Persistently high HIV seroprevalence among adult tuberculosis patients at a tertiary care centre in Delhi

P. Piramanayagam, Mohammad Tahir, S. K. Sharma, Duncan Smith-Rohrberg, A. Biswas, M. Vajpayee

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background & objectives: This study was designed to estimate HIV seroprevalence among tuberculosis patients presenting to tertiary care centre in Delhi. Methods: Cross-sectional prevalence study among all patients presenting to the inpatient and outpatient departments of All India Institute of Medical Sciences (AIIMS), New Delhi, and receiving anti-tuberculosis treatment from May 2003 to April 2005. Results: Of the 448 patients who presented to the TB clinic during the study period, 23 (5.1%) were previously tested HIV-positive. An additional 21 patients (4.6 %) refused testing, and 30 (6.7 %) were lost to follow up. Of the remaining 374 patients who consented to testing, 31 (8.3%) were found to be HIV-positive. Risk factors for HIV seropositivity included high-risk sexual behaviours (48 % in HIV-TB co-infected vs. 6% in TB infected patients, P<0.001) and history of blood transfusion (23 % vs. 5 %; P=0.002). Interpretation & conclusion: Previous studies from the same hospital published in 2000 and 2003 reported HIV seroprevalence among TB patients to be 0.4 and 9.4 per cent respectively. The current study documents a persistently high seropositivity among TB patients. These results emphasize the acute need for improved detection and treatment for HIV among TB patients in northern India.

Original languageEnglish
Pages (from-to)163-166
Number of pages4
JournalIndian Journal of Medical Research
Volume125
Issue number2
StatePublished - Feb 2007
Externally publishedYes

Keywords

  • HIV
  • HIV testing
  • HIV-TB co-infection
  • India
  • Seroprevalence
  • Tuberculosis

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