HIV in Brazil Daniela Zilio Larentis Infectious Disease Resident at HCPA.

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Presentation transcript:

HIV in Brazil Daniela Zilio Larentis Infectious Disease Resident at HCPA

Population: (2010) living with HIV ( 2009) AIDS: (2009) Number of deaths: Reported cases/year:

Epidemiology ( ) Men/woman ratio: 1,5; Most affected strata between 30-49y, increasing in older than 50 y; – 47,7 % of infected are white ethnicity; – Pregnant woman: y Ministério da Saúde 2010

Source of HIV acquisition ( ) - Vertical transmission: 4.181

Co-infection HIV/TBC BK performedCoinfection %

HAART 1700 euros/year/pacient ( ) with treatment, Universal access since 1996, When start treatment: 1. Symptomatics 2. Asymptomatics - CD4 >500: no ART - CD : HCV, HBV, nephropathy, any cancer, VL> , high risk for CVD, - CD4 <350: ART 3. Pregnancy

Brazilian guidline for treatment - NRTI ZDV, 3TC, TDF - ddI, d4T, ABC -NNRTI EFZ, - NVP -PI ATV, LOP/r - DRV, IDV, APV -Rescue therapy: T20, raltegravir, etravirina, maravirock

Appointment: - CD4, CV, - Use of HAART, - Side efects of HAART, - Genotyping, - Advices (protect sex, immunization).

Thank you for the attention!!