Índice neutrófilo – linfocito asociado a pacientes con tuberculosis y VIH en el Hospital General Guasmo Sur durante el año 2019 - 2020.

Abstract

Introduction: Mycobacterium Tuberculosis and HIV infection correspond to a set of diseases that continue to be important studies at the public health level. There is a relationship between neutrophils and lymphocytes in these two diseases because they confer the necessary immune response to maintain the immune system of these patients. Objective: To correlate the neutrophil-lymphocyte ratio in tuberculosis patients associated with HIV and in tuberculosis patients without HIV. Methods: The present study is observational, retrospective, cross-sectional and analytical type, which analyzed the medical records and laboratory tests of 148 patients between 20 and 45 years of age at the HGGS in the period 2019 - 2020. Results: The patients were divided into two groups of 74 patients each, group 1 corresponding to patients with TB and HIV where it was found that the predominance was male (90.5%) with an average age of 31.7 years, in higher frequency in INL >6.5 (40.5%) accompanied by symptoms cough ≥3 weeks (60%), hemoptysis (70%) and dyspnea (53.3%) with an average CD4+ of 105.53 with moderate to severe immunosuppression. While in group 2, which corresponds to patients with tuberculosis without HIV, the highest percentage was male (73%) with an average age of 28.46 years, where when studying the INL, the INL >6.5 (45.9) agreeing with group 1, accompanied by cough symptoms ≤ 2 weeks (88.2%) and dyspnea (73.5%). Conclusion: The association of the NLR between both study groups was not found to be significantly altered.