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https://www.readbyqxmd.com/read/28798367/epidemiology-of-tuberculosis-in-chongqing-china-a-secular-trend-from-1992-to-2015
#1
Bo Wu, Ya Yu, Weijia Xie, Ying Liu, Yao Zhang, Daiyu Hu, Yafei Li
Chongqing is a southwest city of China with high tuberculosis (TB) burden. An observational retrospective study has been performed based on routine TB surveillance data in Chongqing from 1992 to 2015. The TB notification rate has declined to 70.8 cases per 100,000 population from the peak of 106 cases per 100,000 in 2005. The TB notification rate in population over-65 years has become the highest among all-ages population since 2010. The average proportion of farmers in all notified cases from 2008 to 2015 was 62...
August 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28743648/drug-resistance-and-mycobacterium-tuberculosis-strain-diversity-in-tb-hiv-co-infected-patients-in-ho-chi-minh-city-vietnam
#2
Trinh Quynh Mai, Nguyen Thi Van Anh, Nguyen Tran Hien, Nguyen Huu Lan, Do Chau Giang, Pham Thi Thu Hang, Nguyen Thi Ngoc Lan, Ben J Marais, Vitali Sintchenko
BACKGROUND: Mycobacterium tuberculosis strain diversity and drug resistance among people living with human immunodeficiency virus (HIV) in Vietnam have not been described previously. METHODS: We examined M. tuberculosis isolates from TB/HIV co-infected patients in Ho Chi Minh City, Vietnam. Drug susceptibility testing (DST), spoligotyping and 24-locus Mycobacterial Interspersed Repetitive Unit (MIRU-24 typing) were performed, and the rpoB, katG, inhA and inhA promoter, rpsL, rrs and embB genes were sequenced in all drug resistant isolates identified...
July 22, 2017: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/28739225/distribution-scheme-of-anti-tuberculosis-drug-resistance-among-hiv-patients-in-a-referral-center-over-10-years
#3
Parvaneh Baghaei, Payam Tabarsi, Afshin Moniri, Majid Marjani, Parissa Farnia, Sayena Jabbehdari, Ali Akbar Velayati
OBJECTIVES: Anti-tuberculosis (TB) drug resistance is increasing among TB patients globally, particularly, in those that are human immunodeficiency virus (HIV) positive. The aim of this study was to determine the pattern of anti-TB drug resistance in these patients in an effort to improve successful treatment outcomes with a proper regimen. METHODS: A cross-sectional study was conducted on adult TB-HIV patients from 2005 to 2015. The pattern of anti-TB drugs resistance was evaluated among HIV positive patients with and without a history of TB treatment...
July 21, 2017: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/28724359/the-burden-of-hiv-on-tuberculosis-patients-in-the-volta-region-of-ghana-from-2012-to-2015-implication-for-tuberculosis-control
#4
Eric Osei, Joyce Der, Richard Owusu, Philip Kofie, Wisdom Kudzo Axame
BACKGROUND: The impact of HIV on TB, and the implications for TB control, has been acknowledged as a public health challenge. It is imperative therefore to assess the burden of HIV on TB patients as an indicator for monitoring the control efforts of the two diseases in this part of the world. This study aimed at determining the burden of HIV infection in TB patients. METHODS: We conducted a retrospective review of TB registers in five districts of the Volta Region of Ghana...
July 19, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28697621/undiagnosed-tuberculosis-in-patients-with-hiv-infection-who-present-with-severe-anaemia-at-a-district-hospital
#5
Mbulelo Mntonintshi, Don O'Mahony, Sikhumbuzo Mabunda, Kakia A F Namugenyi
BACKGROUND: Tuberculosis (TB) is a major cause of severe anaemia in patients with human immunodeficiency virus (HIV) infection in South Africa. However, TB can be difficult to diagnose as it may be extra pulmonary and paucibacillary. AIM: The aim of this study was to investigate undiagnosed TB in patients with HIV infection and severe anaemia and to identify the optimal investigations for diagnosing TB. SETTING: Mthatha General Hospital, a district hospital...
