Phthisiology

doi: 10.25005/2074-0581-2018-20-2-3-202-206
RESULTS OF ASSESSMENT OF SERVICES ON DETECTION AND DIAGNOSTICS OF TUBERCULOSIS PROVIDED TO PEOPLE LIVING WITH HIV

B.A. Akmatova

Department of Infectious Diseases, HIV/AIDS and Dermatovenereology, Kyrgyz State Medical Institute for Retraining and Advanced Studies, Bishkek, Kyrgyz Republic

Objective: Assessment of services to detect and diagnose of tuberculosis (TB) people living with HIV (PLHIV).

Methods: Service evaluation conducted on four sites attracted in this study. Conducted semi-structured interviews in small groups with staff (32 people) and 20 PLHIV (including 7 patients with TB/HIV) aged 28-59 years; analysis of retrospective program monitoring data from the electronic tracking system (ETS) for cases of HIV infection for the year 2015. Data analysis of the survey of PLHIV carried out with the help of the EpiInfo program. The data interviews of key partners and medical staff were grouped by topics. The data of the ETS adjusted from the medical records of the patients. The extraction of data from the ETS system was carried out in an impersonal and aggregated form. The study design is convergent.

Results: The percentage of PLHIV who have undergone clinical screening for tuberculosis during their last visit ranges from 57% to 79%, and among PLHIV who use injecting drugs, 67% to 83%. The percentage of PLHIV who underwent X-ray examination in 2015 ranged from 53% to 96%, and among PLHIV using injecting drugs, from 52% to 94%. The process of diagnosing tuberculosis in PLHIV is sometimes delayed due to a number of barriers preventing modern collections of services for tuberculosis.

Conclusions: Close cooperation and continuity between the TB service, AIDS services and primary health care to allow improved the detection and diagnosis of tuberculosis in PLHIV.

Keywords: Tuberculosis, HIV infection, people living with HIV, interview, clinical screening for tuberculosis.

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Authors informations:

Akmatova Begayym Akbagyshovna, Candidate of Medical Sciences, Acting Associate Professor of the Department of Infectious Diseases, HIV/AIDS and Dermatovenereology, Kyrgyz State Medical Institute for Retraining and Advanced Studies

Address for correspondence:

Akmatova Begayym Akbagyshovna

Candidate of Medical Sciences, Acting Associate Professor of the Department of Infectious Diseases, HIV/AIDS and Dermatovenereology, Kyrgyz State Medical Institute for Retraining and Advanced Studies

720010, Kyrgyz Republic, Bishkek, Moscovskaya str., 221-22

Tel.: (+996) 555 337778

E-mail: begai@mail.ru

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