Characteristics of adults and children diagnosed with tuberculosis in Lilongwe, Malawi: findings from an integrated HIV/TB clinic

Autor: Johnbosco Mwafilaso, Ralf Weigel, S Phiri, Matthias Egger, Hannock Tweya, Chancy Kamba, Caryl Feldacker, E. Manda, Lukas Fenner, Olivia Keiser, Mike Kalulu
Rok vydání: 2012
Předmět:
Zdroj: Tropical Medicine & International Health. 17:1108-1116
ISSN: 1360-2276
DOI: 10.1111/j.1365-3156.2012.03041.x
Popis: Objectives To describe initial registration characteristics of adult and paediatric TB patients at a large, public, integrated TB and HIV clinic in Lilongwe, Malawi, between January 2008 and December 2010. Methods Routine data on patient with TB category and TB type, stratified by HIV and ART status, were used to explore differences in proportions among TB only, TB/HIV co-infected patients not on ART and TB/HIV co-infected patients on ART using chi-square tests. Trends over time illustrate strengths and weaknesses of integrated service provision. Results Among 10 143 adults, HIV ascertainment and ART uptake were high and increased over time. The proportion of relapse was highest among those on ART (5%). The proportion of smear-positive pulmonary TB (PTB) was highest among HIV-negative patients with TB (34.9%); extra-pulmonary TB (EPTB) was lowest among TB only (16.2%). Among 338 children
Databáze: OpenAIRE