Document 1908
 DOCN  M94A1908
 TI    Context and feasibility of tuberculosis chemoprophylaxis in HIV-infected
       individuals in Chiangrai Thailand.
 DT    9412
 AU    Panich V; Uthaivoravit W; Yanai H; Sawanpanyalert P; Ngamvitayapong J;
       Chaimanee B; Takahashi H; Chiangrai Regional Hospital, Thailand.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):424 (abstract no. PD0305). Unique
       Identifier : AIDSLINE ICA10/94370667
 AB    OBJECTIVE: to assess the context and feasibility of isoniazid (INH)
       preventive therapy against Tuberculosis (TB) in HIV-infected
       individuals. METHODS: We analyzed medical records of INH program in
       Chiangrai Hospital. Twelve HIV-infected persons in INH program joined
       in-depth interviews and focus group discussion. Three traditional
       healers who care for the HIV/AIDS were home visited and interviewed.
       RESULTS: Most of the asymptomatic HIV-infected persons are willing to
       participate in the program except only 2 (1%) refusals. During initial
       evaluation when we performed PPD test and TB screening, another 15
       (6.9%) failed to come back for reading. 201 participants enrolled during
       initial 3.5 months. The follow-up rate of first 110 cases (average 2.5
       months follow-up) is 82.7% (91/110). Most of the participants in the
       program were male and had low education. Participants frequently seek
       care from traditional healers, since there had been no systematic care
       available in modern hospitals. In-depth interviews with some of the
       healers revealed various treatment patterns and etiologic concepts
       regarding HIV/AIDS. Some healers modified their herbal medicine to AIDS
       and used marketing strategies including leaflet to increase their
       popularity. DISCUSSION AND CONCLUSIONS: The high participation rate
       shows needs for such a service for asymptomatic HIV-infected
       individuals, however, the quality of service should be improved to have
       better follow-up rate. Modern medical services should provide continuity
       of care to prevent shopping behaviors. INH program can be considered as
       the first intervention after the post-test counselling. High
       availability of HIV testing and the popularity of anonymous testing
       clinics are a strong impetus for studies on how to run the INH
       preventive program effectively.
 DE    AIDS-Related Opportunistic Infections/*PREVENTION & CONTROL  Feasibility
       Studies  Female  Follow-Up Studies  Human  *HIV Infections
       Isoniazid/*THERAPEUTIC USE  Male  Thailand  Tuberculosis/*PREVENTION &
       CONTROL  MEETING ABSTRACT

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