AIDSWEEKLY Plus; Monday, July 13 & 20, 1998
Daniel J. DeNoon, Senior Editor
Moreover, a large proportion of patients with HIV develop TB because they do not receive recommended preventative treatment.
"These patients often do not feel sick when they are first diagnosed with HIV," said Robert Horsburgh Jr. of Emory University, Atlanta, Georgia. "The treatment regimens are complex and not always affordable."
Horsburgh and colleagues reported their findings in a presentation to the XII World AIDS Conference, held June 28-July 3, 1998, in Geneva, Switzerland.
The researchers analyzed the cases of all TB patients diagnosed from 1991 to 1996 at a large urban hospital in Atlanta, Georgia. They found 1,203 cases of TB; 41 percent of these patients also were infected with HIV.
In the period 1994 to 1996, 118 patients presented with TB infection and underlying HIV infection. Forty-one percent of these patients first discovered they were HIV positive at the time of their TB diagnosis. Among the 70 patients who knew they were infected with HIV before developing active TB, only 14 (20 percent) had attended the HIV clinic before being diagnosed with TB.
The number of new patients with TB dropped from 255 in 1990 to 175 in 1996, but the percentage of patients with underlying HIV infection did not change.
Support for the study came from the Georgia Department of Human Resources and the National Institutes of Health.
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