HIV testing among persons with tuberculosis (TB) results in high-yield identification of persons infected with HIV. To evaluate differences in HIV testing among children versus adults with TB in Vietnam, we collected ...HIV testing among persons with tuberculosis (TB) results in high-yield identification of persons infected with HIV. To evaluate differences in HIV testing among children versus adults with TB in Vietnam, we collected and analyzed age-disaggregated facility and aggregated provincial data from the National Tuberculosis Program. HIV testing was incompletely documented for >70% of children, whereas adult testing data were >90% complete. Standardized training of personnel for universal HIV testing and documentation for children with TB could improve HIV case-detection and permit linking of children with HIV to antiretroviral treatment to prevent morbidity and mortality.展开更多
Background:Tuberculosis(TB)and HIV remain a major causes of morbidity and mortality globally.We conducted an analysis of TB/HIV surveillance data to describe the trends in HIV testing coverage and HIV positivity rate ...Background:Tuberculosis(TB)and HIV remain a major causes of morbidity and mortality globally.We conducted an analysis of TB/HIV surveillance data to describe the trends in HIV testing coverage and HIV positivity rate among TB patients in Viet Nam,2011-2017.Main text:This was a descriptive study based on review and analysis of surveillance data from the National Tuberculosis Control Programme from 2011 to 2017.During this period,721342 TB cases were diagnosed.Of these,520490(72.2%)had a previously documented HIV status or were tested for HIV during TB care and treatment.The proportion of TB patients whose HIV status was reported increased,from 58.5%in 2011 to 82.9%in 2017(P value for trend=0.014).The proportion of TB patients infected with HIV decreased,from 8.0%in 2011 to 3.7%in 2017(P value for trend=0.018).Conclusions:The proportion of TB patients with a reported HIV status was increased from 2011 to 2017,however HIV testing coverage remained below the National Tuberculosis Control Programme targets(>90%).National Tuberculosis Control Programme needs to focus on ensuring eveny registered TB patients has a documented HIV status,ensuring full coverage of HIV testing as part of routine TB care.展开更多
文摘HIV testing among persons with tuberculosis (TB) results in high-yield identification of persons infected with HIV. To evaluate differences in HIV testing among children versus adults with TB in Vietnam, we collected and analyzed age-disaggregated facility and aggregated provincial data from the National Tuberculosis Program. HIV testing was incompletely documented for >70% of children, whereas adult testing data were >90% complete. Standardized training of personnel for universal HIV testing and documentation for children with TB could improve HIV case-detection and permit linking of children with HIV to antiretroviral treatment to prevent morbidity and mortality.
文摘Background:Tuberculosis(TB)and HIV remain a major causes of morbidity and mortality globally.We conducted an analysis of TB/HIV surveillance data to describe the trends in HIV testing coverage and HIV positivity rate among TB patients in Viet Nam,2011-2017.Main text:This was a descriptive study based on review and analysis of surveillance data from the National Tuberculosis Control Programme from 2011 to 2017.During this period,721342 TB cases were diagnosed.Of these,520490(72.2%)had a previously documented HIV status or were tested for HIV during TB care and treatment.The proportion of TB patients whose HIV status was reported increased,from 58.5%in 2011 to 82.9%in 2017(P value for trend=0.014).The proportion of TB patients infected with HIV decreased,from 8.0%in 2011 to 3.7%in 2017(P value for trend=0.018).Conclusions:The proportion of TB patients with a reported HIV status was increased from 2011 to 2017,however HIV testing coverage remained below the National Tuberculosis Control Programme targets(>90%).National Tuberculosis Control Programme needs to focus on ensuring eveny registered TB patients has a documented HIV status,ensuring full coverage of HIV testing as part of routine TB care.