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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">HIV co-infection with tuberculous and non-tuberculous mycobacteria in western Kenya: challenges in the diagnosis and management</title><author><name sortKey="Nyamogoba, H Dn" sort="Nyamogoba, H Dn" uniqKey="Nyamogoba H" first="H Dn" last="Nyamogoba">H Dn Nyamogoba</name><affiliation><nlm:aff id="A1"> Moi University School of Medicine, Kenya</nlm:aff></affiliation><affiliation><nlm:aff id="A2"> Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of Agriculture and Technology, Kenya</nlm:aff></affiliation></author><author><name sortKey="Mbuthia, G" sort="Mbuthia, G" uniqKey="Mbuthia G" first="G" last="Mbuthia">G. Mbuthia</name><affiliation><nlm:aff id="A3"> Moi University School of Public Health, Kenya</nlm:aff></affiliation></author><author><name sortKey="Mining, S" sort="Mining, S" uniqKey="Mining S" first="S" last="Mining">S. Mining</name><affiliation><nlm:aff id="A1"> Moi University School of Medicine, Kenya</nlm:aff></affiliation></author><author><name sortKey="Kikuvi, G" sort="Kikuvi, G" uniqKey="Kikuvi G" first="G" last="Kikuvi">G. Kikuvi</name><affiliation><nlm:aff id="A2"> Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of Agriculture and Technology, Kenya</nlm:aff></affiliation></author><author><name sortKey="Biegon, R" sort="Biegon, R" uniqKey="Biegon R" first="R" last="Biegon">R. Biegon</name><affiliation><nlm:aff id="A1"> Moi University School of Medicine, Kenya</nlm:aff></affiliation></author><author><name sortKey="Mpoke, S" sort="Mpoke, S" uniqKey="Mpoke S" first="S" last="Mpoke">S. Mpoke</name><affiliation><nlm:aff id="A4"> Kenya Medical Research Institute, Kenya</nlm:aff></affiliation></author><author><name sortKey="Menya, D" sort="Menya, D" uniqKey="Menya D" first="D" last="Menya">D. Menya</name><affiliation><nlm:aff id="A3"> Moi University School of Public Health, Kenya</nlm:aff></affiliation></author><author><name sortKey="Waiyaki, P G" sort="Waiyaki, P G" uniqKey="Waiyaki P" first="P G" last="Waiyaki">P G Waiyaki</name><affiliation><nlm:aff id="A4"> Kenya Medical Research Institute, Kenya</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23382744</idno><idno type="pmc">3557672</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557672</idno><idno type="RBID">PMC:3557672</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">001527</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001527</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">HIV co-infection with tuberculous and non-tuberculous mycobacteria in western Kenya: challenges in the diagnosis and management</title><author><name sortKey="Nyamogoba, H Dn" sort="Nyamogoba, H Dn" uniqKey="Nyamogoba H" first="H Dn" last="Nyamogoba">H Dn Nyamogoba</name><affiliation><nlm:aff id="A1"> Moi University School of Medicine, Kenya</nlm:aff></affiliation><affiliation><nlm:aff id="A2"> Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of Agriculture and Technology, Kenya</nlm:aff></affiliation></author><author><name sortKey="Mbuthia, G" sort="Mbuthia, G" uniqKey="Mbuthia G" first="G" last="Mbuthia">G. Mbuthia</name><affiliation><nlm:aff id="A3"> Moi University School of Public Health, Kenya</nlm:aff></affiliation></author><author><name sortKey="Mining, S" sort="Mining, S" uniqKey="Mining S" first="S" last="Mining">S. Mining</name><affiliation><nlm:aff id="A1"> Moi University School of Medicine, Kenya</nlm:aff></affiliation></author><author><name sortKey="Kikuvi, G" sort="Kikuvi, G" uniqKey="Kikuvi G" first="G" last="Kikuvi">G. Kikuvi</name><affiliation><nlm:aff id="A2"> Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of Agriculture and Technology, Kenya</nlm:aff></affiliation></author><author><name sortKey="Biegon, R" sort="Biegon, R" uniqKey="Biegon R" first="R" last="Biegon">R. Biegon</name><affiliation><nlm:aff id="A1"> Moi University School of Medicine, Kenya</nlm:aff></affiliation></author><author><name sortKey="Mpoke, S" sort="Mpoke, S" uniqKey="Mpoke S" first="S" last="Mpoke">S. Mpoke</name><affiliation><nlm:aff id="A4"> Kenya Medical Research Institute, Kenya</nlm:aff></affiliation></author><author><name sortKey="Menya, D" sort="Menya, D" uniqKey="Menya D" first="D" last="Menya">D. Menya</name><affiliation><nlm:aff id="A3"> Moi University School of Public Health, Kenya</nlm:aff></affiliation></author><author><name sortKey="Waiyaki, P G" sort="Waiyaki, P G" uniqKey="Waiyaki P" first="P G" last="Waiyaki">P G Waiyaki</name><affiliation><nlm:aff id="A4"> Kenya Medical Research Institute, Kenya</nlm:aff></affiliation></author></analytic><series><title level="j">African Health Sciences</title><idno type="ISSN">1680-6905</idno><idno type="eISSN">1729-0503</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Tuberculosis (TB) and HIV co-infections have a global prevalence with devastating morbidity and massive mortality, Sub-Saharan Africa being the worst hit.</p></sec><sec><title>Objectives</title><p>To evaluate the prevalence of TB-HIV co-infection and demonstrate the confusion caused by NTM and HIV/AIDS co-infection in TB diagnosis and treatment in western Kenya.