Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia
Introduction: Tuberculosis (TB) is a chronic infectious disease that has represented a major health problem over the centuries. The human immune deficiency virus (HIV)/AIDS has substantially altered the epidemiology of TB by increasing the risk of reactivating latent TB, increasing chance of TB infe...
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| Language: | English |
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The Journal of Infection in Developing Countries
2015-08-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/5667 |
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| author | Sintayehu Fekadu Wondu Teshome Getnet Alemu |
| author_facet | Sintayehu Fekadu Wondu Teshome Getnet Alemu |
| author_sort | Sintayehu Fekadu |
| collection | DOAJ |
| description | Introduction: Tuberculosis (TB) is a chronic infectious disease that has represented a major health problem over the centuries. The human immune deficiency virus (HIV)/AIDS has substantially altered the epidemiology of TB by increasing the risk of reactivating latent TB, increasing chance of TB infection once exposed to tubercle bacilli (re-infection) and by increasing the risk of rapid progression soon after infection.
Methodology: This study employs a retrospective review analysis of patient medical records. A total of 499 HIV/AIDS patient cards were reviewed and variables were recorded. Frequencies and odds ratio were calculated to determine prevalence and associated risk factors respectively.
Results: A total of 499 HIV/AIDS positive patient cards were reviewed. Ninety one (18.2%) of the study participants were found to have tuberculosis of which 20 (22%), 58 (64%) and 13 (14%) were smear positive, smear negative and extra-pulmonary tuberculosis cases, respectively. In multivariate logistic regression being female (AOR=0.39; 95% CI:0.20-0.77), WHO clinical stage 3 (AOR=5.66; 95%CI:1.79-17.94); WHO clinical stage 4 (AOR=7.89;95%CI:2.01-30.96); and functional status being ambulatory (AOR=2.22; 95%CI:1.06-4.64) were independently associated with tuberculosis-HIV co-infection with p value <0.05.
Conclusion: Prevalence of tuberculosis was high. Among tuberculosis positive cases, the proportion of smear negative cases was also high which requires strengthening of TB diagnostic techniques. Tuberculosis was associated with some social demographic characteristics and clinical variables.
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| format | Article |
| id | doaj-art-d73cf319f1c849f4ba93e37abb661298 |
| institution | Kabale University |
| issn | 1972-2680 |
| language | English |
| publishDate | 2015-08-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-d73cf319f1c849f4ba93e37abb6612982025-08-20T03:52:42ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802015-08-0190810.3855/jidc.5667Prevalence and determinants of Tuberculosis among HIV infected patients in south EthiopiaSintayehu Fekadu0Wondu Teshome1Getnet Alemu2College of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaCollege of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaCollege of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaIntroduction: Tuberculosis (TB) is a chronic infectious disease that has represented a major health problem over the centuries. The human immune deficiency virus (HIV)/AIDS has substantially altered the epidemiology of TB by increasing the risk of reactivating latent TB, increasing chance of TB infection once exposed to tubercle bacilli (re-infection) and by increasing the risk of rapid progression soon after infection. Methodology: This study employs a retrospective review analysis of patient medical records. A total of 499 HIV/AIDS patient cards were reviewed and variables were recorded. Frequencies and odds ratio were calculated to determine prevalence and associated risk factors respectively. Results: A total of 499 HIV/AIDS positive patient cards were reviewed. Ninety one (18.2%) of the study participants were found to have tuberculosis of which 20 (22%), 58 (64%) and 13 (14%) were smear positive, smear negative and extra-pulmonary tuberculosis cases, respectively. In multivariate logistic regression being female (AOR=0.39; 95% CI:0.20-0.77), WHO clinical stage 3 (AOR=5.66; 95%CI:1.79-17.94); WHO clinical stage 4 (AOR=7.89;95%CI:2.01-30.96); and functional status being ambulatory (AOR=2.22; 95%CI:1.06-4.64) were independently associated with tuberculosis-HIV co-infection with p value <0.05. Conclusion: Prevalence of tuberculosis was high. Among tuberculosis positive cases, the proportion of smear negative cases was also high which requires strengthening of TB diagnostic techniques. Tuberculosis was associated with some social demographic characteristics and clinical variables. https://jidc.org/index.php/journal/article/view/5667HIVAIDSTuberculosisTB/HIVsouth Ethiopia |
| spellingShingle | Sintayehu Fekadu Wondu Teshome Getnet Alemu Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia Journal of Infection in Developing Countries HIV AIDS Tuberculosis TB/HIV south Ethiopia |
| title | Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia |
| title_full | Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia |
| title_fullStr | Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia |
| title_full_unstemmed | Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia |
| title_short | Prevalence and determinants of Tuberculosis among HIV infected patients in south Ethiopia |
| title_sort | prevalence and determinants of tuberculosis among hiv infected patients in south ethiopia |
| topic | HIV AIDS Tuberculosis TB/HIV south Ethiopia |
| url | https://jidc.org/index.php/journal/article/view/5667 |
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