The burden of HIV on Tuberculosis patients in the Volta region of Ghana from 2012 to 2015: implication for Tuberculosis control.
Identifieur interne : 000157 ( PubMed/Curation ); précédent : 000156; suivant : 000158The burden of HIV on Tuberculosis patients in the Volta region of Ghana from 2012 to 2015: implication for Tuberculosis control.
Auteurs : Eric Osei [Ghana] ; Joyce Der [Ghana] ; Richard Owusu [Ghana] ; Philip Kofie [Ghana] ; Wisdom Kudzo Axame [Ghana]Source :
- BMC infectious diseases [ 1471-2334 ] ; 2017.
Abstract
The impact of HIV on TB, and the implications for TB control, has been acknowledged as a public health challenge. It is imperative therefore to assess the burden of HIV on TB patients as an indicator for monitoring the control efforts of the two diseases in this part of the world. This study aimed at determining the burden of HIV infection in TB patients.
DOI: 10.1186/s12879-017-2598-z
PubMed: 28724359
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Allied Sciences, Hohoe, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe</wicri:regionArea></affiliation></author><author><name sortKey="Owusu, Richard" sort="Owusu, Richard" uniqKey="Owusu R" first="Richard" last="Owusu">Richard Owusu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe</wicri:regionArea></affiliation></author><author><name sortKey="Kofie, Philip" sort="Kofie, Philip" uniqKey="Kofie P" first="Philip" last="Kofie">Philip Kofie</name><affiliation wicri:level="1"><nlm:affiliation>Department of Family and 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xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe</wicri:regionArea></affiliation></author><author><name sortKey="Der, Joyce" sort="Der, Joyce" uniqKey="Der J" first="Joyce" last="Der">Joyce Der</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe</wicri:regionArea></affiliation></author><author><name sortKey="Owusu, Richard" sort="Owusu, Richard" uniqKey="Owusu R" first="Richard" last="Owusu">Richard Owusu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe</wicri:regionArea></affiliation></author><author><name sortKey="Kofie, Philip" sort="Kofie, Philip" uniqKey="Kofie P" first="Philip" last="Kofie">Philip Kofie</name><affiliation wicri:level="1"><nlm:affiliation>Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe</wicri:regionArea></affiliation></author><author><name sortKey="Axame, Wisdom Kudzo" sort="Axame, Wisdom Kudzo" uniqKey="Axame W" first="Wisdom Kudzo" last="Axame">Wisdom Kudzo Axame</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC infectious diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The impact of HIV on TB, and the implications for TB control, has been acknowledged as a public health challenge. It is imperative therefore to assess the burden of HIV on TB patients as an indicator for monitoring the control efforts of the two diseases in this part of the world. This study aimed at determining the burden of HIV infection in TB patients.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28724359</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>20</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>17</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2334</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jul</Month><Day>19</Day></PubDate></JournalIssue><Title>BMC infectious diseases</Title><ISOAbbreviation>BMC Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>The burden of HIV on Tuberculosis patients in the Volta region of Ghana from 2012 to 2015: implication for Tuberculosis control.</ArticleTitle><Pagination><MedlinePgn>504</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12879-017-2598-z</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The impact of HIV on TB, and the implications for TB control, has been acknowledged as a public health challenge. It is imperative therefore to assess the burden of HIV on TB patients as an indicator for monitoring the control efforts of the two diseases in this part of the world. This study aimed at determining the burden of HIV infection in TB patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a retrospective review of TB registers in five districts of the Volta Region of Ghana. Prevalence of TB/HIV co-infection was determined. Bivariate and multivariate logistic regression were used to identify the predictors of HIV infection among TB patients and statistical significance was set at p-value <0.05.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 1772 TB patients, 1633 (92.2%) were tested for HIV. The overall prevalence of TB/HIV co-infection was (18.2%; 95% CI: 16.4-20.1). The prevalence was significantly higher among females (24.1%; 95%CI: 20.8-27.7), compared to males (15.1%; 95% CI: 13.1-17.4) (p < 0.001) and among children <15 years of age (27.0%; 95% CI: 18.2-38.1), compared to the elderly ≥70 years (3.5%; 95% CI: 1.6-7.4) (p < 0.001). Treatment success rate was higher among patients with only TB (90%; 95% CI: 88.1-91.5) than among TB/HIV co-infected patients (77.0%; 95% CI: 71.7-81.7) (p < 0.001). Independent predictors of HIV infection were found to be: being female (AOR: 1.79; 95% CI: 1.38-2.13; p < 0.001); smear negative pulmonary TB (AOR: 1.84; 95% CI: 1.37-2.47; p < 0.001); and patients registered in Hohoe, Kadjebi, and Kpando districts with adjusted odds ratios of 1.69 (95% CI: 1.13-2.54; p = 0.011), 2.29 (95% CI: 1.46-3.57; p < 0.001), and 2.15 (95% CI: 1.44-3.21; p < 0.001) respectively. Patients ≥70 years of age and those registered in Keta Municipal were less likely to be HIV positive with odds ratios of 0.09 (95% CI: 0.04-0.26; p < 0.001) and 0.62 (95% CI: 0.38-0.99; p = 0.047) respectively.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">TB/HIV co-infection rate in five study districts of the Volta region is quite high, occurs more frequently in female patients than males; among smear negative pulmonary TB patients, and children <15 years of age. Findings also demonstrate that HIV co-infection affects TB treatment outcomes adversely. Strengthening the TB/HIV collaborative efforts is required in order to reduce the burden of co-infection in patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Osei</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana. eosei@uhas.edu.gh.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Der</LastName><ForeName>Joyce</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Owusu</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kofie</LastName><ForeName>Philip</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Axame</LastName><ForeName>Wisdom Kudzo</ForeName><Initials>WK</Initials><AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Infect 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Version="1">2915665</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Burden</Keyword><Keyword MajorTopicYN="N">Co-infection</Keyword><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">TB</Keyword><Keyword MajorTopicYN="N">Volta region</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>02</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>07</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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