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Common types of tuberculosis and co-infection with HIV at private health institutions in Ethiopia: a cross sectional study

机译:埃塞俄比亚私营卫生机构艾伯病和艾滋病毒的常见类型的结核和感染:横截面研究

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Background Tuberculosis is a global emergency predominantly affecting developing countries. HIV has been the single most important reason for acquisition of tuberculosis for many patients. Conversely, tuberculosis can result in rapid progression of HIV disease. Ethiopia is a country affected seriously by HIV and tuberculosis. The main aim of this study is assessment of the types of tuberculosis and the extent of HIV infection among tuberculosis patients visiting private health institutions in Amhara region of Ethiopia. Methods The study used a cross sectional method with data collected using well structured pretested questionnaires containing socio-demographic and clinical variables including HIV serostatus. The setting is tuberculosis treatment sites situated at 15 private health institutions in Amhara region. Results A total of 1153?TB patients were included. The proportions of smear positive pulmonary TB, smear negative pulmonary TB, isolated extrapulmonary TB and disseminated TB cases were found to be 29.6%, 22.2%, 43.9% and 2.9%, respectively. TB lymphadenitis accounted for about 61% of the extrapulmonary cases followed by TB pleurisy (10.6%). Seventy percent of the patients had undergone HIV test, and 20% of them were HIV positive. Marital status, patient residence and type of TB are the major determinants of co-infection. Conclusion The occurrence of pulmonary tuberculosis is relatively low. Tuberculosis/HIV co-infection is also lower than other reports.
机译:背景结核是一个主要受到发展中国家的全球紧急情况。艾滋病毒一直是获取许多患者结核病的最重要原因。相反,结核病会导致艾滋病毒疾病的快速进展。埃塞俄比亚是一个受艾滋病毒和结核病影响的国家。本研究的主要目的是评估结核病的类型和结核病患者在埃塞俄比亚阿哈拉地区私人卫生机构的结核病患者中的艾滋病毒感染程度。方法研究采用横截面方法利用含有含有HIV Serostatus的社会人口统计学和临床​​变量的结构良好的预涂问卷收集的数据。该景观是位于阿马拉地区的15个私人卫生机构的结核病治疗景点。结果总共1153例TB患者。发现涂片阳性肺结核,涂片阴性肺结核,分离的外肺结核病和散发的结核病病例的比例分别为29.6%,22.2%,43.9%和2.9%。 TB淋巴腺炎占肺外壳的约61%,然后是TB胸膜(10.6%)。百分之七十分的患者经历了HIV试验,其中20%是艾滋病毒阳性。婚姻状况,患者住宿和TB的类型是共感染的主要决定因素。结论肺结核发生的发生相对较低。结核病/ HIV共感染也低于其他报告。

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