HIV–TB co-infection and associated risk factors among HIV positive patients at Olabisi Onabanjo University Teaching Hospital, Ogun State, South-West Nigeria
| Autor: | O. Glory Atilola, E. Ranti Kolade, O. Isaac Komolafe, T. Victoria Babalola |
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| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty Tuberculosis biology Epidemiology business.industry 030231 tropical medicine Human immunodeficiency virus (HIV) Logistic regression biology.organism_classification medicine.disease_cause medicine.disease Mycobacterium tuberculosis 03 medical and health sciences 0302 clinical medicine Infectious Diseases Ogun state Cohort medicine 030212 general & internal medicine University teaching business Demography |
| Zdroj: | HIV & AIDS Review. 15:69-72 |
| ISSN: | 1730-1270 |
| DOI: | 10.1016/j.hivar.2016.03.004 |
| Popis: | Aim The aim of this study was to determine the prevalence of active Mycobacterium tuberculosis co-infection in a cohort of HIV patients enrolled in a University Teaching Hospital in Ogun state, Nigeria. Background Nigeria ranks the highest tuberculosis-burdened country in Africa. More worrisome is the grim prediction burden of over four million cases of tuberculosis in Nigeria of which one million HIV/TB co-infections are anticipated between 2015 and 2020. Materials and methods This is a retrospective assessment of 1992 HIV patients, of which 657 (33%) were males and 1335 (67%) were females. All patients were enrolled between 2008 and 2011 at Olabisi Onabanjo University Teaching Hospital in Ogun State. The main outcome was the prevalence of Mycobacterium tuberculosis infection. Descriptive statistics and logistic regression models were utilized in data analysis. Results Study findings showed that 3.5% (95% CI: 2.7% – 4.4%) of HIV patients had active tuberculosis within the study period. In addition, divorced patients had significantly four times greater odds of tuberculosis relative to single patients (OR: 4.09; 95% CI: 1.20–14.00). Highest rate of tuberculosis was observed in 2008 (9.7%) with a progressive decline to zero case of co-infection in 2011. Conclusion Study findings provide evidence of a decline in TB burden over time. However, given the retrospective nature of this study, there is a dire need for a more robust and expanded investigation into the true nature of active TB epidemiology in south-western Nigeria, in order to further our insight and target intervention delivery. |
| Databáze: | OpenAIRE |
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