History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection

Introduction: In countries with endemic Chagas disease, coinfection involving Trypanosoma cruzi and HIV is expected to become more frequent. There is a clear need to structure a comprehensive care network aimed at dealing with this situation, with mobilization going from primary care to care at the...

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Main Authors: Alberto Novaes Ramos Júnior, Dalmo Correia, Eros Antônio Almeida, Maria Aparecida Shikanai-Yasuda
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2010-08-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/1176
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author Alberto Novaes Ramos Júnior
Dalmo Correia
Eros Antônio Almeida
Maria Aparecida Shikanai-Yasuda
author_facet Alberto Novaes Ramos Júnior
Dalmo Correia
Eros Antônio Almeida
Maria Aparecida Shikanai-Yasuda
author_sort Alberto Novaes Ramos Júnior
collection DOAJ
description Introduction: In countries with endemic Chagas disease, coinfection involving Trypanosoma cruzi and HIV is expected to become more frequent. There is a clear need to structure a comprehensive care network aimed at dealing with this situation, with mobilization going from primary care to care at the highest level of technological complexity. The objective of this study was to describe the Brazilian response to the challenges of Chagas disease: the history, current issues, and future of the Brazilian Network for attending and studying T. cruzi/HIV coinfection. Methodology: This descriptive study reviewed technical documents relating to the basis and structuring process of the Brazilian network for attending and studying T. cruzi/HIV coinfection. Results: The process of setting up the network was marked by technical and political debates in technical-scientific meetings going back to the 1990s. This process made it possible to expand and focus on different aspects of comprehensive care for Chagas disease in Brazil, regardless of the associated immunosuppressive conditions. These meetings produced a structure of national technical guidelines and standards, health care and research protocols and research priorities, along with mobilization and awareness-raising among HIV/AIDS reference centers regarding occurrences of coinfection. Conclusions: The creation of the Brazilian network was a milestone for the country in terms of integration of control programs, with the reference point of quality of care and comprehensiveness. The possibility of extending this network to form a Latin American network is seen as a strategy for dealing more effectively with this condition.
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spelling doaj-art-81b3e7f898e84d7b8e326b6b79a4e1782025-08-20T02:14:22ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802010-08-0141110.3855/jidc.1176History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV CoinfectionAlberto Novaes Ramos Júnior0Dalmo Correia1Eros Antônio Almeida2Maria Aparecida Shikanai-Yasuda3Department of Community Health, Faculty of Medicine, Federal University of Ceará, Ceará, BrazilDepartment of Internal Medicine, Faculty of Medicine, Federal University of the Triângulo Mineiro, Minas Gerais, BrazilDepartment of Internal Medicine, Faculty of Medical Science, University of Campinas, São Paulo, BrazilDepartment of Infectious and Parasitic Diseases, Faculty of Medicine, University of São Paulo, São Paulo, Brazil Introduction: In countries with endemic Chagas disease, coinfection involving Trypanosoma cruzi and HIV is expected to become more frequent. There is a clear need to structure a comprehensive care network aimed at dealing with this situation, with mobilization going from primary care to care at the highest level of technological complexity. The objective of this study was to describe the Brazilian response to the challenges of Chagas disease: the history, current issues, and future of the Brazilian Network for attending and studying T. cruzi/HIV coinfection. Methodology: This descriptive study reviewed technical documents relating to the basis and structuring process of the Brazilian network for attending and studying T. cruzi/HIV coinfection. Results: The process of setting up the network was marked by technical and political debates in technical-scientific meetings going back to the 1990s. This process made it possible to expand and focus on different aspects of comprehensive care for Chagas disease in Brazil, regardless of the associated immunosuppressive conditions. These meetings produced a structure of national technical guidelines and standards, health care and research protocols and research priorities, along with mobilization and awareness-raising among HIV/AIDS reference centers regarding occurrences of coinfection. Conclusions: The creation of the Brazilian network was a milestone for the country in terms of integration of control programs, with the reference point of quality of care and comprehensiveness. The possibility of extending this network to form a Latin American network is seen as a strategy for dealing more effectively with this condition. https://jidc.org/index.php/journal/article/view/1176Chagas DiseaseImmunosuppressionAcquired Immunodeficiency SyndromeHuman Immunodeficiency VirusTrypanosoma cruziBrazil
spellingShingle Alberto Novaes Ramos Júnior
Dalmo Correia
Eros Antônio Almeida
Maria Aparecida Shikanai-Yasuda
History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection
Journal of Infection in Developing Countries
Chagas Disease
Immunosuppression
Acquired Immunodeficiency Syndrome
Human Immunodeficiency Virus
Trypanosoma cruzi
Brazil
title History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection
title_full History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection
title_fullStr History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection
title_full_unstemmed History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection
title_short History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection
title_sort history current issues and future of the brazilian network for attending and studying trypanosoma cruzi hiv coinfection
topic Chagas Disease
Immunosuppression
Acquired Immunodeficiency Syndrome
Human Immunodeficiency Virus
Trypanosoma cruzi
Brazil
url https://jidc.org/index.php/journal/article/view/1176
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