학술논문
HIV infection increases the risk of acquiring Plasmodium vivax malaria: a 4-year cohort study in the Brazilian Amazon HIV and risk of vivax malaria
Document Type
article
Author
Cecilia Victoria Caraballo Guerra; Bernardo Maia da Silva; Pia Müller; Djane Clarys Baia-da-Silva; Marco Antônio Saboia Moura; José Deney Alves Araújo; Juan Carlo Santos e Silva; Alexandre Vilhena Silva-Neto; Antonio Alcirley da Silva Balieiro; André Guilherme da Costa-Martins; Gisely Cardoso Melo; Fernando Val; Quique Bassat; Helder I. Nakaya; Flor Ernestina Martinez-Espinosa; Marcus Lacerda; Vanderson Souza Sampaio; Wuelton Monteiro
Source
Scientific Reports, Vol 12, Iss 1, Pp 1-9 (2022)
Subject
Language
English
ISSN
2045-2322
Abstract
Abstract Globally, malaria and human immunodeficiency virus (HIV) are both independently associated with a massive burden of disease and death. While their co-infection has been well studied for Plasmodium falciparum, scarce data exist regarding the association of P. vivax and HIV. In this cohort study, we assessed the effect of HIV on the risk of vivax malaria infection and recurrence during a 4-year follow-up period in an endemic area of the Brazilian Amazon. For the purpose of this study, we obtained clinical information from January 2012 to December 2016 from two databases. HIV screening data were acquired from the clinical information system at the tropical hospital Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD). The National Malaria Surveillance database (SIVEP malaria) was utilized to identify malaria infections during a 4-year follow-up period after diagnosis of HIV. Both datasets were combined via data linkage. Between 2012 and 2016, a total of 42,121 people were screened for HIV, with 1569 testing positive (3.7%). Out of all the patients diagnosed with HIV, 198 had at least one episode of P. vivax malaria in the follow-up. In the HIV-negative group, 711 participants had at least one P. vivax malaria episode. When comparing both groups, HIV patients had a 6.48 [(5.37–7.83); P