Abstract
Background: Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) are major public health problems, especially in Sub-Saharan Africa including Ethiopia. So, updated information on TB-HIV co-infection might be important for the planning, resource allocation, prevention and control activities. Objective: To determine the TB-HIV co-infection and possible associated factors among patients attended TB clinic in five years (2008-2013) at a referral Hospital in Northwest Ethiopia. Methods: A retrospective study was conducted among 717 TB patients who are registered at DOTs clinic of Debre Markos referral hospital. Socio-demographic and clinical data of the study participants were collected from the TB log from the DOTS clinic. Data were entered and analyzed using SPSS version 16 software. Results: The prevalence of TB-HIV co-infection was 44% (321/717). The trend of co-infection was decreased from 2008/9 179 (49.2%) to 2012/13 29 (44.6%). Types of TB and age group were significantly associated with TB-HIV co-infection. Conclusion: The prevalence of TB-HIV co-infection was high. Therefore, actions targeting (health education and early case detection) on those predictors are necessary to effectively reduce TB-HIV co-infection and strengthen the collaborative activities.
Highlights
According to World Health Organization (WHO), there were an estimated 8.7 million incident cases of TB globally [1]
In 2009, the Human Immunodeficiency Virus (HIV)/ AIDS Prevention and Control Office (HAPCO) estimated that there were around 1,116,216 people living with HIV
DOTS clinic is operating under the National Tuberculosis and Leprosy Program (NTLCP) of Ethiopia, under which patients are diagnosed with tuberculosis by examination of morningspot sputum smears by Zeihel-Nieelsen staining, for the presence of Acid fast bacilli (AFB), chest radiographs, and for EPTB, pathological investigations were used
Summary
According to World Health Organization (WHO), there were an estimated 8.7 million incident cases of TB (range, 8.3 million-9.0 million) globally [1]. Ethiopia has been one of the 22 high TB burden countries [3] with an incidence and prevalence rate of 300 and 470 cases per 100,000 populations respectively. The national adult human immunodeficiency virus (HIV) prevalence infection in Ethiopia was 1.5% [6]. In 2009, the HIV/ AIDS Prevention and Control Office (HAPCO) estimated that there were around 1,116,216 people living with HIV. Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) are major public health problems, especially in Sub-Saharan Africa including Ethiopia. Updated information on TB-HIV co-infection might be important for the planning, resource allocation, prevention and control activities
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