HIV - TB Dual Infection among Patients Attending ART Centre in Vijayawada: A 3 Year Hospital Based Study
Journal Title: Scholars Academic Journal of Biosciences - Year 2016, Vol 4, Issue 3
Abstract
HIV and TB co-infection is a major public health problem now-a-days throughout the world. HIV infection not only causes reactivation of tuberculosis disease, also responsible for rapid progression of TB. Active TB also negatively affects HIV disease, responsible for higher HIV viral load. The aim of present study is to know the prevalence of HIV-TB coinfection and treatment details among patients attending ICTC (Integrated Counseling and Teaching center). This is a retrospective study done in a tertiary care hospital. All the data regarding patients at both ICTC and RNTCP (Revised National Tuberculosis Control Program) were saved and kept unlinked anonymously. This study has done among adult patients from the year 2013 to 2015. Patients attending to ART tested for Human Immunodeficiency virus, both HIV 1 and HIV 2 using 3 kits supplied by NACO. All HIV positive patients were referred to RNTCP for testing of sputum AFB. A total of 2347 patients were HIV positive in these three years (2013 to 2015). Among them 92 adult patients about 3.9% were positive for both HIV and Pulmonary TB. Most of them were in the age group of 26-35 years about 46.7%. Males were predominant in this study about 82.6%. Out of 72 patients, 38 were received both Antiretroviral therapy (ART) and Antitubercular therapy (ATT), remaining 34 were received only ART. Among 12 female patients only 5 patients about 41.6% received both ART and ATT. Among 60 male patients only 33 patients about 55% received both ART and ATT. 5.5% deaths were noted. Instead of great diagnostic facilities and good accessibility to treatment to both HIV and TB still there is high incidence of HIV-TB dual infection. Patients need health education about condom promotion, drug de addiction, PPTCT, Basic hygiene practices to prevent the transmission of HIV. Those HIV-TB coinfected patients should advice to take ATT under DOTS and ART regularly; they also need counseling and psychosocial support. Over all implementation of all these activities will reduce HIV-TB coinfection mortality rate. Keywords: Human Immunodeficiency Virus, Tuberculosis, Coinfection, Antitubercular therapy, Antiretroviral therapy.
Authors and Affiliations
Parameswari Katay, Sravya Ravi, Geethanjali Anke
Keywords
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