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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Missed opportunities for diagnosis of tuberculosis and human immunodeficiency virus co-infection in Moshi, Tanzania
International Journal of Tuberculosis and Lung Disease, Volume 13, No. 10, Year 2009
Notification
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Description
SETTING: A community-based voluntary counseling and testing (VCT) center in Moshi, Tanzania. OBJECTIVE: To compare rates of prior human immunodeficiency virus (HIV) testing among clients with and without previous tuberculosis (TB) treatment, and HIV seropositivity among those with and without current TB symptoms. DESIGN: Cross-sectional study of consecutive clients presenting for initial testing; sociodemographic and clinical data were collected via a structured questionnaire. HIV status was compared among clients with or without three or more TB-related symptoms: weight loss, fever, cough, hemoptysis or night sweats. RESULTS: Overall, 225 (3%) of 6583 VCT clients who responded to questions on previous TB treatment reported a history of TB, but only 34 (15%) reported previous HIV testing. This rate of HIV testing was not different from the rate among those clients without a history of TB (OR 0.77, P = 0.175). One hundred thirty-five (61%) clients with a history of TB were HIV-infected at VCT, compared with 17% of all clients. Of the total 6592 first-time testers who responded, 372 (6%) had at least three symptoms suggestive of TB at VCT. These symptoms were strongly associated with HIV seropositivity (OR 16.30, P < 0.001). CONCLUSION: Missed opportunities for HIV diagnosis at the time of TB treatment appear frequent in this population, underscoring the need for integration of TB and HIV diagnostic services. © 2009 The Union.
Authors & Co-Authors
Tribble, Alison C.
United States, Durham
Duke University Medical Center
Hamilton, Carol Dukes
United States, Durham
Duke University Medical Center
Crump, John A.
United States, Durham
Duke University Medical Center
Tanzania, Moshi
Kilimanjaro Christian Medical Centre
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Mgonja, Anna
Unknown Affiliation
Mtalo, Antipas
Unknown Affiliation
Ndanu, Epimack
Unknown Affiliation
Itemba, Dafrosa K.
Unknown Affiliation
Landman, Keren Z.
United States, Durham
Duke University Medical Center
Shorter, Meghan M.
United States, Durham
Duke University Medical Center
Ndosi, Evaline M.
Tanzania, Moshi
Kilimanjaro Christian Medical Centre
Shao, John F.
Tanzania, Moshi
Kilimanjaro Christian Medical Centre
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Bartlett, John A.
United States, Durham
Duke University Medical Center
Tanzania, Moshi
Kilimanjaro Christian Medical Centre
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Thielman, Nathan M.
United States, Durham
Duke University Medical Center
Statistics
Citations: 13
Authors: 13
Affiliations: 3
Identifiers
ISSN:
10273719
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Tanzania