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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Elliott, A. M. Nunn, P. Hayes, R. J. Mcadam, K. P. Tembo, G. Steenbergen, G. Luo, N. Halwiindi, B. Machiels, L. Pobee, J. |
| Spatial Coverage | Zambia |
| Description | Author Affiliation: Elliott AM ( School of Medicine, University of Zambia, Lusaka.); |
| Abstract | OBJECTIVE: To examine the contribution of HIV infection to the apparently increasing incidence of tuberculosis in central Africa. DESIGN: Cross sectional study. SETTING: Outpatient clinic in teaching hospital, Lusaka, Zambia. PATIENTS: 346 Adult patients with tuberculosis. RESULTS: Overall, 206 patients (60%; 95% confidence interval 54% to 65%) were positive for HIV: in one or both assays used. The peaks for both tuberculosis and HIV infection were among men aged 25-34 years and women aged 14-24 years. Of patients with confirmed pulmonary tuberculosis, 73/149 (49%; 41% to 57%) were positive for HIV; 67/83 (81%; 70% to 89%) patients with pleural disease and 16/19 (84%; 60% to 97%) patients with pericardial disease were positive. HIV positive patients with positive sputum culture were less likely to have had a positive sputum smear, and their chest x ray films less often showed classic upper zone disease or cavitation. Of 72 patients who fulfilled clinical criteria for AIDS, 17 were negative for HIV. CONCLUSIONS: The high prevalence of HIV in patients with tuberculosis suggests that an epidemic of reactivating tuberculosis is arising in those who are infected with HIV. The redirection of public health priorities towards tuberculosis would focus on a major treatable and preventable complication of the AIDS epidemic. |
| ISSN | 09598138 |
| e-ISSN | 17561833 |
| Journal | BMJ (British Medical Journal) |
| Issue Number | 6749 |
| Volume Number | 301 |
| Language | English |
| Publisher | British Medical Journal Publishing Group |
| Publisher Date | 1990-01-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | HIV Infections Epidemiology HIV Seroprevalence Tuberculosis, Pulmonary Adolescent Cross-Sectional Studies Complications Zambia Research Support, Non-U.S. Gov't Medicine |
| Content Type | Text |
| Resource Type | Article |
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