Delays in HIV and TB diagnosis and treatment initiation in co-infected patients in Colombia
dc.contributor.author | Ríos Hincapié, Cielo Yaneth | |
dc.contributor.author | Rojas, Marcela | |
dc.contributor.author | López, Martha E. | |
dc.contributor.author | Porras-Ramírez, Alexandra | |
dc.contributor.author | Luque, Ricardo | |
dc.contributor.author | Pelissari, Daniele Maria | |
dc.contributor.author | López López, Lucelly | |
dc.contributor.author | Rueda, Zulma Vanessa | |
dc.contributor.orcid | Porras-Ramírez, Alexandra [0000-0002-0800-1388] | |
dc.date.accessioned | 2020-05-12T17:02:45Z | |
dc.date.available | 2020-05-12T17:02:45Z | |
dc.date.issued | 2020 | |
dc.description.abstractenglish | We 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.mimetype | application/pdf | |
dc.identifier.doi | https://doi.org/10.1177%2F0956462419881074 | |
dc.identifier.issn | 0956-4624 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12495/2622 | |
dc.language.iso | eng | |
dc.publisher | SAGE | spa |
dc.publisher.journal | International journal of STD and AIDS | spa |
dc.relation.ispartofseries | International journal of STD and AIDS, 0956-4624, Vol. 31, Nro. 5, 2020, p. 410-419 | spa |
dc.relation.uri | https://journals.sagepub.com/doi/abs/10.1177/0956462419881074 | |
dc.rights.creativecommons | 2020 | |
dc.rights.local | Acceso cerrado | spa |
dc.subject.decs | Terapia antirretroviral altamente activa | spa |
dc.subject.decs | Tiempo de tratamiento | spa |
dc.subject.decs | Estudio comparativo | spa |
dc.subject.keywords | Tuberculosis | spa |
dc.subject.keywords | HIV | spa |
dc.subject.keywords | Antituberculosis treatment | spa |
dc.title | Delays in HIV and TB diagnosis and treatment initiation in co-infected patients in Colombia | spa |
dc.title.translated | Delays in HIV and TB diagnosis and treatment initiation in co-infected patients in Colombia | spa |
dc.type | article | spa |
dc.type.hasversion | info:eu-repo/semantics/publishedVersion | |
dc.type.local | artículo | spa |
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