Туберкулез и болезни лёгких (Jun 2014)

RESULTS OF EPIDEMIOLOGICAL SURVEILLANCE OF HIV-ASSOCIATED TUBERCULOSIS IN THE REPUBLIC OF BELARUS

  • A. P. Astrovko,
  • E. M. Skryagina,
  • G. L. Gurevich,
  • A. V. Bogomazova,
  • M. I. Dyusmikeeva,
  • E. G. Fisenko

Journal volume & issue
Vol. 0, no. 6
pp. 17 – 21

Abstract

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In the Republic of Belarus, there is a significant exponential rise in the incidence of HIV-associated tuberculosis (TB) (p < 0.001) and an increase in notified new HIV/TB cases among the new TB cases from 0.68 ± 0.12% in 2002 to 7.0 ± 0.4 in 2012. The concentration of coinfections in the Gomel Region was 60.7 ± 2.0% (95% CI, 56.9-64.6). TB is one of the leading opportunistic infections leading to death in the HIV-infected: there is a significant rise in the proportion of TB in the structure of AIDS mortality (from 16.7% to 2001 to 40.3% in 2012). Cohort analysis reveals that the efficiency of treatment is significantly lower (p < 0,001) in the patients with HIV/TB than in those with TB nonconcurrent with HIV infection (successful treatment cases were twice fewer and mortality was 5-fold).

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