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Published on: September 5, 2017
[Evolution of tuberculosis/HIV coinfection in Metropolitan Santiago, Chile from 2005 to 2018]
Claudio Olmos1, Valeria Stuardo2, Paulina Ramonda3
1Programa de Doctorado en Metodología de la Investigación Biomédica y Salud Pública, Departamento de Pediatría, Ginecología y Medicina Preventiva, Universidad Autónoma de Barcelona, Barcelona, España.
Background:
Tuberculosis (TB)/HIV coinfection has a high mortality rate.
Aim:
To describe socio-epidemiological characteristics of tuberculosis (TB)-HIV coinfection, and aspects associated with its prevalence, from 2005 to 2018.
Material And Methods:
Analysis of the registry of the tuberculosis control and elimination program of three public health services of metropolitan Santiago. The variables considered were: TB/HIV coinfection, age, sex, location of tuberculosis, bacteriological confirmation, incarceration, commune of residence, country of origin and effectiveness of the tuberculosis therapy.
Results:
We analyzed 7507 TB cases, of whom 12% corresponded to cases of coinfection. The number of coinfections doubled in the last 6 years. In 2018, 45% of coinfection cases occurred in migrants. Of the total cases evaluated, 53% were successfully treated and 28% died.
Conclusions:
The remarkable increase in TB/HIV coinfection, urgently demands new prevention and control strategies, aimed at the most vulnerable groups.
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