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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.
KEYWORDS: Co-infection, CDV, CDT, Tuberculosis, HIV.
RESUME: 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...