AEGiS-14IAC: Self reported testing and treatment in an infected population: results from an interview project in Uganda.

14th International AIDS Conference

Barcelona, Spain - July 7-12, 2002

Self reported testing and treatment in an infected population: results from an interview project in Uganda.

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. B10236)

Katumba KM, Ruth RR, Francis KM
TASO(U)Ltd, Kampala, Uganda

BACKGROUND: Persons living With HIV/AIDS are at risk of being infected with tuberculosis (TB) co-infection can affect ther clinical outcomes of both diseases. in 1994, the Uganda National TB control programme recommended that all persons infected with HIB be tested for TB with appropriate therapy for those having a positive TB skin test. OBJECTIVES: to describe TB testing and treatment in a HIV infected population.

METHOD: Analysis of corss sectional interviews with subjects for than 18 years of age reported with HIV/AIDS to 36 local government health centres fro January 1995 thrugh April 2000. Persons who ever had activie TB were excluded from analysis.

RESULTS: Although 85% of 10.252 persons reported ever having TB skin test (PPD) only 70 had received a PPD since HIV diagnois. PPD testing was the lowest inthe first year after HIV diagnosis 68% but significantly increased over time *chi-square test for treant P<001 (7%) 359 of 4.241 for whom information wasknown of those TB skin tested after HIV diagnoisis were PPP+; of this group, 25% had never taken TB medication 11% had previously taken TB medication and 58% started TB medication after HIV diagnosis. Persons whose likely to have had a PPD test since HIV diagnosis (5.264/6.301,82% compared to persons treated in private care settings (1.720/2.486,75%) of thos with no current source of HIV care (759/1.036,69%), regardless of diseases status (HIV/AIDS). NPPD + public care patients were also more likely to have been prescrived TB medication (143/221, 64%; 24/56,44% and 16/31,52% respectively).

CONCLUSION: Despite recommendations, a sizable proportion of infected persons withoyut a hisptory of active TB had not received a skin test or TB treatment since HIV diagnosis. A concerted effort is needed to implement comprehensive PPD testing and ppropprate TB therapy for all persons living HIV/AID if better medical care and managment is to be ensured.

Keywords: AEGIS, Interviews, Tuberculosis, Acquired Immunodeficiency Syndrome, HIV Infections, Tuberculin Test, Research Design, HIV Seropositivity, Population, Directly Observed Therapy, Uganda, Greece, Human, therapy, methods

020707
B10236