HIV sero.prevalence among adult with newly diagnosed pulmonary tuberculosis in Kano, Nigeria
AbstractBackground: Tuberculosis (TB) is a global public health problem. Although curable, it is the most common cause of human immunodeficiency virus (HIV) related illness and death. Globally it was estimated that about 12 million people living with HIV/AIDS (PLHIV) are co.infected with tuberculosis (TB). The low immune system resulting from HIV confers the risk known for re.activation of latent or recent TB infection to active TB and increase the rate of recurrence of TB.
Materials and Methods: New patients registered with the DOTS clinic meeting TB case definition, diagnosed based on findings suggestive of pulmonary tuberculosis (PTB) on clinical and radiological examination (chest X.ray), and sputum testing for AFB (acid fast bacilli) were offered provider initiated HIV counseling and testing (PICT) using HIV Uni.Gold and Determine test kits.
Results: A total of 2, 456 of adult pulmonary tuberculosis (TB) patients were enrolled for 2 years (2007.2009). 462 (18.8%) out of 2,456 were HIV sero.positive. HIV prevalence is higher in female patients (15.9%) than male patients (10.5%) with a statistical difference (P < 0.05). HIV sero-prevalence also varied among the different age group. The peak age prevalence was in the age group 25.34 years accounting for 43.9% and the least with 1.5% in the group 65 and above years old.
Conclusion: Diagnosing HIV infection among patients with pulmonary tuberculosis (TB) should be an offortunity for referrals for measure of the prevention and treatment of common HIV related illness, ongoing provision of social and psychological support and anti-retroviral therapy.