HIV Sero-pervalence and Tuberculosis in Uttaranchal.

ABSTRACT

Setting: Patients of tuberculosis attending the out patient department of Himalayan Institute of Medical Sciences (HIMS), a post graduate institute and a large tertiary care centre in Dehradun. Objective: To study the trend of HIV seropositivity in patients of tuberculosis along with demographic profile, clinical features and associated complications, in patients of HIV-TB co-morbidity. Design: HIV seropositivity was assessed among all tuberculosis patients (pulmonary &extra-pulmonary), diagnosed between January 1999 and August 2005 attending the out patient department of HIMS. Result: HIV seropositivity in tuberculosis patients rose from 1.19% in 1999 to 4.19% in 2005. Out of total 42 HIV seropositive patients, 71.42% were males, 88.09% were married, and 69.04% belonged to rural population. Most common route of HIV transmission was heterosexual (66.67%) followed by blood transfusion (16.67%). 64.28% of the patients had pulmonary tuberculosis and 35.71% had extra-pulmonary tuberculosis. Sputum was positive for Acid Fast Bacilli in 40.74%. Fever was the most common (83.33%) symptom and oral candidiasis (40%) was the most commonly associated complication.