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Free Content Evaluation of collaborative tuberculosis and human immunodeficiency virus activities in Phnom Penh, Cambodia

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SETTING: Phnom Penh, Cambodia. OBJECTIVES: 1) To monitor the number of tuberculosis (TB) patients undergoing human immunodeficiency (HIV) testing during TB treatment and trends of referral of TB-HIV patients to HIV services following the appointment of TB-HIV coordinators in TB wards, and 2) to investigate factors that influence undesirable TB treatment outcomes. DESIGN: Retrospective descriptive study based on a review of patient records and interviews with programme staff. RESULTS: Eighty-six per cent of newly registered TB patients underwent HIV testing. Most of the TB-HIV patients were referred to HIV services. Using logistic regression analysis, the risk of an undesirable treatment outcome in extra-pulmonary TB was significantly lower than in smear-positive pulmonary TB. Interviews revealed that patients in poor clinical condition at the start of TB treatment or who faced social problems, such as homelessness or foreign nationality, were at considerable risk for undesirable TB treatment outcomes. CONCLUSION: The appointment of TB-HIV coordinators to TB wards resulted in better HIV testing uptake and referral to HIV care and treatment services. To save TB-HIV patients' lives, it is important to continue this kind of study over a longer term to monitor these activities and to identify high-risk patients.
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Keywords: CAMBODIA; HUMAN IMMUNODEFICIENCY VIRUS; TB-HIV; TUBERCULOSIS

Document Type: Research Article

Affiliations: 1: The Research Institute of Tuberculosis, Tokyo, Japan 2: National Center for Tuberculosis and Leprosy Control (CENAT), Phnom Penh, Cambodia 3: Department of Public Health, Jichi Medical University, Tochigi-ken, Japan

Publication date: November 1, 2011

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  • 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.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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