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Impact of integrating HIV and TB care and treatment in a regional tuberculosis hospital in rural Guatemala.
AIDS Behav ; 18 Suppl 1: S96-103, 2014 Jan.
Article en En | MEDLINE | ID: mdl-23959143
Resource-limited settings have made slow progress in integrating TB and HIV care for co-infected patients. We examined the impact of integrated TB/HIV care on clinical and survival outcomes in rural western Guatemala. Prospective data from 254 newly diagnosed TB/HIV patients (99 enrolled in the pre-integrated program from August 2005 to July 2006, and 155 enrolled in the integrated program from February 2008 to January 2009) showed no significant baseline differences between clients in the two periods. They were principally male (65.5 %), Mayan (71 %), median age 33 years, and CD4 count averaged 111 cells/mm³. TB/HIV co-infected patients were more likely to receive antiretroviral therapy in the integrated program than in the pre-integrated program (72 vs. 22 %, respectively) and had lower mortality (HR 0.22, 95 % CI 0.14­0.33). This study shows how using a TB setting as the entry point for integrated TB/HIV care can improve health outcomes for HIV-positive patients in rural Guatemala.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tuberculosis / Evaluación de Programas y Proyectos de Salud / Infecciones por VIH / Prestación Integrada de Atención de Salud / Fármacos Anti-VIH / Antituberculosos Tipo de estudio: Evaluation_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America central / Guatemala Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tuberculosis / Evaluación de Programas y Proyectos de Salud / Infecciones por VIH / Prestación Integrada de Atención de Salud / Fármacos Anti-VIH / Antituberculosos Tipo de estudio: Evaluation_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America central / Guatemala Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos