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Isoniazid preventive therapy among HIV infected patients on Antiretroviral Therapy diagnosed with latent tuberculosis A retrospective assessment of the outcome in Tanzania

By: Contributor(s): Material type: TextTextLanguage: English Series: ; Indian Journal of Tuberculosis Available online 26 July 2023Publication details: Mwanza, Tanzania : Catholic University of Health and Allied Sciences [CUHAS-Bugando] : 2023Description: Includes ReferencesSubject(s): Online resources: Summary: Abstract : Background : People infected with HIV are at a higher risk up to 20-folds of developing active TB than those not infected with HIV. Isoniazid Preventive Therapy (IPT) is employed in HIV eligible individuals to prevent progression of active tuberculosis (TB) disease. However, there is limited data on the efficacy of IPT in clinical settings in Tanzania and other parts of the world. This study was carried to assess the real-time IPT effectiveness in preventing TB incidences among HIV infected individuals on antiretroviral therapy. Methods : A retrospective cohort study was carried employing secondary data of 1000 HIV infected individuals receiving anti-retroviral therapy. TB incidence and associated factors were determined after a four years follow-up. Results : A total of 1000 people were enrolled in the study. The mean age was 44.87 years. The incidence rate was 7.37/1000 person-years (PY) [95% confidence interval (CI) 3.96-13.71]. One percent (1%) of patients developed active tuberculosis within four years of follow up after receiving isoniazid tablets as part of IPT. Conclusion : IPT has a high efficacy in preventing active TB development among HIV infected individuals on ART in clinical settings thus warranting the scale up of IPT services in the country.
Item type: RESEARCH ARTICLES
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Item type Current library Status Barcode
RESEARCH ARTICLES MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO Not for loan 20240611071519.0
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Abstract :

Background : People infected with HIV are at a higher risk up to 20-folds of developing active TB than those not infected with HIV. Isoniazid Preventive Therapy (IPT) is employed in HIV eligible individuals to prevent progression of active tuberculosis (TB) disease. However, there is limited data on the efficacy of IPT in clinical settings in Tanzania and other parts of the world. This study was carried to assess the real-time IPT effectiveness in preventing TB incidences among HIV infected individuals on antiretroviral therapy.

Methods : A retrospective cohort study was carried employing secondary data of 1000 HIV infected individuals receiving anti-retroviral therapy. TB incidence and associated factors were determined after a four years follow-up.

Results : A total of 1000 people were enrolled in the study. The mean age was 44.87 years. The incidence rate was 7.37/1000 person-years (PY) [95% confidence interval (CI) 3.96-13.71]. One percent (1%) of patients developed active tuberculosis within four years of follow up after receiving isoniazid tablets as part of IPT.

Conclusion : IPT has a high efficacy in preventing active TB development among HIV infected individuals on ART in clinical settings thus warranting the scale up of IPT services in the country.

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Catholic University of  Health and Allied Sciences - CUHAS
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