Annals of Tropical Medicine and Public Health
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Year : 2013  |  Volume : 6  |  Issue : 3  |  Page : 290-296

HIV-tuberculosis interface: a comparison of collateral prevalence of HIV and tuberculosis in an urban health centre

Assistant Professor, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tami Nadu, India

Correspondence Address:
Saurabh R Shrivastava
Department of Community Medicine, A, 4th Floor, New Staff Quarters, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.120986

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Background: The Human Immunodeficiency Virus (HIV) epidemic has posed major challenges to tuberculosis (TB) control efforts globally. The combined TB-HIV epidemic demands effective and urgent action. Aim: To estimate the prevalence of HIV infection among patients reporting at TB clinic and prevalence of TB infection among patients reporting at the Integrated Counseling and Treatment Center (ICTC). Setting and Design: Longitudinal study of 6 months duration from August 2010 to January 2011 at Urban Health Center located in an urban slum of Malwani, Mumbai. Materials and Methods: All patients attending ICTC who were diagnosed as seropositive and those with HIVnegative status but considered as TB suspects based on symptoms of TB were referred to TB clinic for ruling out TB. Similarly, all patients attending TB clinic who were diagnosed with TB (sputum positive TB/sputum negative TB/extra-pulmonary TB [EPTB]) were referred to ICTC for their HIV status. Both categories of patients were followed up till initiation of their treatment. Statistical Analysis: SPSS version 16 using Chi-square test and percentages. Results: Out of the 305 patients referred from ICTC to TB clinic, 61 (20%) were diagnosed with TB. Out of 264 TB patients referred from TB clinic to ICTC, 27 (10.2%) were diagnosed as seropositive. Married subjects and subjects staying with their family were having less chances of TB or HIV than unmarried subjects or those who were staying away from their family. Conclusion: Referral of seronegative TB suspects from ICTC to TB clinic should be strengthened as it was found in the study that prevalence of seronegative TB was higher in TB suspects than in HIVpositive patients.

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