Pulmonary tuberculosis among people living with HIV-AIDS attending care and treatment in rural northern TanzaniaReport as inadecuate




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BMC Public Health

, 8:341

First Online: 30 September 2008Received: 21 February 2008Accepted: 30 September 2008DOI: 10.1186-1471-2458-8-341

Cite this article as: Ngowi, B.J., Mfinanga, S.G., Bruun, J.N. et al. BMC Public Health 2008 8: 341. doi:10.1186-1471-2458-8-341

Abstract

BackgroundTuberculosis is the commonest opportunistic infection and the number one cause of death in HIV-AIDS patients in developing countries. To address the extent of the tuberculosis HIV coinfection in rural Tanzania we conducted a cross sectional study including HIV-AIDS patients attending care and treatment clinic from September 2006 to March 2007.

MethodsSputum samples were collected for microscopy, culture and drug susceptibility testing. Chest X-ray was done for those patients who consented. Blood samples were collected for CD4+ T cells count.

ResultsThe prevalence of tuberculosis was 20-233 8.5%. Twenty 8.5% sputum samples were culture positive. Eight of the culture positive samples 40% were smear positive. Fifteen 75% of these patients neither had clinical symptoms nor chest X-ray findings suggestive of tuberculosis. Nineteen isolates 95% were susceptible to rifampicin, isoniazid, streptomycin and ethambutol the first line tuberculosis drugs. One isolate 5% from HIV-tuberculosis coinfected patients was resistant to isoniazid. No cases of multi- drug resistant tuberculosis were identified.

ConclusionWe found high prevalence of tuberculosis disease in this setting. Chest radiograph suggestive of tuberculosis and clinical symptoms of fever and cough were uncommon findings in HIV-tuberculosis coinfected patients. Tuberculosis can occur at any stage of CD4+T cells depletion.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-8-341 contains supplementary material, which is available to authorized users.

Bernard J Ngowi, Sayoki G Mfinanga, Johan N Bruun and Odd Morkve contributed equally to this work.

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Author: Bernard J Ngowi - Sayoki G Mfinanga - Johan N Bruun - Odd Morkve

Source: https://link.springer.com/







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