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Tuberculosis among Ambulatory People Living with HIV in Guangxi Province, China: A Longitudinal Study

Author

Listed:
  • Zhezhe Cui

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China
    These authors contributed equally to this work.)

  • Fei Huang

    (National Center for TB Control and Prevention, China CDC, Beijing 100013, China
    These authors contributed equally to this work.)

  • Dabin Liang

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China
    These authors contributed equally to this work.)

  • Yan Huang

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

  • Huifang Qin

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

  • Jing Ye

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

  • Liwen Huang

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

  • Chongxing Zhou

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

  • Minying Huang

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

  • Xiaoyan Liang

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

  • Fengxue Long

    (School of Public Health, Guangxi Medical University, Nanning 530021, China)

  • Yanlin Zhao

    (National Center for TB Control and Prevention, China CDC, Beijing 100013, China)

  • Mei Lin

    (Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China)

Abstract

Background: This study aims to determine the prevalence of TB among ambulatory people living with HIV in Guangxi Province, which experienced the biggest HIV epidemic in China. Methods: We undertook a longitudinal study in five HIV/AIDS designated hospitals randomly selected from Guangxi Province; all newly diagnosed HIV/AIDS outpatients from 2019 to 2021 were screened for TB and interviewed with a questionnaire. Results: A total of 4539 HIV/AIDS outpatients were enrolled, with 2886 (63.6%) men and 1653 (26.4%) women. The prevalence of TB/HIV coinfection was 0.8%, with a clear downward trend from 1.3% in 2019 to 0.4% in 2021 ( p = 0.0011). The prevalence of LTBI was 24.3%, with no significant differences from 2019 to 2021. The percentages of AIDS, comorbidity, nine symptoms and abnormal chest X-ray of TB were higher than those of the other PLWH. Conclusion: The prevalence of TB among ambulatory people with HIV in Guangxi Province was 14 times higher than the general population, and the annual declined TB prevalence indicated the effectiveness of TB and HIV control and prevention over recent years. The findings proved that symptom screening was insufficient for TB diagnosis and highlighted the importance of systematic TB screening at every visit to a health facility.

Suggested Citation

  • Zhezhe Cui & Fei Huang & Dabin Liang & Yan Huang & Huifang Qin & Jing Ye & Liwen Huang & Chongxing Zhou & Minying Huang & Xiaoyan Liang & Fengxue Long & Yanlin Zhao & Mei Lin, 2022. "Tuberculosis among Ambulatory People Living with HIV in Guangxi Province, China: A Longitudinal Study," IJERPH, MDPI, vol. 19(19), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12280-:d:926997
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    References listed on IDEAS

    as
    1. Leslie Roberts, 2021. "How COVID is derailing the fight against HIV, TB and malaria," Nature, Nature, vol. 597(7876), pages 314-314, September.
    2. Haileyesus Getahun & Wanitchaya Kittikraisak & Charles M Heilig & Elizabeth L Corbett & Helen Ayles & Kevin P Cain & Alison D Grant & Gavin J Churchyard & Michael Kimerling & Sarita Shah & Stephen D L, 2011. "Development of a Standardized Screening Rule for Tuberculosis in People Living with HIV in Resource-Constrained Settings: Individual Participant Data Meta-analysis of Observational Studies," PLOS Medicine, Public Library of Science, vol. 8(1), pages 1-14, January.
    Full references (including those not matched with items on IDEAS)

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