732","source":"Crossref","is-referenced-by-count":3,"title":["Perfil cl\u00ednico e epidemiol\u00f3gico e preval\u00eancia da coinfec\u00e7\u00e3o tuberculose\/HIV em uma regional de sa\u00fade no Maranh\u00e3o"],"prefix":"10.1590","volume":"38","author":[{"given":"Marcelino","family":"Santos Neto","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Universidade Federal do Maranh\u00e3o,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabiane Leita da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do 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