CO INFECTION, DESSIE REFERRAL HOSPITAL & HEALTH CENTER, Getachew G/mariam, MSc, college of Dessie health sciences, Dessie, Fikre Enqusilasie , PhD, school of public heath, Addis Ababa University, Addis Ababa, Ethiopia. Abstract
Background: tuberculosis is the most serious opportunistic infection for people infected with HIV in developing countries. A majority of co infected cases are in sub Saharan Africa, where up to 80 percent of TB patients may be co-infected with HIV. In Ethiopia, a routine national data showed the co-infection rate of 31%. HIV prevalence studies among TB patients at segmented areas of the country showed as high as 52.1% in University of Gondar hospital and as low as 18% in SNNPR. Having information about the status of co infection rate can help to improve the TB/HIV collaboration program. Thus, this study was intended to determine the rate of HIV infection and associated factors in TB patients at Dessie referral hospital and Dessie health center, Amahara national regional state.
Methods: A cross sectional analytic study was conducted from August to September 2010. As the sample size calculated from Epi info statcalc was 513, all 516 TB patients recorded from July 2009 to June 2010 (2002 EFY) were assessed for their socio demographic characteristics, TB classification, and HIV status. Data was entered and analyzed using Epi info 2002 and SPSS version 15 software.
Results: of the 516 TB patients assessed, 55% [(95%CI: 50.6% - 59.4%)] were HIV positive. The rate of HIV infection was significantly higher in TB patients with the age group of 40-49 (73.9%) and 30-39 (71.5%) years [OR = 6.61(95% CI: 1.97-23.07; p value = 0.001)] and [OR = 5.86(95% CI: 1.94-18.45; p value = 0.001) respectively. However, the rate of HIV infection between urban (56.1%) and rural (49.4%) residents, women (58.1%) and men (52.8%), hospital (57.7%) and health center (52.7%) in TB patients
References: 3. Federal Ministry of Health, Ethiopia; Tuberculosis, Leprosy and TB/HIV Prevention and Control Programme: Fourth Edition, 2008 4