1. Screening and testing for tuberculosis among the HIV-infected: outcomes from a large HIV programme in western Kenya
- Author
-
Anthony D. Harries, Dickens Onyango, Robina Momanyi, and Philip Owiti
- Subjects
Male ,Opportunistic infection ,Intensified case finding ,HIV Infections ,0302 clinical medicine ,Epidemiology ,Mass Screening ,030212 general & internal medicine ,Child ,education.field_of_study ,Medical record ,lcsh:Public aspects of medicine ,Middle Aged ,Anti-Retroviral Agents ,Child, Preschool ,Screening ,Female ,Research Article ,Adult ,medicine.medical_specialty ,Tuberculosis ,Adolescent ,Population ,030209 endocrinology & metabolism ,03 medical and health sciences ,Young Adult ,Internal medicine ,medicine ,Humans ,education ,Aged ,Retrospective Studies ,Quality care ,business.industry ,Tuberculin Test ,Public health ,Public Health, Environmental and Occupational Health ,Infant, Newborn ,HIV ,Infant ,Retrospective cohort study ,lcsh:RA1-1270 ,Active case finding ,Patient Acceptance of Health Care ,medicine.disease ,Kenya ,Relative risk ,Health Facilities ,business ,Program Evaluation - Abstract
Background People living with HIV (PLHIV) are at increased risk of tuberculosis (TB). TB is also the leading opportunistic infection contributing to about one-third of deaths in this population. The World Health Organization recommends regular screening for TB in PLHIV. Those identified to have any TB-related symptoms are investigated and treated if diagnosed with TB. We sought to evaluate outcomes of intensified case finding and factors associated with undesirable screening for TB in a large HIV programme in western Kenya. Methods We conducted a retrospective study using routine programme data from the AMPATH HIV electronic medical records database for PLHIV in care between 2015 and 2016. Screening for TB was assessed by the recorded presence of cough ≥2 weeks, fever, night sweats, unintentional weight loss, chest pain and/or breathlessness. Undesirable screening was defined as being screened in
- Published
- 2019