Authors: Backx, Matthijs; Curtis, Hilary; Freedman, Andrew; Johnson, Margaret; on behalf of the British HIV Association BHIVA and BHIVA Clinical Audit Sub-Committee,

Source: Clinical Medicine, Journal of the Royal College of Physicians, Volume 11, Number 3, June 2011 , pp. 222-226(5)

Publisher: Royal College of Physicians

Abstract:

This audit aims to compare UK management of tuberculosis (TB)/HIV co-infection with recommended practice and to describe local care arrangements. Services providing HIV care were invited to complete a survey of care arrangements and to review case notes of HIV positive patients aged over 16 who started therapy for active TB between October 2007 and April 2008. Corresponding TB services, if separate, were invited to complete a similar survey. Responses were received from 124 of 170 HIV services, and 18 corresponding TB services. Data were obtained for 236 co-infected patients. Despite some incomplete data, this audit yielded useful findings. Many positive smear results were unacceptably delayed. The TB therapy completion rate fell short of the chief medical officer's (CMO's) 85% target. Culture confirmation of pulmonary TB met the CMO's 65% target. A high number of patients were diagnosed with HIV during investigation of TB. Contrary to current guidelines, many services do not routinely test TB patients for HIV.

Keywords: audit; clinical networks; HIV; tuberculosis

Document Type: Research article

Publication date: 2011-06-01

More about this publication?

• Clinical Medicine is published six times a year and circulated to 20,000 Fellows and Members of the Royal College of Physicians. The journal is read by physicians both established and in training in hospitals across the world. It features a wide range of articles including original papers, professional issues, clinical guidance, medical humanities, ethics and clinical governance. The journal publishes the key features from the College lectures and conferences. Each issue has a CME section which reviews the latest advances in a chosen specialty.
• Editorial Board
• Information for Authors
• Terms & Conditions
• ingentaconnect is not responsible for the content or availability of external websites

Related content

• In this: publication
• By this: publisher
• In this Subject: Internal Medicine ,  Medicine (General) ,  Public Health
• By this author: Backx, Matthijs ;  Curtis, Hilary ;  Freedman, Andrew ;  Johnson, Margaret ;  on behalf of the British HIV Association BHIVA and BHIVA Clinical Audit Sub-Committee,

Website © Publishing Technology. Article copyright remains with the publisher, society or author(s) as specified within the article.

• Terms and conditions
• Privacy policy
• Information for advertisers