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M94A1908.TXT
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1994-10-24
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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
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).