POZLife: Life from the Infected and Effected point of veiw.

U.S. HIV-TB Co-infection

Posted by pozlife on October 27, 2007


On Thursday, CDC released a study on HIV-TB co-infection that found many US TB patients are still not being tested for HIV. Worldwide, TB is the leading opportunistic infection that kills people who have HIV. In the United States, CDC recommends routinely testing TB patients for HIV infection. Patients who are co-infected are five times likelier to die during TB treatment than patients who are not co-infected, according to CDC.
“HIV increases TB progression, and TB increases HIV progression. And they result in a synergy that can be deadly,” said Suzanne Marks, a CDC epidemiologist and an author of the report.
Analyzing 1993-2005 TB reports from every state but California, the researchers found that 9 percent of patients with active TB in 2005 were HIV-infected. However, the HIV status remained unknown for 31 percent of TB patients, either because they had refused HIV testing or were not offered it. In 1993, 65 percent of US TB patients were of unknown HIV serostatus.
Of patients who are TB-HIV co-infected, nearly two-thirds are black, the report found. One in six black TB patients had HIV, compared to one in 20 white TB patients.
“High rates of both HIV infection and TB disease among non-Hispanic blacks emphasize the need in this population to prevent, diagnose early, and provide access to care for both conditions,” recommended the report. “Increased promotion of routine HIV testing and rapid HIV tests might increase acceptability of testing, which would allow health care providers to know the HIV status of a greater percentage of TB patients and enable them to provide optimal care.”
The study, “Reported HIV Status of Tuberculosis Patients – United States, 1993-2005,” was published in the Morbidity and Mortality Weekly Report (2007;56(42):1103-1106).
[This summary provided by the CDC National Center for HIV, STD, and TB Prevention | Reuters | Oct. 26, 2007 | Will Dunham]


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