Abstract
BackgroundTuberculosis is a global emergency predominantly affecting developing countries. HIV has been the single most important reason for acquisition of tuberculosis for many patients. Conversely, tuberculosis can result in rapid progression of HIV disease. Ethiopia is a country affected seriously by HIV and tuberculosis. The main aim of this study is assessment of the types of tuberculosis and the extent of HIV infection among tuberculosis patients visiting private health institutions in Amhara region of Ethiopia.MethodsThe study used a cross sectional method with data collected using well structured pretested questionnaires containing socio-demographic and clinical variables including HIV serostatus. The setting is tuberculosis treatment sites situated at 15 private health institutions in Amhara region.ResultsA total of 1153 TB patients were included. The proportions of smear positive pulmonary TB, smear negative pulmonary TB, isolated extrapulmonary TB and disseminated TB cases were found to be 29.6%, 22.2%, 43.9% and 2.9%, respectively. TB lymphadenitis accounted for about 61% of the extrapulmonary cases followed by TB pleurisy (10.6%). Seventy percent of the patients had undergone HIV test, and 20% of them were HIV positive. Marital status, patient residence and type of TB are the major determinants of co-infection.ConclusionThe occurrence of pulmonary tuberculosis is relatively low. Tuberculosis/HIV co-infection is also lower than other reports.
Highlights
Tuberculosis is a global emergency predominantly affecting developing countries
Africa accounts for about 70% of the global burden of co-infection with TB and HIV the majority being from sub-Saharan African countries which are frontline people facing challenges from infectious diseases [6,7]
This study aims at studying the types of TB and the prevalence of HIV infection among TB patients at private-profit healthcare settings in Amhara region
Summary
Tuberculosis is a global emergency predominantly affecting developing countries. HIV has been the single most important reason for acquisition of tuberculosis for many patients. Tuberculosis can result in rapid progression of HIV disease. Ethiopia is a country affected seriously by HIV and tuberculosis. The main aim of this study is assessment of the types of tuberculosis and the extent of HIV infection among tuberculosis patients visiting private health institutions in Amhara region of Ethiopia. Failure of TB programs in sub-Saharan African countries is largely due to a parallel HIV epidemic in the continent [5]. Africa accounts for about 70% of the global burden of co-infection with TB and HIV the majority being from sub-Saharan African countries which are frontline people facing challenges from infectious diseases [6,7].
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