HIV AND TUBERCULOSIS CO-INFECTION IN A REFERRAL CHEST HOSPITAL
V K Kataria1, D Rosha2, K K Maudar3
1Classified Specialist in Pathology (Microbiology), Military Hospital, Namkum, Ranchi-834 010.
Medical Journal, Armed Forces India
|August 10, 2017
Summary
Tuberculosis patients in the Armed Forces were screened for HIV, revealing a 1.06% co-infection rate. This study highlights lower HIV prevalence alongside tuberculosis in military personnel compared to the general population.
Area of Science:
- Infectious Diseases
- Public Health
- Military Medicine
Background:
- Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) co-infection presents significant global health challenges.
- Understanding the prevalence of TB/HIV co-infection in specific populations, such as military personnel, is crucial for targeted interventions.
Purpose of the Study:
- To evaluate the co-infection rate of tuberculosis and HIV among serving personnel of the Armed Forces.
- To compare the seroprevalence of HIV in tuberculosis patients within the Armed Forces to that of the civil population.
Main Methods:
- A cohort of Armed Forces personnel admitted with tuberculosis between April 1996 and 1999 was assessed.
- Initial HIV testing was performed using spot kits, with positive results confirmed by ELISA on two separate samples.
- Data on patient demographics, risk factors (alcohol, smoking, sexual history), and sputum smear results were collected.
Main Results:
- Out of 1.06% of tuberculosis patients, 60 individuals were found to be HIV positive.
- The majority of co-infected individuals (80%) were in the sexually active age group.
- Alcohol and smoking were associated with 80% of cases, and 46.7% reported exposure to sex workers.
Conclusions:
- The seroprevalence of HIV in association with tuberculosis is lower in the Armed Forces compared to the civil population.
- Findings underscore the importance of screening for HIV in military tuberculosis patients, considering associated risk factors.
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