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HIV screening among TB patients and level of antiretroviral therapy and co-trimoxazole preventive therapy for TB/HIV patients in Hawassa University Referral Hospital: a five year retrospective study.

Abstract Initiation of antiretroviral therapy (ART) and co-trimoxazole preventive therapy (CPT) is recommended for tuberculosis (TB)/human immunodeficiency virus (HIV) co-infected patients to prevent opportunistic infection. The aim of this study was to assess the prevalence of HIV among TB patients and initiation of ART and provision of CPT for TB/HIV co-infected patients in Hawassa university referral hospital.
PMID
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Authors

Mayor MeshTerms
Keywords

ART

CPT

TB/HIV co-infection

Tuberculosis

Journal Title the pan african medical journal
Publication Year Start




PMID- 29255545
OWN - NLM
STAT- MEDLINE
DCOM- 20171222
LR  - 20171222
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - HIV screening among TB patients and level of antiretroviral therapy and
      co-trimoxazole preventive therapy for TB/HIV patients in Hawassa University
      Referral Hospital: a five year retrospective study.
PG  - 75
LID - 10.11604/pamj.2017.28.75.11977 [doi]
AB  - Introduction: Initiation of antiretroviral therapy (ART) and co-trimoxazole
      preventive therapy (CPT) is recommended for tuberculosis (TB)/human
      immunodeficiency virus (HIV) co-infected patients to prevent opportunistic
      infection. The aim of this study was to assess the prevalence of HIV among TB
      patients and initiation of ART and provision of CPT for TB/HIV co-infected
      patients in Hawassa university referral hospital. Methods: A five year document
      review was done on 1961 TB patients who are registered at TB clinic of Hawassa
      university referral hospital from September 2009 to august 2014. Data were
      collected using checklist. Data analysis was done by using SPSS version 20
      software. Bivariate and multivariate logistic regression analysis was used to
      determine the predictors of TB/HIV co-infection. Results: Among 1961 TB patients 
      diagnosed in the hospital, 95% (1765) were screened for HIV. Of these, 13.9%
      (246) were HIV positive. Out of 246 TB/HIV co-infected patients 31.7% (78/246)
      and 37.4% (92/246) were enrolled to start ART and CPT respectively. Roughly the
      trends of TB/HIV co-infection decreased with increased linkage to CPT, while
      linkage to ART was not regular across the year. The rate of TB/HIV co-infection
      was significantly associated with type of TB. Conclusion: Although, trend of HIV 
      among TB patients has decreased across the year, only a minority of co-infected
      patients was linked to start ART and CPT. Therefore, screening of all TB patients
      for HIV and linkage of co-infected patients to HIV care to start ART and CPT
      should be strengthened in-line with the national guidelines.
FAU - Simieneh, Asnake
AU  - Simieneh A
AD  - Department of Medical Laboratory Sciences, College of Medicine and Health
      Sciences, Hawassa University, Ethiopia.
FAU - Hailemariam, Mengistu
AU  - Hailemariam M
AD  - Department of Medical Laboratory Sciences, College of Medicine and Health
      Sciences, Hawassa University, Ethiopia.
FAU - Amsalu, Anteneh
AU  - Amsalu A
AD  - Department of Medical Microbiology, University of Gondar, Ethiopia.
LA  - eng
PT  - Journal Article
DEP - 20170926
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
RN  - 0 (Anti-HIV Agents)
RN  - 8064-90-2 (Trimethoprim, Sulfamethoxazole Drug Combination)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anti-HIV Agents/*administration & dosage
MH  - Child
MH  - Child, Preschool
MH  - Coinfection/drug therapy/epidemiology
MH  - Ethiopia/epidemiology
MH  - Female
MH  - HIV Infections/*diagnosis/drug therapy/epidemiology
MH  - Hospitals, University
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Logistic Models
MH  - Male
MH  - Mass Screening/*methods
MH  - Middle Aged
MH  - Prevalence
MH  - Retrospective Studies
MH  - Trimethoprim, Sulfamethoxazole Drug Combination/administration & dosage
MH  - Tuberculosis/drug therapy/*epidemiology
MH  - Young Adult
PMC - PMC5724733
OTO - NOTNLM
OT  - ART
OT  - CPT
OT  - TB/HIV co-infection
OT  - Tuberculosis
EDAT- 2017/12/20 06:00
MHDA- 2017/12/23 06:00
CRDT- 2017/12/20 06:00
PHST- 2017/02/13 00:00 [received]
PHST- 2017/06/12 00:00 [accepted]
PHST- 2017/12/20 06:00 [entrez]
PHST- 2017/12/20 06:00 [pubmed]
PHST- 2017/12/23 06:00 [medline]
AID - 10.11604/pamj.2017.28.75.11977 [doi]
AID - PAMJ-28-75 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Sep 26;28:75. doi: 10.11604/pamj.2017.28.75.11977.
      eCollection 2017.