Delays in HIV and TB diagnosis and treatment initiation in co-infected patients in Colombia

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dc.contributor.authorRíos Hincapié, Cielo Yaneth
dc.contributor.authorRojas, Marcela
dc.contributor.authorLópez, Martha E.
dc.contributor.authorPorras-Ramírez, Alexandra
dc.contributor.authorLuque, Ricardo
dc.contributor.authorPelissari, Daniele Maria
dc.contributor.authorLópez López, Lucelly
dc.contributor.authorRueda, Zulma Vanessa
dc.contributor.orcidPorras-Ramírez, Alexandra [0000-0002-0800-1388]
dc.date.accessioned2020-05-12T17:02:45Z
dc.date.available2020-05-12T17:02:45Z
dc.date.issued2020
dc.description.abstractenglishWe investigated the delays in the diagnosis of tuberculosis and/or HIV, their treatment initiation, and factors associated with each delay. All drug-susceptible tuberculosis cases diagnosed in 2014 and 2015 in Colombia, with a confirmed diagnosis of HIV were included. A total of 1909 patients were registered with tuberculosis/HIV co-infection. Seventy-nine percent of patients were men, 50% had sputum smear-negative tuberculosis, culture was done in 50% of cases, 68.5% had <200 CD4 cell count at diagnosis, and 35% had concurrent tuberculosis/HIV diagnosis. Delays in the tuberculosis diagnosis were identified in 54.8% of the patients, and delays in tuberculosis and HIV treatment initiation in 41.8% and 27.4%, respectively. The risk factors associated with delay in tuberculosis diagnosis were age between 15–34 and ≥45 years, and those patients who received tuberculin skin test. The risk factor associated with antiretroviral therapy initiation delay was previously-treated tuberculosis patients after failure. It is necessary to implement strategies for early detection and treatment initiation of HIV and to use rapid test for tuberculosis diagnosis in this population.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1177%2F0956462419881074
dc.identifier.issn0956-4624
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2622
dc.language.isoeng
dc.publisherSAGEspa
dc.publisher.journalInternational journal of STD and AIDSspa
dc.relation.ispartofseriesInternational journal of STD and AIDS, 0956-4624, Vol. 31, Nro. 5, 2020, p. 410-419spa
dc.relation.urihttps://journals.sagepub.com/doi/abs/10.1177/0956462419881074
dc.rights.creativecommons2020
dc.rights.localAcceso cerradospa
dc.subject.decsTerapia antirretroviral altamente activaspa
dc.subject.decsTiempo de tratamientospa
dc.subject.decsEstudio comparativospa
dc.subject.keywordsTuberculosisspa
dc.subject.keywordsHIVspa
dc.subject.keywordsAntituberculosis treatmentspa
dc.titleDelays in HIV and TB diagnosis and treatment initiation in co-infected patients in Colombiaspa
dc.title.translatedDelays in HIV and TB diagnosis and treatment initiation in co-infected patients in Colombiaspa
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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