A model for bringing TB expertise to HIV providers: Medical consultations to the CDC-funded Regional Tuberculosis Training and Medical Consultation Centers, 2013–2017

Autor: Connie A. Haley, John W. Wilson, Lisa Y. Armitige, Neela D Goswami, Henry Fraimow, Rajita Bhavaraju, Ashley C. McDowell, Robyn Fernando
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Bacterial Diseases
RNA viruses
Medical consultation
Human immunodeficiency virus (HIV)
Antitubercular Agents
HIV Infections
Disease
030204 cardiovascular system & hematology
medicine.disease_cause
Pathology and Laboratory Medicine
Pediatrics
0302 clinical medicine
Medical Conditions
Immunodeficiency Viruses
Medicine and Health Sciences
Public and Occupational Health
Drug Interactions
030212 general & internal medicine
Referral and Consultation
media_common
Multidisciplinary
Pharmaceutics
HIV diagnosis and management
Vaccination and Immunization
Infectious Diseases
Medical Microbiology
Viral Pathogens
Viruses
Medicine
Pathogens
Safety
Research Article
medicine.medical_specialty
Tuberculosis
Anti-HIV Agents
media_common.quotation_subject
Science
Health Personnel
Immunology
MEDLINE
Antiretroviral Therapy
Microbiology
03 medical and health sciences
Pharmacotherapy
Drug Therapy
Antiviral Therapy
Excellence
Retroviruses
medicine
Humans
Microbial Pathogens
Pharmacology
business.industry
Lentivirus
Organisms
Biology and Life Sciences
HIV
medicine.disease
Tropical Diseases
Antiretroviral therapy
Diagnostic medicine
United States
Family medicine
Co-Infections
Preventive Medicine
Centers for Disease Control and Prevention
U.S
business
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 8, p e0236933 (2020)
ISSN: 1932-6203
Popis: BackgroundPersons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management.MethodsDuring 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide medical consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of consultation, medical setting and provider type, frequency of consultations regarding a pediatric (ResultsOf 14,586 consultations captured by the MCD in 2013-2017, 544 (4%) were categorized as TB/HIV-related, with 100 (18%) received in 2013, 129 (24%) in 2014, 104 (19%) in 2015, 117 (22%) in 2016, and 94 (17%) in 2017. Most TB/HIV consultations came from nurses (54%) or physicians (43%) and from local (65%) or state health departments (10%). Only 17 (3%) of HIV-related consultations involved pediatric cases. Off the 544 TB/HIV consultations, 347 (64%) concerned the appropriate treatment regimen for TB/HIV or LTBI/HIV for a patient on or not on antiretroviral therapy (ART).ConclusionsThe data support a clear and ongoing gap in areas of specialized HIV knowledge by TB experts that could be supplemented with proactive educational outreach. The specific categories of TB/HIV inquiries captured by this analysis are strategically informing future targeted training and educational activities planned by the CDC TB Centers of Excellence, as well as guiding HIV educational efforts at regional and national TB meetings.
Databáze: OpenAIRE
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