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M9630456.TXT
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1996-02-27
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Document 0456
DOCN M9630456
TI An audit of HIV testing and HIV serostatus in tuberculosis patients,
Blantyre, Malawi.
DT 9603
AU Harries AD; Maher D; Mvula B; Nyangulu D; Department of Medicine, Queen
Elizabeth Central Hospital,; Blantyre, Malawi.
SO Tuber Lung Dis. 1995 Oct;76(5):413-7. Unique Identifier : AIDSLINE
MED/96091565
AB SETTING: Queen Elizabeth Central Hospital, Blantyre, Malawi. OBJECTIVE:
An audit of voluntary HIV testing, with pre- and post-test counselling,
of adult patients diagnosed with all types of tuberculosis. DESIGN: A
review of case files of adult patients with tuberculosis registered with
the District Tuberculosis Officer, Blantyre, between April 1993 and
March 1994. RESULTS: There were 1095 tuberculosis patients, mean age 32
years, of whom 665 (60.7%) had HIV-serological testing. 496 patients
(74.6% of those tested) were HIV seropositive. 73% of patients who were
hospitalized for the initial intensive phase of treatment were
HIV-tested compared with 37% of patients who received ambulatory
chemotherapy (P < 0.001). In patients HIV-tested, 5 did not wish to know
their results and post-test counselling was done in 516 (78%). 23
patients refused HIV testing. 362 (84%) patients not HIV-tested never
received pre-test counselling. Of 664 patients who received 2SRHZ/6HT(E)
in hospital, 84 (12.6%) patients died and 8 (1.2%) absconded. The
abscondee rate was unrelated to HIV serostatus. CONCLUSION: A large
proportion of tuberculosis patients who receive supervised treatment in
hospital accept confidential HIV testing and the abscondee rate is low.
The clinical management of patients is improved.
DE Adult Ambulatory Care *AIDS Serodiagnosis Comparative Study
Hospitalization Human HIV Seropositivity/COMPLICATIONS/*DIAGNOSIS
*Medical Audit Patient Dropouts Tuberculosis/*COMPLICATIONS/DRUG
THERAPY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).