June 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28693508/unsuccessful-tb-treatment-outcomes-with-a-focus-on-hiv-co-infected-cases-a-cross-sectional-retrospective-record-review-in-a-high-burdened-province-of-south-africa
#6
M C Engelbrecht, N G Kigozi, P Chikobvu, S Botha, H C J van Rensburg
BACKGROUND: South Africa did not meet the MDG targets to reduce TB prevalence and mortality by 50% by 2015, and the TB cure rate remains below the WHO target of 85%. TB incidence in the country is largely fuelled by the HIV epidemic, and co-infected patients are more likely to have unsuccessful TB treatment outcomes. This paper analyses the demographic and clinical characteristics of new TB patients with unsuccessful treatment outcomes, as well as factors associated with unsuccessful treatment outcomes for HIV co-infected patients...
July 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28690879/epidemiological-characteristics-and-clinical-outcome-of-hiv-related-tuberculosis-in-a-population-of-tb-patients-in-south-western-nigeria
#7
Olugbenga A Olowe, Olufunmilola B Makanjuola, Adeniyi S Adekanmi, Olusola J Adefioye, Rita A Olowe
Tuberculosis (TB) is the second leading cause of death from infectious disease globally with its impact more dramatic in resource limited settings. Individuals with human immunodeficiency virus (HIV) infection who also develop tuberculosis represent a significant challenge to TB control. This study was carried out to determine the prevalence of TB-HIV coinfection and pattern of infection among TB patients. We also compared treatment outcome among coinfected patients with those not coinfected. A six-year retrospective review of records of patients managed at the Tuberculosis Treatment Center of the LAUTECH Teaching Hospital, South-Western Nigeria from January 2009 to December 2014 was carried out...
June 2017: European Journal of Microbiology & Immunology
https://www.readbyqxmd.com/read/28670643/factors-associated-with-tb-hiv-co-infection-among-drug-sensitive-tuberculosis-patients-managed-in-a-secondary-health-facility-in-lagos-nigeria
#8
Olusola A Adejumo, Olusoji J Daniel, Andrew F Otesanya, Adebukola A Adegbola, Temitope Femi-Adebayo, Abimbola Bowale, Sunday Adesola, Olugbenga O Kuku, Kehinde O Otemuyiwa, Shafaatu N Oladega, Eze O Johnson, Ayodeji A Falana, Olusola Dawodu, Henry Owuna, Ganiyat Osoba, Adetokunbo Dacosta
BACKGROUND: This study assessed factors associated with TB/HIV co-infection among TB patients managed in a secondary health facility in Lagos Nigeria. MATERIALS AND METHODS: A retrospective review of treatment cards of patients seen at a secondary referral hospital between January 1 2014 and December 31 2014 was conducted. Treatment outcomes and factors associated with TB/HIV co-infection were assessed. RESULTS: Of the 334 records of patients reviewed, the proportion of patients with TB/HIV co-infection was 21...
2017: African Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28652801/outcome-of-tuberculosis-treatment-and-its-predictors-among-hiv-infected-patients-in-southwest-ethiopia
#9
Adane Teshome Kefale, Yeniewa Kerie Anagaw
BACKGROUND: Co-infection with HIV challenges treatment of tuberculosis (TB) and worsens the outcome. This study aimed to assess the outcome of TB treatment and its predictors among HIV infected patients at Mizan-Tepi University Teaching Hospital (MTUTH), Ethiopia. METHODS: Medical records of 188 TB/HIV co-infected patients who attended the TB clinic of MTUTH from September 2012 to December 2015 were reviewed from March 14 to April 1, 2016. The primary endpoints of the study were treatment outcome of TB and its predictors...
2017: International Journal of General Medicine
https://www.readbyqxmd.com/read/28622763/treatment-decisions-and-mortality-in-hiv-positive-presumptive-smear-negative-tb-in-the-xpert%C3%A2-mtb-rif-era-a-cohort-study
#10
Sabine M Hermans, Juliet A Babirye, Olive Mbabazi, Francis Kakooza, Robert Colebunders, Barbara Castelnuovo, Christine Sekaggya-Wiltshire, Rosalind Parkes-Ratanshi, Yukari C Manabe
BACKGROUND: The Xpert™ MTB/RIF (XP) has a higher sensitivity than sputum smear microscopy (70% versus 35%) for TB diagnosis and has been endorsed by the WHO for TB high burden countries to increase case finding among HIV co-infected presumptive TB patients. Its impact on the diagnosis of smear-negative TB in a routine care setting is unclear. We determined the change in diagnosis, treatment and mortality of smear-negative presumptive TB with routine use of Xpert MTB/RIF (XP). METHODS: Prospective cohort study of HIV-positive smear-negative presumptive TB patients during a 12-month period after XP implementation in a well-staffed and trained integrated TB/HIV clinic in Kampala, Uganda...