</p></sec><sec sec-type="methods"><title>Methods</title><p>In a cross-sectional study carried out at 10 hospitals in western Kenya, sputa from consenting 872 TB suspects underwent microscopy, and culture on Lowenstein-Jensen and Mycobacteria Growth Index Tube media. Isolates were identified using the Hain's GenoType<sup>®</sup><italic>Mycobacterium</italic> CM and GenoType<sup>®</sup><italic>Mycobacterium</italic> AS kits. A total of 695 participants were screened for HIV using Uni-Gold™ test and positives confirmed with the enzyme linked immunosorbent assay.</p></sec><sec sec-type="results"><title>Results</title><p>A total of 346 (39.7%) participants were diagnosed with TB. Out of the 346 TB cases, 263 (76%) were tested for HIV infection and 110 (41.8%) of these were sero-positive (co-infected). The female to male TB-HIV co-infection prevalence ratio (PR) was 1.35. This study reports isolation of non-tuberculous mycobacteria from TB suspects at a rate of 1.7%.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>A high TB-HIV co-infection rate was observed in this study. The NTM disease could be misdiagnosed and treated as TB in western Kenya.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Afr Health Sci</journal-id><journal-id journal-id-type="iso-abbrev">Afr Health Sci</journal-id><journal-title-group><journal-title>African Health Sciences</journal-title></journal-title-group><issn pub-type="ppub">1680-6905</issn><issn pub-type="epub">1729-0503</issn><publisher><publisher-name>Makerere Medical School</publisher-name><publisher-loc>Kampala, Uganda</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23382744</article-id><article-id pub-id-type="pmc">3557672</article-id><article-id pub-id-type="publisher-id">jAFHS.v12.i3.pg305</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>HIV co-infection with tuberculous and non-tuberculous mycobacteria in western Kenya: challenges in the diagnosis and management</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nyamogoba</surname><given-names>H DN</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Mbuthia</surname><given-names>G</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Mining</surname><given-names>S</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kikuvi</surname><given-names>G</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Biegon</surname><given-names>R</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Mpoke</surname><given-names>S</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Menya</surname><given-names>D</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Waiyaki</surname><given-names>P G</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label> Moi University School of Medicine, Kenya</aff><aff id="A2"><label>2</label> Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of Agriculture and Technology, Kenya</aff><aff id="A3"><label>3</label> Moi University School of Public Health, Kenya</aff><aff id="A4"><label>4</label> Kenya Medical Research Institute, Kenya</aff><author-notes><corresp><bold>*Corresponding author:</bold> Nyamogoba H DN Institute of Tropical Medicine and Infectious Diseases Jomo Kenyatta University of Agriculture and Technology P.O. Box 4606 Eldoret Kenya E-mail: <email>henrynyamogoba@yahoo.co.uk</email></corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>2012</year></pub-date><volume>12</volume><issue>3</issue><fpage>305</fpage><lpage>311</lpage><permissions><copyright-statement>Copyright © Makerere Medical School, Uganda 2012</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract abstract-type="executive-summary"><sec><title>Background</title><p>Tuberculosis (TB) and HIV co-infections have a global prevalence with devastating morbidity and massive mortality, Sub-Saharan Africa being the worst hit.</p></sec><sec><title>Objectives</title><p>To evaluate the prevalence of TB-HIV co-infection and demonstrate the confusion caused by NTM and HIV/AIDS co-infection in TB diagnosis and treatment in western Kenya.</p></sec><sec sec-type="methods"><title>Methods</title><p>In a cross-sectional study carried out at 10 hospitals in western Kenya, sputa from consenting 872 TB suspects underwent microscopy, and culture on Lowenstein-Jensen and Mycobacteria Growth Index Tube media. Isolates were identified using the Hain's GenoType<sup>®</sup><italic>Mycobacterium</italic> CM and GenoType<sup>®</sup><italic>Mycobacterium</italic> AS kits. A total of 695 participants were screened for HIV using Uni-Gold™ test and positives confirmed with the enzyme linked immunosorbent assay.</p></sec><sec sec-type="results"><title>Results</title><p>A total of 346 (39.7%) participants were diagnosed with TB. Out of the 346 TB cases, 263 (76%) were tested for HIV infection and 110 (41.8%) of these were sero-positive (co-infected). The female to male TB-HIV co-infection prevalence ratio (PR) was 1.35. This study reports isolation of non-tuberculous mycobacteria from TB suspects at a rate of 1.7%.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>A high TB-HIV co-infection rate was observed in this study. The NTM disease could be misdiagnosed and treated as TB in western Kenya.</p></sec></abstract><kwd-group><kwd>Tuberculosis</kwd><kwd>HIV co-infection</kwd><kwd>high prevalence</kwd><kwd>TB diagnosis</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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