原创力文档are routine tuberculosis programme data suitable to report on antiretroviral therapy use of hiv-infected tuberculosis patients常规结核病项目数据适合报告抗逆转录病毒治疗的艾滋病毒感染肺结核患者的使用.pdfVIP
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are routine tuberculosis programme data suitable to report on antiretroviral therapy use of hiv-infected tuberculosis patients常规结核病项目数据适合报告抗逆转录病毒治疗的艾滋病毒感染肺结核患者的使用
Brouwer et al. BMC Research Notes 2013, 6:23
/1756-0500/6/23
SHORT REPORT Open Access
Are routine tuberculosis programme data suitable
to report on antiretroviral therapy use of
HIV-infected tuberculosis patients?
1* 2 3 4 5,6
Miranda Brouwer , Paula Samo Gudo , Chalice Mage Simbe , Paula Perdigão and Frank van Leth
Abstract
Background: Antiretroviral therapy (ART) is lifesaving for HIV-infected tuberculosis (TB) patients. ART-use by these
patients lag behind compared to HIV-testing and co-trimoxazole preventive therapy. TB programmes provide the
data on ART-use by HIV-infected TB patients, however often the HIV services provide the ART. We evaluated
whether the data on ART-use in the TB register were complete and correct. The timing of ART initiation was
evaluated to assess whether reporting on ART-use could have happened with the TB case finding reporting. We
collected data on TB treatment, HIV testing and ART for adult TB cases in 2007 from three TB clinics in Manica
Province, Mozambique. These data on use of ART from TB registers were compared with those from the HIV
services.
Findings: Of 628 patients included, 504 (81%) were tested and of these 356 (71%) were HIV-infected. Of the
co-infected patients, 81% registered with the HIV services in the same facility. The TB register was correct on
ART-use in 73% of co-infected cases and complete in 74%. Information on ART-use could have been reported with
the TB case finding reports in 56% of co-infected patients.
Conclusion: The TB register is reasonably correct and complete on ART-use. However, the HIV patient record seems
a much better source to provide this information. Reporting on ART-use at the end of the quarter in which
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