HIV-infected presumptive tuberculosis patients without tuberculosis: How many are eligible for antiretroviral therapy in Karnataka, India?
Journal of Epidemiology and Global Health. 2017; 7 (1): 11-19
in English
| IMEMR
| ID: emr-185834
ABSTRACT
For certain subgroups within people living with the human immunodeficiency virus [HIV] [active tuberculosis [TB], pregnant women, children <5 years old, and serodiscordant couples], the World Health Organization recommends antiretroviral therapy [ART] irrespective of CD4 count. Another subgroup which has received increased attention is ''HIV-infected presumptive TB patients without TB". In this study, we assess the proportion of HIV-infected presumptive TB patients eligible for ART in Karnataka State [population 60 million], India. This was a crosssectional analysis of data of HIV-infected presumptive TB patients diagnosed in May 2015 abstracted from national TB and HIV program records. Of 42,585 presumptive TB patients, 28,964 [68%] were tested for HIV and 2262 [8%] were HIV positive. Of the latter, 377 [17%] had active TB. Of 1885 ''presumptive TB patients without active TB", 1100 [58%] were already receiving ART. Of the remaining 785 who were not receiving ART, 617 [79%] were assessed for ART eligibility and of those, 548 [89%] were eligible for ART. About 90% of ''HIV-infected presumptive TB patients without TB" were eligible for ART. This evidence supports a public health approach of starting all ''HIV-infected presumptive TB patients without TB" on ART irrespective of CD4 count in line with global thinking about 'test and treat'
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Tuberculosis
/
HIV Infections
/
Cross-Sectional Studies
/
Eligibility Determination
Type of study:
Prevalence study
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
J. Epidemiol. Glob. Health
Year:
2017
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