Tuberculosis and non-tuberculous mycobacteria among HIV-infected individuals in Ghana.
Identifieur interne : 000050 ( PubMed/Corpus ); précédent : 000049; suivant : 000051Tuberculosis and non-tuberculous mycobacteria among HIV-infected individuals in Ghana.
Auteurs : Stephanie Bjerrum ; Joseph Oliver-Commey ; Ernest Kenu ; Margaret Lartey ; Mercy Jemima Newman ; Kennedy Kwasi Addo ; Doris Hilleman ; Aase Bengaard Andersen ; Isik Somuncu JohansenSource :
- Tropical medicine & international health : TM & IH [ 1365-3156 ] ; 2016.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (epidemiology), AIDS-Related Opportunistic Infections (microbiology), Adult, CD4 Lymphocyte Count, Female, Genotype, Ghana (epidemiology), HIV Infections (complications), Hospitals, Teaching, Humans, Male, Mass Screening, Middle Aged, Mycobacterium (genetics), Mycobacterium Infections, Nontuberculous (complications), Mycobacterium Infections, Nontuberculous (epidemiology), Mycobacterium Infections, Nontuberculous (microbiology), Nontuberculous Mycobacteria (genetics), Prevalence, Sputum (microbiology), Tuberculosis (complications), Tuberculosis (epidemiology), Tuberculosis (microbiology), Tuberculosis, Pulmonary (complications), Tuberculosis, Pulmonary (epidemiology), Tuberculosis, Pulmonary (microbiology).
- MESH :
- complications : HIV Infections, Mycobacterium Infections, Nontuberculous, Tuberculosis, Tuberculosis, Pulmonary.
- epidemiology : AIDS-Related Opportunistic Infections, Ghana, Mycobacterium Infections, Nontuberculous, Tuberculosis, Tuberculosis, Pulmonary.
- genetics : Mycobacterium, Nontuberculous Mycobacteria.
- microbiology : AIDS-Related Opportunistic Infections, Mycobacterium Infections, Nontuberculous, Sputum, Tuberculosis, Tuberculosis, Pulmonary.
- Adult, CD4 Lymphocyte Count, Female, Genotype, Hospitals, Teaching, Humans, Male, Mass Screening, Middle Aged, Prevalence.
Abstract
To assess the prevalence and clinical importance of previously unrecognised tuberculosis (TB) and isolation of non-tuberculous mycobacteria (NTM) among HIV-infected individuals in a teaching hospital in Ghana.
DOI: 10.1111/tmi.12749
PubMed: 27383726
Links to Exploration step
pubmed:27383726Le document en format XML
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Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Lartey, Margaret" sort="Lartey, Margaret" uniqKey="Lartey M" first="Margaret" last="Lartey">Margaret Lartey</name><affiliation><nlm:affiliation>Fevers Unit, Department of Medicine, Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Newman, Mercy Jemima" sort="Newman, Mercy Jemima" uniqKey="Newman M" first="Mercy Jemima" last="Newman">Mercy Jemima Newman</name><affiliation><nlm:affiliation>Department of Medical Microbiology, University of Ghana, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Addo, Kennedy Kwasi" sort="Addo, Kennedy Kwasi" uniqKey="Addo K" first="Kennedy Kwasi" last="Addo">Kennedy Kwasi Addo</name><affiliation><nlm:affiliation>Department of Bacteriology, University of Ghana, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Hilleman, Doris" sort="Hilleman, Doris" uniqKey="Hilleman D" first="Doris" last="Hilleman">Doris Hilleman</name><affiliation><nlm:affiliation>National Reference Centre for Mycobacteria, Research Centre Borstel, Sülfeld, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Andersen, Aase Bengaard" sort="Andersen, Aase Bengaard" uniqKey="Andersen A" first="Aase Bengaard" last="Andersen">Aase Bengaard Andersen</name><affiliation><nlm:affiliation>Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.</nlm:affiliation></affiliation></author><author><name sortKey="Johansen, Isik Somuncu" sort="Johansen, Isik Somuncu" uniqKey="Johansen I" first="Isik Somuncu" last="Johansen">Isik Somuncu Johansen</name><affiliation><nlm:affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27383726</idno><idno 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Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Kenu, Ernest" sort="Kenu, Ernest" uniqKey="Kenu E" first="Ernest" last="Kenu">Ernest Kenu</name><affiliation><nlm:affiliation>Fevers Unit, Department of Medicine, Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Lartey, Margaret" sort="Lartey, Margaret" uniqKey="Lartey M" first="Margaret" last="Lartey">Margaret Lartey</name><affiliation><nlm:affiliation>Fevers Unit, Department of Medicine, Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Newman, Mercy Jemima" sort="Newman, Mercy Jemima" uniqKey="Newman M" first="Mercy Jemima" last="Newman">Mercy Jemima Newman</name><affiliation><nlm:affiliation>Department of Medical Microbiology, University of Ghana, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Addo, Kennedy Kwasi" sort="Addo, Kennedy Kwasi" uniqKey="Addo K" first="Kennedy Kwasi" last="Addo">Kennedy Kwasi Addo</name><affiliation><nlm:affiliation>Department of Bacteriology, University of Ghana, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Hilleman, Doris" sort="Hilleman, Doris" uniqKey="Hilleman D" first="Doris" last="Hilleman">Doris Hilleman</name><affiliation><nlm:affiliation>National Reference Centre for Mycobacteria, Research Centre Borstel, Sülfeld, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Andersen, Aase Bengaard" sort="Andersen, Aase Bengaard" uniqKey="Andersen A" first="Aase Bengaard" last="Andersen">Aase Bengaard Andersen</name><affiliation><nlm:affiliation>Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.