[ Prévalence de la coïnfection VIH/TB chez les patients tuberculeux pulmonaires âgés de 14 ans et plus dans la zone de santé rurale de Lubutu: Cas spécifique de HGR Lubutu (Du 1er Janvier au 31 Décembre 2017) ]
Volume 36, Issue 4, July 2022, Pages 1055–1066
Jean-Bosco Ramazani Mubwana1
1 Assistant de deuxième mandant, ISTM Kindu, RD Congo
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: The co-infection VIH / TBC is still a reality in LUBUTU and remains a major public health problem, its frequency is 34.3%. The objective of this work is to study the prevalence of HIV / CBT co-infection in pulmonary tuberculosis patients aged 14 years and over with smear-positive in HGR / LUBUTU. Methods: Our study is retrospective; Based on the prevalence of HIV / TB co-infection in the LUBUTU General Reference Hospital for a one-year period from 1 January to 31 December 2017. Our study population consisted of all patients In whom the microscopy was performed and was positive (TPM +) in this hospital and the sample consisted of patients with HIV-TB co-infection. Results: The prevalence of co-infectionVIH / TB was 34.3%. The male sex was the most represented with 65.7% of patients with a sex ratio of 1.9. The age group 35-54 Was the most represented, ie 51.5%. The out-of-school population represented 45.7%. Mineral diggers are much affected by TBC, which is 40%. Married couples are more affected by HIV / TB ie 54.3%. HIV prevalence among TB patients was 34.3% (12/35). Slimming was found in 100% of patients.66.7% of TB patients with HIV positive were in stage 4 according to the WHO. The TBC Pulmonary represents 31/35 cases or 88.6%. The smear was positive in 100% of the cases. The 2RHZE / 4RH regimen was the most established with 94.3%. The TDF+3TC (ou FTC) +EFV regimen was the most used with 66.7% of the patients who received ARV treatment. 58.3% of cases with HIV / TB co-infection improved after they adhered to TB and ARV treatment and 25% died despite treatment and 16.7% were lost from sight. Conclusion: The co-infectionVIH / TB is a morbid association which is the basis of several deaths in the community and more precisely within the HGR / LUBUTU that following the non-information of the population as regards prevention Of TBC and HIV.
Author Keywords: Co-infection, CDV, CDT, Tuberculosis, HIV.
Volume 36, Issue 4, July 2022, Pages 1055–1066
Jean-Bosco Ramazani Mubwana1
1 Assistant de deuxième mandant, ISTM Kindu, RD Congo
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: The co-infection VIH / TBC is still a reality in LUBUTU and remains a major public health problem, its frequency is 34.3%. The objective of this work is to study the prevalence of HIV / CBT co-infection in pulmonary tuberculosis patients aged 14 years and over with smear-positive in HGR / LUBUTU. Methods: Our study is retrospective; Based on the prevalence of HIV / TB co-infection in the LUBUTU General Reference Hospital for a one-year period from 1 January to 31 December 2017. Our study population consisted of all patients In whom the microscopy was performed and was positive (TPM +) in this hospital and the sample consisted of patients with HIV-TB co-infection. Results: The prevalence of co-infectionVIH / TB was 34.3%. The male sex was the most represented with 65.7% of patients with a sex ratio of 1.9. The age group 35-54 Was the most represented, ie 51.5%. The out-of-school population represented 45.7%. Mineral diggers are much affected by TBC, which is 40%. Married couples are more affected by HIV / TB ie 54.3%. HIV prevalence among TB patients was 34.3% (12/35). Slimming was found in 100% of patients.66.7% of TB patients with HIV positive were in stage 4 according to the WHO. The TBC Pulmonary represents 31/35 cases or 88.6%. The smear was positive in 100% of the cases. The 2RHZE / 4RH regimen was the most established with 94.3%. The TDF+3TC (ou FTC) +EFV regimen was the most used with 66.7% of the patients who received ARV treatment. 58.3% of cases with HIV / TB co-infection improved after they adhered to TB and ARV treatment and 25% died despite treatment and 16.7% were lost from sight. Conclusion: The co-infectionVIH / TB is a morbid association which is the basis of several deaths in the community and more precisely within the HGR / LUBUTU that following the non-information of the population as regards prevention Of TBC and HIV.
Author Keywords: Co-infection, CDV, CDT, Tuberculosis, HIV.
Abstract: (french)
Introduction: Le VIH aggrave la susceptibilité de développer la TB active et rend difficile le diagnostic bactériologique de la tuberculose. La tuberculose associée au VIH renforce les effets indésirables, parmi lesquels le syndrome de reconstitution immunitaire, pouvant survenir en cours d’instauration du traitement antituberculeux et aggraver ainsi le taux de mortalité. La co-infection VIH/TB reste encore une réalité à LUBUTU et il demeure un problème majeur de santé publique, sa fréquence s’élève à 34.3%. Le présent travail a pour objectif d’étudier la prévalence de la co-infection VIH/TB chez les patients tuberculeux pulmonaires âgés de 14 ans et plus avec bacilloscopie positive au sein de l’HGR/LUBUTU. Méthodes: Notre étude est rétrospective; basée sur la prévalence de la co-infection VIH/TB au sein de l’Hôpital Général de Référence de LUBUTU durant une période d’un an allant du 1er Janvier au 31 Décembre 2017. Notre population d’étude était composée de tous les malades chez qui la microscopie a été faite et a été positive (TPM+) au sein de cet hôpital et l’échantillon était constitué des malades ayant présenté la co-infection TB-VIH. Résultats: la prévalence de la co-infection VIH/TB s’élevé à 34.3%.Le sexe masculin a été le plus représenté avec 65,7% des patients avec un sexe ratio de 1,9. La tranche d’âge 35-54 ans était la plus représentée soit 51,5%.Les non scolarisés représente 45,7%. Les creuseurs de minerais sont beaucoup touchés par la TBC soit 40%. Les mariés sont plus touchés par le VIH/TB soit 54.3% La prévalence du VIH chez les patients tuberculeux était de 34,3% (12/35) L’amaigrissement a été retrouvé chez 100% des patients 66.7% des patients tuberculeux avec VIH Positif étaient au stade 4 selon l’OMS. La TBC Pulmonaire représente 31/35 cas soit 88.6%. La bacilloscopie était positif chez 100% des cas. Le schéma 2RHZE/4RH a été le plus institue avec 94,3%. Le schéma TDF+3TC (ou FTC) +EFV a été le plus utilisé avec 66.7% des patients ayant reçu un traitement ARV. 58.3% des cas avec co-infection VIH/TB se sont améliorés après qu’ils aient adhéré au traitement TB et ARV et 25% étaient décédés malgré le traitement et 16.7% étaient perdus de vu. Conclusion: La coïnfection VIH/TB est une association morbide qui est à la base de plusieurs décès dans la communauté et plus précisément au sein de l’HGR/LUBUTU cela suite au non accès facile aux services de prévention de la TBC et le VIH, au dépistage tardif du VIH et à l’adhésion difficile au traitement antituberculeux et antirétroviral.
Author Keywords: Coïnfection, CDV, CSDT, Tuberculose, VIH.
How to Cite this Article
Jean-Bosco Ramazani Mubwana, “Prevalence of HIV/TB co-infection in pulmonary tuberculosis patients aged 14 and over in the rural health zone of Lubutu: Specific case of HGR Lubutu (From January 1st to December 31, 2017),” International Journal of Innovation and Applied Studies, vol. 36, no. 4, pp. 1055–1066, July 2022.
