Causes of Late Diagnosis of Tuberculosis in HIV Patients
The objective: to determine causes of frequent detection of disseminated tuberculosis in HIV-infected patients taking into account the behavioral characteristics of patients, to propose additional measures to enhance tuberculosis detection.Subjects and Methods. 108 questionnaires filled out by TB/HI...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2024-05-01
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| Series: | Туберкулез и болезни лёгких |
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| Online Access: | https://www.tibl-journal.com/jour/article/view/1801 |
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| author | O. P. Frolova T. I. Sharkova O. V. Butylchenko L. P. Severova V. A. Agapova E. D. Zubova |
| author_facet | O. P. Frolova T. I. Sharkova O. V. Butylchenko L. P. Severova V. A. Agapova E. D. Zubova |
| author_sort | O. P. Frolova |
| collection | DOAJ |
| description | The objective: to determine causes of frequent detection of disseminated tuberculosis in HIV-infected patients taking into account the behavioral characteristics of patients, to propose additional measures to enhance tuberculosis detection.Subjects and Methods. 108 questionnaires filled out by TB/HIV co-infected patients staying in specialized hospitals in 3 regions of the Russian Federation were studied. We filled out the first 18 questionnaires ourselves while talking to patients, to assess whether the questions were clear to patients. The questionnaire included 28 questions with prompted answers; in addition, patients could give their own answers. Using the questionnaire, we found out whether the patients were seeking medical help in a timely manner, units to which they referred, awareness of tuberculosis before developing it, and exposure to tuberculous infection.Results. The majority of interviewed patients with previously diagnosed HIV infection did not undergo medical examination at the Center for AIDS Prevention and Control (CAIDSPC). When complaints associated with tuberculosis appeared, 57/108 (52.8%) respondents referred to the clinic at their place of residence. In 56/108 (51.8%) patients, 2 or more months passed from the moment of referral for medical help to diagnosis and initiation of tuberculosis treatment. 7/108 (6.5%) respondents reported history of tuberculosis, and 4/108 (3.7%) respondents reported exposure to a tuberculosis patient. After developing tuberculosis, 20/108 (18.5%) respondents were exposed to other HIV-infected patients. After detection of HIV infection, 93 (86.1%) patients indicated that they had not been made aware of tuberculosis. |
| format | Article |
| id | doaj-art-4c8e0dac10b64be0ad969b99e89fcae0 |
| institution | OA Journals |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| publishDate | 2024-05-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj-art-4c8e0dac10b64be0ad969b99e89fcae02025-08-20T02:05:47ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062024-05-011022303410.58838/2075-1230-2024-102-2-30-341796Causes of Late Diagnosis of Tuberculosis in HIV PatientsO. P. Frolova0T. I. Sharkova1O. V. Butylchenko2L. P. Severova3V. A. Agapova4E. D. Zubova5I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health; Pirogov Russian National Research Medical University, Russian Ministry of HealthPirogov Russian National Research Medical University, Russian Ministry of HealthI.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of HealthI.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of HealthNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of HealthPirogov Russian National Research Medical University, Russian Ministry of HealthThe objective: to determine causes of frequent detection of disseminated tuberculosis in HIV-infected patients taking into account the behavioral characteristics of patients, to propose additional measures to enhance tuberculosis detection.Subjects and Methods. 108 questionnaires filled out by TB/HIV co-infected patients staying in specialized hospitals in 3 regions of the Russian Federation were studied. We filled out the first 18 questionnaires ourselves while talking to patients, to assess whether the questions were clear to patients. The questionnaire included 28 questions with prompted answers; in addition, patients could give their own answers. Using the questionnaire, we found out whether the patients were seeking medical help in a timely manner, units to which they referred, awareness of tuberculosis before developing it, and exposure to tuberculous infection.Results. The majority of interviewed patients with previously diagnosed HIV infection did not undergo medical examination at the Center for AIDS Prevention and Control (CAIDSPC). When complaints associated with tuberculosis appeared, 57/108 (52.8%) respondents referred to the clinic at their place of residence. In 56/108 (51.8%) patients, 2 or more months passed from the moment of referral for medical help to diagnosis and initiation of tuberculosis treatment. 7/108 (6.5%) respondents reported history of tuberculosis, and 4/108 (3.7%) respondents reported exposure to a tuberculosis patient. After developing tuberculosis, 20/108 (18.5%) respondents were exposed to other HIV-infected patients. After detection of HIV infection, 93 (86.1%) patients indicated that they had not been made aware of tuberculosis.https://www.tibl-journal.com/jour/article/view/1801hiv infectiontuberculosisquestionnaire survey among patientsdetection of tuberculosisraising awareness of tuberculosis among hiv patients |
| spellingShingle | O. P. Frolova T. I. Sharkova O. V. Butylchenko L. P. Severova V. A. Agapova E. D. Zubova Causes of Late Diagnosis of Tuberculosis in HIV Patients Туберкулез и болезни лёгких hiv infection tuberculosis questionnaire survey among patients detection of tuberculosis raising awareness of tuberculosis among hiv patients |
| title | Causes of Late Diagnosis of Tuberculosis in HIV Patients |
| title_full | Causes of Late Diagnosis of Tuberculosis in HIV Patients |
| title_fullStr | Causes of Late Diagnosis of Tuberculosis in HIV Patients |
| title_full_unstemmed | Causes of Late Diagnosis of Tuberculosis in HIV Patients |
| title_short | Causes of Late Diagnosis of Tuberculosis in HIV Patients |
| title_sort | causes of late diagnosis of tuberculosis in hiv patients |
| topic | hiv infection tuberculosis questionnaire survey among patients detection of tuberculosis raising awareness of tuberculosis among hiv patients |
| url | https://www.tibl-journal.com/jour/article/view/1801 |
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