Integration of HIV testing in tuberculosis drug resistance surveillance in Kazakhstan and Kenya [Short communication]
Abstract:In Kenya and Kazakhstan, integration of human immunodeficiency virus (HIV) testing results into the routine surveillance of multidrug-resistant tuberculosis (MDR-TB) proved feasible and useful. The integration process improved overall data quality and data validation capacity, and integrated data are a useful addition to routine cohort and treatment outcome data. Besides their importance for individual patient care, they provide trends on the association of MDR-TB and HIV in the routine programme setting. They also form a useful epidemiological basis for more specific studies, such as on nosocomial outbreaks. Whether the system itself is sensitive enough to monitor possible outbreaks needs further investigation.
Document Type: Research Article
Affiliations: 1: KNCV Tuberculosis Foundation, The Hague, The Netherlands; Center for Infection and Immunity Amsterdam, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands 2: National Center for Tuberculosis Problems, Ministry of Health Kazakhstan, Almaty, Kazakhstan 3: Division of Leprosy, Tuberculosis and Lung Disease, Ministry of Public Health and Sanitation, Nairobi, Kenya; World Health Organization, Kenya Country Office, Nairobi, Kenya 4: Central Reference Laboratory, Ministry of Public Health and Sanitation, Nairobi, Kenya 5: KNCV Tuberculosis Foundation, Almaty, Kazakhstan 6: KNCV Tuberculosis Foundation, Nairobi, Kenya 7: KNCV Tuberculosis Foundation, The Hague, The Netherlands
Publication date: May 1, 2012
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
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