Vol. 3, Issue 1 (2018)
Prevalence of HIV-TB co-infections in a Tertiary care centre in Delhi: One year hospital-based study
Author(s): Dr. Kirti Nirmal, Dr. Rohit Chawla, Dr. CP Baveja
Abstract: Background: HIV-TB co-infection is a major public health problem, which poses unprecedented challenges on the public health system in India. India bears the burden of 2.5 million people infected with HIV, of these, 40% suffer co-infection with TB. Approximately one in four deaths among PLWHA is due to TB. Aim: The present study documented the prevalence, socio-demographic profile and risk factors associated with HIV-TB co-infection. Settings and Design: A retrospective review of records of clients visiting the ICTC of a tertiary hospital in Delhi, between January and December 2016, was conducted. Statistical Method: Data collection and analysis was done using SPSS software. Materials and Methods: The patients diagnosed with HIV infection at the ICTC were referred to the linked TB center to rule out TB. While, patients diagnosed with TB at the linked TB center were referred to the ICTC for HIV testing. The HIV testing was performed as per NACO guidelines, while TB (pulmonary/ extra-pulmonary) was diagnosed as per RNTCP guidelines. The demographic, clinical and risk factors associated with HIV-TB co-infection were analyzed. Result: During present study period, 22,063 clients were tested for HIV infection at ICTC, out of these, 423 patients found to be HIV positive. HIV-TB co-infection was diagnosed in 11 (2.60%) patients (M:F =4.5:1). Most of the co-infected patients were in the sexually active age group (n=11, 81%). 10 (90%) cases of HIV-TB co-infection had pulmonary TB, while only one had extra-pulmonary TB. Conclusion: The prevalence of HIV-TB co-infection in this study was 2.6%, which is less than the prevalence reported by other Indian studies. Creating grass root level awareness coupled with aggressive case finding is the need of the hour for improving the rate of dual infections.