Tuberculosis and human immunodeficiency virus coinfection: Epidemiological situation in the department of Meta, 2010- 2015

Biomedica. 2018 Aug 1;38(0):68-79. doi: 10.7705/biomedica.v38i3.3930.

Abstract

Introduction. One third of the increase in tuberculosis cases is attributed to the spread of HIV. Objective. To describe the Tb/HIV coinfection in the department of Meta from 2010 to 2015. Materials and methods. We conducted an observational, descriptive and retrospective study. After selecting 219 cases for analysis, two new databases were constructed and analyzed in three phases: Identification of sociodemographic and clinical characteristics, indicators by municipality (prevalence and therapeutic success) and stratification in epidemiological scenarios according to the prevalence (burden) of the illness. Results. Sixty percent of the municipalities corresponded to scenario 2. People with Tb/HIV coinfection who had not been treated previously, had 2.39 times more probability of having therapeutic success compared to those previously treated, this association being statistically significant (RP=2,39; 95% CI 1,3-9,6; p=0,01). Conclusion. Stratification by epidemiological scenarios is useful for planning prevention and control activities.

Keywords: Colombia; Mycobacterium tuberculosis; Tuberculosis; HIV; coinfection; drug therapy.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Coinfection / epidemiology*
  • Colombia / epidemiology
  • Databases, Factual
  • Female
  • HIV Infections / epidemiology*
  • Humans
  • Male
  • Middle Aged
  • Morbidity / trends
  • Prevalence
  • Retrospective Studies
  • Tuberculosis / epidemiology*