DATA OMISSION IN COMPULSORY NOTIFICATION FORMS RELATED TO HEPATITIS A, B AND C AND HIV CO-INFECTION

IF 4.4 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Annals of hepatology Pub Date : 2025-09-01 DOI:10.1016/j.aohep.2025.102042

Isabelle Cristine de Jesus Macedo , João Vitor da Mota Silva , Ana Paula Maciel Gurski , Mário Peribanez Gonzalez , Elton Carlos de Almeida , Aline Alves da Silva , Ana Monica de Mello , Carla Francisca dos Santos Cruz , Nathália da Silva Cruz , Jose Nilton Neris Gomes , Leonardo Carrara Matsuura

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Abstract

Introduction and Objectives

Co-infection with Human Immunodeficiency Virus (HIV) and hepatitis C virus (HCV) represents a significant public health challenge in Brazil, as it is associated with worsening clinical outcomes, such as accelerated progression of liver disease and increased morbidity and mortality.

To describe the rate of incomplete reporting related to HCV and HIV co-infection among individuals notified between 2013 and 2023 in the North region of Brazil.

Materials and Methods

This is a descriptive, cross-sectional study conducted using data from the Notifiable Diseases Information System (Sinan) database for the period from 2013 to 2023. The variables used were viral hepatitis classification and co-infection with HIV. Subsequently, a descriptive analysis was performed to identify omissions in the HIV co-infection variable in viral hepatitis notifications.

Results

A high number (18.6%) of data omissions was observed regarding HIV and viral hepatitis co-infection. Among the types, the highest omission rate was observed in hepatitis A notifications (21.7%), followed by hepatitis C (20.3%) and hepatitis B (17%). Among the states, Roraima showed the highest percentage of omission of information on HIV diagnosis (23.2%).

Conclusions

The data reveal a significant percentage of omissions regarding the investigation of HIV co-infection in viral hepatitis notifications, especially for hepatitis A (21.7%), C (20.3%), and B (17%). This weakness in the completeness of information compromises epidemiological surveillance and health action planning.

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在与甲型、乙型和丙型肝炎以及艾滋病毒合并感染有关的强制通知表格中遗漏数据

在巴西，人类免疫缺陷病毒（HIV）和丙型肝炎病毒（HCV）的合并感染是一项重大的公共卫生挑战，因为它与临床结果恶化有关，例如肝病进展加快、发病率和死亡率增加。描述巴西北部地区2013年至2023年通报的个人中与丙型肝炎病毒和艾滋病毒合并感染相关的不完整报告率。材料和方法这是一项描述性横断面研究，使用2013年至2023年期间来自法定疾病信息系统（思南）数据库的数据。使用的变量是病毒性肝炎分类和合并感染HIV。随后，进行了描述性分析，以确定病毒性肝炎报告中HIV合并感染变量的遗漏。结果HIV与病毒性肝炎合并感染的数据漏报率高达18.6%。其中，漏报率最高的是甲型肝炎（21.7%），其次是丙型肝炎（20.3%）和乙型肝炎（17%）。在各州中，罗赖马州遗漏艾滋病毒诊断信息的比例最高（23.2%）。结论数据显示，病毒性肝炎报告中HIV合并感染调查的遗漏率很高，特别是甲型肝炎（21.7%）、丙型肝炎（20.3%）和乙型肝炎（17%）。这种信息不完整的弱点影响了流行病学监测和卫生行动规划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of hepatology 医学-胃肠肝病学

CiteScore

7.90

自引率

2.60%

发文量

183

审稿时长

4-8 weeks

期刊介绍： Annals of Hepatology publishes original research on the biology and diseases of the liver in both humans and experimental models. Contributions may be submitted as regular articles. The journal also publishes concise reviews of both basic and clinical topics.