尼泊尔西部塞提地区医院和马哈卡利地区医院抗逆转录病毒治疗中心患者的结核病状况

Advances in internal medicine Pub Date : 2014-07-03 DOI:10.3126/JAIM.V3I1.10696

Dhungana Gp, M. S. Bohara, Sashi Sharma, Ananya Adhikari, P. Khadga, B. Rijal, B. Pokhrel, B. Thakuri, K. Pant

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引用次数: 1

摘要

B背景和目的:结核病仍然是尼泊尔的一个主要公共卫生问题。艾滋病毒的广泛流行使情况进一步恶化。了解结核/艾滋病毒合并感染对有效管理双重病例至关重要。本研究的目的是确定在Seti地区医院和Mahakali地区医院抗逆转录病毒治疗中心就诊的患者的结核/艾滋病毒合并感染状况。方法:2012年1月至2012年7月在Mahendranagar市Siddhanath科学校园微生物系进行横断面研究。随机选取103例患者，采用直接镜检和培养技术对其进行肺结核检查。社会人口学特征通过预先编制的问卷收集。将数据输入SPSS 11.5进行分析。结果:103例HIV感染者中，男性46例(44.7%)，女性57例(55.3%)。他们中的大多数(64.07%)处于生产年龄组(21-40岁)。42人(40.8%)不识字。高达43.9%的妇女为寡妇，10.7%的研究对象显示母婴传播。艾滋病毒感染者中结核病的总体流行率为4.9%。在5例结核病例中，仅2例通过直接显微镜检出。结论:HIV感染者结核总患病率为4.9%。社会经济地位低的生产年龄组青年更容易感染艾滋病毒/艾滋病。培养是比显微镜检查更优越的诊断方法。DOI: http://dx.doi.org/10.3126/jaim.v3i1.10696 Journal of Advances in Internal Medicine 2014;03(01):11-16

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Tuberculosis status among patients visiting antiretroviral therapy centers of Seti Zonal Hospital and Mahakali Zonal Hospital of far western Nepal

B ackground and aims : Tuberculosis is still a major public health problem in Nepal. The situation is further worsened by the widespread epidemic of HIV. Knowledge of TB/HIV co-infection is essential for effective dual case management. The objective of this study was to determine the TB/HIV coinfection status among patients visiting antiretroviral therapy centers of Seti Zonal Hospital and Mahakali Zonal Hospital. Methods : A cross sectional study was carried out in the department of Microbiology at Siddhanath Science Campus, Mahendranagar between January 2012 and July 2012. One hundred three patients were randomly selected, and were investigated for tuberculosis by direct microscopy and cultural technique. Socio-demographic features were collected by pre structured questionnaire. Data were entered into SPSS 11.5 and analyzed. Results : Of the 103 people infected with HIV, 46 (44.7%) were males and 57(55.3%) were females. Majority (64.07%) of them were in the productive age group (21-40 years). Forty two (40.8%) of the respondents were not literate. As high as 43.9% of the women were widow and 10.7% of the studied subjects showed mother to child transmission. The overall prevalence of TB among HIV infected people was found to be 4.9%. Among five TB cases only two cases were detected by direct microscopy. Conclusion : The overall prevalence of TB among HIV infected people was found to be 4.9%. Youths of productive age groups with low socioeconomic status were more vulnerable to HIV/AIDS. Culture was found to be more superior method of diagnosis than microscopy. DOI: http://dx.doi.org/10.3126/jaim.v3i1.10696 Journal of Advances in Internal Medicine 2014;03(01):11-16

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Advances in internal medicine

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