Sero-prevalence of human immunodeficiency virus infection among patients with newly diagnosed pulmonary tuberculosis in a teaching hospital in Bauchi, North-Eastern Nigeria

S. Gwalabe, J. Dunga, Y. Bara, A. Muhammad, M. S. Umar, Sule J. Bathna
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Abstract

About a third of the human immunodeficiency virus (HIV) positive population worldwide is co-infected with Mycobacterium tuberculosis. However, data are lacking about the prevalence of HIV among patients with pulmonary tuberculosis (PTB) in a teaching hospital in Bauchi, northeast Nigeria. The aim of this study is to determine the sero-prevalence of HIV among patients with sputum smear positive PTB at Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH), Bauchi, Bauchi State, Nigeria. This is a retrospective study review of patients’ medical records diagnosed with sputum smear positive PTB that attended and received treatment at directly observed treatment short course (DOTS) clinic of Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH), Bauchi, Bauchi State, North-Eastern Nigeria from January, 2015- December, 2017. All the patients were newly diagnosed with sputum smear positive PTB using ZN stain testing of their sputum and screened for HIV antibodies. There were 155 patients studied comprising of 95 (61.29%) males and 60 (38.71%) females. One hundred and twenty (77.42%) patients were seronegative and 35 (22.58%) sero-positive for HIV. Most of the patients were within the ages of 15-54 years with mean age of 34.63±15.55. The sero-prevalence of HIV infection among the patients is 22.58%. Sero-prevalence of HIV is observed to be high among young and married patients with secondary level of education. The sero-prevalence of HIV infection among the patients is relatively lower than those reported in most parts of Nigeria and the sub-Saharan Africa, hence there is still need for continued screening of HIV antibodies among patients with PTB so as to reduce the morbidity and mortality that may result from the coinfection.
尼日利亚东北部包奇一家教学医院新诊断肺结核患者中人类免疫缺陷病毒感染的血清流行率
全世界约有三分之一的人类免疫缺陷病毒(HIV)阳性人群同时感染结核分枝杆菌。然而,缺乏关于尼日利亚东北部包奇市一所教学医院肺结核患者中艾滋病毒流行情况的数据。本研究的目的是确定尼日利亚包奇州Abubakar Tafawa Balewa大学教学医院(ATBUTH)痰涂片阳性肺结核患者中艾滋病毒的血清流行率。这是一项回顾性研究,回顾了2015年1月至2017年12月在尼日利亚东北部包奇州包奇市Abubakar Tafawa Balewa大学教学医院(ATBUTH)直接观察短程治疗(DOTS)诊所就诊并接受治疗的痰涂片阳性肺结核患者的医疗记录。所有患者均为痰涂片阳性肺结核患者,采用痰锌染色检测,并进行HIV抗体筛查。155例患者中,男性95例(61.29%),女性60例(38.71%)。血清阴性120例(77.42%),血清阳性35例(22.58%)。患者年龄以15 ~ 54岁为主,平均年龄34.63±15.55岁。患者血清HIV感染率为22.58%。在受教育程度中等的年轻和已婚患者中,艾滋病毒的血清流行率很高。患者中艾滋病毒感染的血清流行率相对低于尼日利亚和撒哈拉以南非洲大部分地区报告的水平,因此仍需要继续筛查肺结核患者中的艾滋病毒抗体,以降低合并感染可能导致的发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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