Abstract

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Abstract

title:VARIATION IN RESULTS OF CONVENTIONAL DIAGNOSTIC TEST OF TUBERCULOSIS IN HIV POSITIVES

Author:Shilpa B Sutariya, Hemant M Shah, Dipika A Patel, Vinod A Dandge

Keywords:HIV-TB, Montoux test, Sputum AFB

Type:Original Article

Abstract:Introduction: TB and HIV co-infection are associated with special diagnostic and therapeutic challenges and constitute an immense burden on healthcare systems of heavily infected countries like India. Rates of smear-negative pulmonary and extrapulmonary tuberculosis have been rising in countries with HIV epidemics. In persons with advanced HIV infection, disseminated and extrapulmonary TB (EPTB) are more common. The most common forms are lymphadenitis, pleural effusion, pericarditis, miliary disease and meningitis. Methodology: Current study was a cross sectional study, conducted in a tertiary care hospital of Gujarat, India. Study population comprises of all HIV patients attending the ART centre. List of HIV positive patients diagnosed with tuberculosis form sampling frame. This list was obtained from ART centre with due permission of Gujarat State AIDS Control Society. Total 100 HIV positive patients diagnosed with Tuberculosis and having age more than or equal to 18 years were selected randomly using random number table from the list. Results: Out of total 100 patients having HIV with Tuberculosis, 60 patients were having Pulmonary Tuberculosis and 40 patients were diagnosed with Extrapulmonary Tuberculosis. It was seen from the present study that Maximum number of patients from 31 to 40 years. Age group of 21 to 40 years represents around 49% of patients. sputum AFB test result of all pulmonary TB patients. It was observed that out of total 60 pulmonary TB patients, only 16 (26.7%) shows positive test result. Montoux test result of all TB patients. Out of total 100 patients, 88% patients shows negative test result. Only 1% patient shows induration of more than or equal to 10 mm.

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