</nlm:affiliation></affiliation></author><author><name sortKey="Johansen, Isik Somuncu" sort="Johansen, Isik Somuncu" uniqKey="Johansen I" first="Isik Somuncu" last="Johansen">Isik Somuncu Johansen</name><affiliation><nlm:affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Tropical medicine & international health : TM & IH</title><idno type="eISSN">1365-3156</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS-Related Opportunistic Infections (epidemiology)</term><term>AIDS-Related Opportunistic Infections (microbiology)</term><term>Adult</term><term>CD4 Lymphocyte Count</term><term>Female</term><term>Genotype</term><term>Ghana (epidemiology)</term><term>HIV Infections (complications)</term><term>Hospitals, Teaching</term><term>Humans</term><term>Male</term><term>Mass Screening</term><term>Middle Aged</term><term>Mycobacterium (genetics)</term><term>Mycobacterium Infections, Nontuberculous (complications)</term><term>Mycobacterium Infections, Nontuberculous (epidemiology)</term><term>Mycobacterium Infections, Nontuberculous (microbiology)</term><term>Nontuberculous Mycobacteria (genetics)</term><term>Prevalence</term><term>Sputum (microbiology)</term><term>Tuberculosis (complications)</term><term>Tuberculosis (epidemiology)</term><term>Tuberculosis (microbiology)</term><term>Tuberculosis, Pulmonary (complications)</term><term>Tuberculosis, Pulmonary (epidemiology)</term><term>Tuberculosis, Pulmonary (microbiology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term><term>Mycobacterium Infections, Nontuberculous</term><term>Tuberculosis</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>AIDS-Related Opportunistic Infections</term><term>Ghana</term><term>Mycobacterium Infections, Nontuberculous</term><term>Tuberculosis</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Mycobacterium</term><term>Nontuberculous Mycobacteria</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>AIDS-Related Opportunistic Infections</term><term>Mycobacterium Infections, Nontuberculous</term><term>Sputum</term><term>Tuberculosis</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>CD4 Lymphocyte Count</term><term>Female</term><term>Genotype</term><term>Hospitals, Teaching</term><term>Humans</term><term>Male</term><term>Mass Screening</term><term>Middle Aged</term><term>Prevalence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To assess the prevalence and clinical importance of previously unrecognised tuberculosis (TB) and isolation of non-tuberculous mycobacteria (NTM) among HIV-infected individuals in a teaching hospital in Ghana.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27383726</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>01</Day></DateCreated><DateCompleted><Year>2017</Year><Month>06</Month><Day>26</Day></DateCompleted><DateRevised><Year>2017</Year><Month>06</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-3156</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>9</Issue><PubDate><Year>2016</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Tropical medicine & international health : TM & IH</Title><ISOAbbreviation>Trop. Med. Int. Health</ISOAbbreviation></Journal><ArticleTitle>Tuberculosis and non-tuberculous mycobacteria among HIV-infected individuals in Ghana.</ArticleTitle><Pagination><MedlinePgn>1181-90</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/tmi.12749</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To assess the prevalence and clinical importance of previously unrecognised tuberculosis (TB) and isolation of non-tuberculous mycobacteria (NTM) among HIV-infected individuals in a teaching hospital in Ghana.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Intensified mycobacterial case finding was conducted among HIV-positive individuals before initiation of antiretroviral therapy (ART). Data were collected on socio-demographic characteristics, medical history and TB-related signs and symptoms, and participants were followed for six months to determine treatment and vital status. Two sputum samples were obtained and examined for mycobacteria with smear microscopy, culture and Xpert MTB/RIF assay. NTM species were identified with the GenoType Mycobacterium CM/AS or sequence analysis of 16S rRNA gene.