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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV-infected presumptive tuberculosis patients without tuberculosis: How many are eligible for antiretroviral therapy in Karnataka, India?
Journal of Epidemiology and Global Health, Volume 7, No. 1, Year 2017
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Description
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 cross-sectional 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’. © 2016 Ministry of Health, Saudi Arabia
Authors & Co-Authors
Kumar, Ajay M.V.
France, Paris
International Union Against Tuberculosis and Lung Disease
Shastri, Suresh G.
Unknown Affiliation
Kumar, Sunil N.
India, Bengaluru
Karnataka State Aids Prevention Society
India, New Delhi
Ministry of Health and Family Welfare
Rewari, Bharatbhushan
India, New Delhi
Ministry of Health and Family Welfare
Harries, Anthony David
France, Paris
International Union Against Tuberculosis and Lung Disease
United Kingdom, London
London School of Hygiene & Tropical Medicine
Statistics
Citations: 7
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1016/j.jegh.2015.12.002
ISSN:
22106006
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Participants Gender
Female