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Determinant Factors Associated with Occurrence of Tuberculosis among Adult People Living with HIV after Antiretroviral Treatment Initiation in Addis Ababa, Ethiopia: A Case Control Study

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  • Kelemu Tilahun Kibret
  • Alemayehu Worku Yalew
  • Belaineh Girma Belaineh
  • Muluken Melese Asres

Abstract

Introduction: Tuberculosis (TB) is a leading morbidity and mortality, and the first presenting sign in majority of people living with Human Immune deficiency Virus (PLWH). Determinants of active TB among HIV patients on anti retroviral treatment (ART) are not well described in resource limited settings. The aim of this study was to assess determinant factors for the occurrence of TB among people living with HIV after ART initiation in public hospitals and health centers in Addis Ababa, Ethiopia. Methods and Findings: A case control study was conducted from December 2011 to February 2012 in 2 public hospitals and 13 health centers in Addis Ababa. The study population consisted of 204 cases and 409 controls. Cases were adult people living with HIV who developed TB after ART initiation and controls were adult people living with HIV who did not develop TB after ART initiation. An interviewer administered structured questionnaire was used to collect information. Conclusion: Increasing coverage of isoniazid preventive therapy and cotrimoxazole preventive therapy reduced risk of TB among HIV patients who started treatment. All PLWH should be screened for TB, but for patients who have advanced disease condition (WHO clinical stage III/IV, being bedridden and having hemoglobin level

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  • Kelemu Tilahun Kibret & Alemayehu Worku Yalew & Belaineh Girma Belaineh & Muluken Melese Asres, 2013. "Determinant Factors Associated with Occurrence of Tuberculosis among Adult People Living with HIV after Antiretroviral Treatment Initiation in Addis Ababa, Ethiopia: A Case Control Study," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-8, May.
    • Handle: RePEc:plo:pone00:0064488
    DOI: 10.1371/journal.pone.0064488
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    Cited by:

    1. Bekele Tesfaye & Animut Alebel & Alemu Gebrie & Abriham Zegeye & Cheru Tesema & Bekalu Kassie, 2018. "The twin epidemics: Prevalence of TB/HIV co-infection and its associated factors in Ethiopia; A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-18, October.
    2. Yasmeen Hanifa & Katherine L Fielding & Violet N Chihota & Lungiswa Adonis & Salome Charalambous & Nicola Foster & Alan Karstaedt & Kerrigan McCarthy & Mark P Nicol & Nontobeko T Ndlovu & Edina Sinano, 2017. "A clinical scoring system to prioritise investigation for tuberculosis among adults attending HIV clinics in South Africa," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-20, August.

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