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 473 participants, 60 (12.7%) had confirmed pulmonary TB, and 38 (8.0%) had positive cultures for NTM. Mycobacterium avium complex was identified in 9/38 (23.7%) of NTM isolates. Participants with NTM isolated were more likely to have CD4 cell count< 100 cells/μL (aOR 2.37; 95% CI: 1.10-5.14), BMI<18.5kg/m(2) (aOR 2.51; 95% CI: 1.15-5.51) and fever ≥2 weeks (aOR 2.76; 95% CI: 1.27-6.03) at baseline than participants with no mycobacteria. By six months, 76 (16.1%) participants had died; 20 (33.3%) with confirmed TB and 9 (23.7%) with NTM-positive culture. Mortality at six months was independently associated with TB diagnosis at enrolment (aHR 1.97; 95% CI 1.09-3.59), but not with NTM isolation after controlling for age, sex, CD4 cell count, BMI, prolonged fever and ART initiation.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Intensified mycobacterial screening of HIV-infected individuals revealed a high burden of unrecognised pulmonary TB before ART initiation, which increased risk of death within six months. NTM were frequently isolated and associated with signs of poor clinical status but not with increased mortality.</AbstractText><CopyrightInformation>© 2016 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bjerrum</LastName><ForeName>Stephanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oliver-Commey</LastName><ForeName>Joseph</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Fevers Unit, Department of Medicine, Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kenu</LastName><ForeName>Ernest</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Fevers Unit, Department of Medicine, Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lartey</LastName><ForeName>Margaret</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Fevers Unit, Department of Medicine, Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Newman</LastName><ForeName>Mercy Jemima</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Department of Medical Microbiology, University of Ghana, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Addo</LastName><ForeName>Kennedy Kwasi</ForeName><Initials>KK</Initials><AffiliationInfo><Affiliation>Department of Bacteriology, University of Ghana, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hilleman</LastName><ForeName>Doris</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>National Reference Centre for Mycobacteria, Research Centre Borstel, Sülfeld, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andersen</LastName><ForeName>Aase Bengaard</ForeName><Initials>AB</Initials><AffiliationInfo><Affiliation>Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Johansen</LastName><ForeName>Isik Somuncu</ForeName><Initials>IS</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trop Med Int Health</MedlineTA><NlmUniqueID>9610576</NlmUniqueID><ISSNLinking>1360-2276</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D017088" MajorTopicYN="N">AIDS-Related Opportunistic Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="Y">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018791" MajorTopicYN="N">CD4 Lymphocyte Count</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005838" MajorTopicYN="Y">Genotype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006784" MajorTopicYN="N">Hospitals, Teaching</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008403" MajorTopicYN="N">Mass Screening</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009161" MajorTopicYN="N">Mycobacterium</DescriptorName><QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009165" MajorTopicYN="N">Mycobacterium Infections, Nontuberculous</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009170" MajorTopicYN="N">Nontuberculous Mycobacteria</DescriptorName><QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013183" MajorTopicYN="N">Sputum</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014376" MajorTopicYN="N">Tuberculosis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014397" MajorTopicYN="N">Tuberculosis, Pulmonary</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">Mortality</Keyword><Keyword MajorTopicYN="N">Non-tuberculous mycobacteria</Keyword><Keyword MajorTopicYN="N">Tuberculosis</Keyword><Keyword MajorTopicYN="N">VIH</Keyword><Keyword MajorTopicYN="N">micobacterias no tuberculosas</Keyword><Keyword MajorTopicYN="N">mortalidad</Keyword><Keyword MajorTopicYN="N">mortalité</Keyword><Keyword MajorTopicYN="N">mycobactéries non tuberculeuses</Keyword><Keyword MajorTopicYN="N">tuberculose</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27383726</ArticleId><ArticleId IdType="doi">10.1111/tmi.12749</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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