Resumen

CARRILLO PINCAY, Joffre; CHIU YEN, Lu; ROBLES, María  y  MOREIRA-HOLGUIN, Juan Carlos. Predictors of cases of cerebral toxoplasmosis/hiv coinfection by gender, registered in Public Hospitals in Guayaquil. Universidad y Sociedad [online]. 2019, vol.11, n.4, pp. 361-369.  Epub 02-Sep-2019. ISSN 2218-3620.

In Latin America, the people living with HIV are at higher risk (7 a 40%) for developing neurological complications by toxoplasma gondii. The study aim was to determine socioeconomic and serologic factors, focal neurological signs associated with cerebral toxoplasmosis (CT) and convulsive syndrome moderated by gender. It was analyzed a random sample of 100 HIV cases co-infected with cerebral toxoplasmosis who were attended at two national referral hospitals in Guayaquil, Ecuador between the years 2013 and 2015. Fisher and Pearson chi-square and generalized linear model with Poisson regression were used to estimate associations. The heterosexuality, unemployment and substance use had increased frequency of TC. Some differences existed when were moderated by gender. The frequency was also higher among those with primary and secondary education, aged older than 30 years, CD4<200 cells/ml and CV≥100.000 copies/ml. Gender differences were observed among cases of co-infection related to: occupation, marital status, substance and tomographic findings. The use of alcohol, treatment abandon and hospitalizations are associated with high prevalence of convulsive syndrome.

Palabras clave : Cerebral toxoplasmosis; HIV AIDS; hospital-based level; Ecuador.

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