Trends in HIV/TB Coinfection in Trinidad and Tobago for the Period 1998-2007

Objectives. The aim of this study was to extend the description of the epidemiologic pattern of human immunodeficiency virus (HIV)/tuberculosis (TB) coinfection from 1998 to 2007 in a high HIV/AIDS prevalence country. Design and Methods. This study utilized registry data to determine yearly TB incid...

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Bibliographic Details
Published in:Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002) Ill. : 2002), 2009-05, Vol.8 (3), p.170-175
Main Authors: Mungrue, Kameel, Beharry, Andrew, Kalloo, Jason, Mahabir, Sunita, Maraj, Tishan, Ramoutar, Ryan, Ramsaroop, K., Solomon, Viren
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
Age Distribution
AIDS
Antiretroviral drugs
Antiretroviral therapy
CD4 Lymphocyte Count
Child
Child, Preschool
Developing Countries
Epidemiology
Female
HIV
HIV Infections - complications
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Incidence
Infant
Infant, Newborn
Male
Medical screening
Middle Aged
Mortality rates
Mycobacterium
Patients
Registries
Retrospective Studies
Risk factors
Sex Distribution
Tests
Trends
Trinidad and Tobago - epidemiology
Tuberculosis
Tuberculosis - complications
Tuberculosis - epidemiology
Young Adult
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Summary:Objectives. The aim of this study was to extend the description of the epidemiologic pattern of human immunodeficiency virus (HIV)/tuberculosis (TB) coinfection from 1998 to 2007 in a high HIV/AIDS prevalence country. Design and Methods. This study utilized registry data to determine yearly TB incidence and HIV coinfection. Mortality rates for coinfected patients were calculated and compared with patients receiving highly active antiretroviral therapy (HAART). Results. From a TB population of 2010 registered patients, data was collected on the 466 patients with HIV/TB coinfection. The coinfection rate was found to be 23.6% for the study period. Patients on HAART were twice as likely to survive. Discussion and Conclusions. The incidence of TB and HIV/TB coinfection rates continues to be major challenges in the developing world. Demographic, socioeconomic trends as well as risk factors remain unchanged. Increased HIV screening and HAART coverage offers hope for the future.
ISSN:1545-1097
2325-9574
1557-0886
2325-9582
DOI:10.1177/1545109709331471