June 16, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28614446/-factors-associated-with-tb-hiv-coinfection-evidence-from-notification-data-in-the-state-of-amazonas-brazil-2001-2012
#11
Evela da Silva Magno, Valeria Saraceni, Alexandra Brito de Souza, Regma da Silva Magno, Maria das Graças Gomes Saraiva, Samira Bührer-Sékula
Tuberculosis (TB) in persons living with HIV (PLHIV) is the leading infectious cause of AIDS-related death. The aim of this study was to estimate the prevalence of TB/HIV coinfection, evaluate notification of the two diseases over time by probabilistic database linkage, and identify factors associated with AIDS and TB notifications. Prevalence of TB/HIV coinfection was 7.7%. The group of PLHIV with subsequent TB diagnosis was the most representative, despite available preventive measures. Underreporting of TB among AIDS cases was 35%, and 19...
June 12, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28591334/-evaluation-of-implementation-of-the-protocol-for-managing-tuberculosis-human-immunodeficiency-virus-coinfection-in-specialized-care-services-in-cear%C3%A3-state
#12
Silvia Helena Bastos de Paula, Telma Alves Martins, Sheila Maria Santiago Borges, Christiana Maria de Oliveira Nogueira, Valderina Ramos Freire
Objectives: Identify barriers and strategies for implementation of the protocol for managing tuberculosis/ human immunodeficiency virus (TB/HIV) coinfection in specialized care services in Ceará state, through evaluation research. Methods: The study followed iPIER methodology, a new initiative to help improve the implementation of health programs through the use of research that is conducted as a part of the implementation process. Data were collected on the structure and processes of 22 services and barriers were explored in four focus groups with 28 participants, from the standpoint of the health team, administrators, and users...
May 25, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28591330/-access-barriers-to-comprehensive-care-for-people-affected-by-tuberculosis-and-human-immunodeficiency-virus-coinfection-in-peru-2010-2015
#13
Lisset García-Fernández, Carlos Benites, Byelca Huamán
Objective: Identify the programmatic barriers that hinder access to comprehensive care of patients with tuberculosis and human immunodeficiency virus (TB/HIV) coinfection. Methods: This is a mixed-method study. Qualitative research was conducted via in-depth interviews with key actors and the quantitative component involved cross-sectional descriptive analysis of programmatic data from 2010-2015 on tuberculosis and HIV programs at health facilities in the cities of Lima and Iquitos...
May 25, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28499418/early-morning-urine-collection-to-improve-urinary-lateral-flow-lam-assay-sensitivity-in-hospitalised-patients-with-hiv-tb-co-infection
#14
Phindile Gina, Philippa J Randall, Tapuwa E Muchinga, Anil Pooran, Richard Meldau, Jonny G Peter, Keertan Dheda
BACKGROUND: Urine LAM testing has been approved by the WHO for use in hospitalised patients with advanced immunosuppression. However, sensitivity remains suboptimal. We therefore examined the incremental diagnostic sensitivity of early morning urine (EMU) versus random urine sampling using the Determine® lateral flow lipoarabinomannan assay (LF-LAM) in HIV-TB co-infected patients. METHODS: Consenting HIV-infected inpatients, screened as part of a larger prospective randomized controlled trial, that were treated for TB, and could donate matched random and EMU samples were included...
May 12, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28492776/tuberculosis-mortality-in-brazilian-capitals-2008-2010
#15
Roger Flores Ceccon, Rosana Maffacciolli, Andréia Burille, Stela Nazareth Meneghel, Dora Lúcia Leidens Correa de Oliveira, Tatiana Engel Gerhardt
OBJECTIVE: to analyze the association between tuberculosis mortality and socio-demographics and health indicators in the capitals of Brazilian states and the Federal District. METHODS: this is an ecological study whose outcome was the standardized coefficient of tuberculosis mortality in the 2008-2010 period; the independent variables comprised 16 indicators, grouped into three blocks; Pearson correlation test and multiple linear regression were applied for analysis...
April 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28482959/tuberculosis-in-adolescents-and-young-adults-epidemiology-and-treatment-outcomes-in-the-western-cape
#16
K Snow, A C Hesseling, P Naidoo, S M Graham, J Denholm, K du Preez
SETTING: Western Cape Province, South Africa. OBJECTIVES: To characterise tuberculosis (TB) epidemiology, disease presentation and treatment outcomes among adolescents (age 10-19 years) and young adults (age 20-24 years) in the Western Cape. DESIGN: A retrospective, cross-sectional review of routine patient-level data from the Electronic TB Register (ETR.Net) for 2013. Site of TB disease, human immunodeficiency virus (HIV) status and TB treatment outcomes were analysed by 5-year age groups (<5, 5-9, 10-14, 15-19, 20-24 and 25 years of age)...
June 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28480244/improving-tuberculosis-tb-and-human-immunodeficiency-virus-hiv-treatment-monitoring-in-south-africa-evaluation-of-an-advanced-tb-hiv-course-for-healthcare-workers
#17
Sean Galagan, Suzanne Jed, Jeri Sumitani, Jennifer M Gilvydis, Albert Bakor, Richard Cooke, Evasen Naidoo, Debra Winters, Marcia R Weaver
BACKGROUND: South Africa has dual epidemics of human immunodeficiency virus (HIV) and tuberculosis (TB). Nurse-focused training was combined with onsite mentoring for nurses to improve HIV and TB care. A pre-/postevaluation was conducted in 3 districts in South Africa to assess the effects of the course on clinical patient monitoring and integration of TB and HIV care. METHODS: Two cross-sectional, unmatched samples of patient charts at 76 primary healthcare facilities were collected retrospectively in 2014 to evaluate the impact of training on treatment monitoring...
2017: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/28465651/factors-associated-with-mortality-of-tb-hiv-co-infected-patients-in-ethiopia
#18
Alula M Teklu, Abiy Nega, Admasu Tenna Mamuye, Yohannes Sitotaw, Desta Kassa, Getnet Mesfin, Bekele Belayihun, Girmay Medhin, Kesetebirhan Yirdaw
BACKGROUND: Despite the large number of TB patients on ART in Ethiopia, their mortality remains high. This study reports the effect of TB on HIV related mortality and determinants of TB/HIV co-infection related mortality. METHODS: A longitudinal study design was employed as part of the Advanced Clinical Monitoring of ART (ACM) in Ethiopia. All patients started on ART at or after January 1, 2005 were included. Survival analysis was done to compare survival patterns of HIV patients with TB against HIV patients without TB...
February 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28459881/facilitators-and-barriers-for-retention-in-hiv-care-between-testing-and-treatment-in-asia-a-study-in-bangladesh-indonesia-lao-nepal-pakistan-philippines-and-vietnam
#19
Sushil Koirala, Keshab Deuba, Oranuch Nampaisan, Gaetano Marrone, Anna Mia Ekström
INTRODUCTION: The need for efficient retention in HIV care is more evident than ever because of the expansion of earlier ART initiation and the shift towards 'Test and Treat'. This study assesses factors affecting participation in the HIV care cascade among people living with HIV (PLHIV) in the Asia-Pacific Region. METHODS: A total of 7843 PLHIV aged 18-50 years were recruited using targeted and venue-based sampling between October 1, 2012, and May 31, 2013, across 59 sites in 7 countries (Bangladesh, Indonesia, Lao People's Democratic Republic (Lao PDR), Nepal, Pakistan, Philippines and Vietnam)...
2017: PloS One
https://www.readbyqxmd.com/read/28457751/utility-of-urine-lipoarabinomannan-lam-in-diagnosing-tuberculosis-and-predicting-mortality-with-and-without-hiv-prospective-tb-cohort-from-the-thailand-big-city-tb-research-network
#20
Gompol Suwanpimolkul, Kamon Kawkitinarong, Weerawat Manosuthi, Jiratchaya Sophonphan, Sivaporn Gatechompol, Pirapon June Ohata, Sasiwimol Ubolyam, Thatri Iampornsin, Pairaj Katerattanakul, Anchalee Avihingsanon, Kiat Ruxrungtham
OBJECTIVES: To evaluate the applicability and accuracy of the urine lipoarabinomannan (LAM) test in tuberculosis (TB)/HIV co-infected patients and HIV-negative patients with disseminated TB. METHODS: Frozen urine samples obtained at baseline from patients in the TB research cohort with proven culture-positive TB were selected for blinded urine LAM testing. One hundred and nine patients were categorized into four groups: (1) HIV-positive patients with TB; (2) HIV-negative patients with disseminated TB; (3) HIV-negative immunocompromised patients with TB; and (4) patients with diseases other than TB...
June 2017: International Journal of Infectious Diseases: IJID
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