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McGowan, C. |
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Cahn, P. |
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Gotuzzo Herencia, José Eduardo |
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Reyes, M.W. |
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dc.date.accessioned |
2019-04-24T18:23:55Z |
|
dc.date.available |
2019-04-24T18:23:55Z |
|
dc.date.issued |
2016 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12866/6487 |
|
dc.description.abstract |
Setting: World Health Organization advocates for integration of HIV-tuberculosis (TB) services and recommends intensive case finding (ICF), isoniazid preventive therapy (IPT), and infection control ("Three I's") for TB prevention and control among persons living with HIV. Objective: To assess the implementation of the "Three I's" of TB-control at HIV treatment sites in lower income countries. Design: Survey conducted between March-July, 2012 at 47 sites in 26 countries: 6 (13%) Asia Pacific, 7 (15%), Caribbean, Central and South America, 5 (10%) Central Africa, 8 (17%) East Africa, 14 (30%) Southern Africa, and 7 (15%) West Africa. Results: ICF using symptom-based screening was performed at 38% of sites; 45% of sites used symptom-screening plus additional diagnostics. IPT at enrollment or ART initiation was implemented in only 17% of sites, with 9% of sites providing IPT to tuberculin-skin-test positive patients. Infection control measures varied: 62% of sites separated smear-positive patients, and healthcare workers used masks at 57% of sites. Only 12 (26%) sites integrated HIV-TB services. Integration was not associated with implementation of TB prevention measures except for IPT provision at enrollment (42% integrated vs. 9% nonintegrated; p = 0.03). Conclusions: Implementation of TB screening, IPT provision, and infection control measures was low and variable across regional HIV treatment sites, regardless of integration status. |
en_US |
dc.language.iso |
eng |
|
dc.publisher |
Public Library of Science |
|
dc.relation.ispartofseries |
PLoS ONE |
|
dc.rights |
info:eu-repo/semantics/restrictedAccess |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es |
|
dc.subject |
antiretrovirus agent |
en_US |
dc.subject |
isoniazid |
en_US |
dc.subject |
isoniazid |
en_US |
dc.subject |
tuberculostatic agent |
en_US |
dc.subject |
adult |
en_US |
dc.subject |
Article |
en_US |
dc.subject |
case finding |
en_US |
dc.subject |
coughing |
en_US |
dc.subject |
fever |
en_US |
dc.subject |
human |
en_US |
dc.subject |
Human immunodeficiency virus infection |
en_US |
dc.subject |
integrated health care system |
en_US |
dc.subject |
lowest income group |
en_US |
dc.subject |
mask |
en_US |
dc.subject |
night sweat |
en_US |
dc.subject |
occupational safety |
en_US |
dc.subject |
protective equipment |
en_US |
dc.subject |
screening |
en_US |
dc.subject |
sputum smear |
en_US |
dc.subject |
tuberculin test |
en_US |
dc.subject |
tuberculosis |
en_US |
dc.subject |
tuberculosis control |
en_US |
dc.subject |
weight reduction |
en_US |
dc.subject |
Africa |
en_US |
dc.subject |
AIDS-Related Opportunistic Infections |
en_US |
dc.subject |
Asia |
en_US |
dc.subject |
Caribbean |
en_US |
dc.subject |
complication |
en_US |
dc.subject |
HIV Infections |
en_US |
dc.subject |
infection control |
en_US |
dc.subject |
poverty |
en_US |
dc.subject |
South America |
en_US |
dc.subject |
tuberculosis |
en_US |
dc.subject |
world health organization |
en_US |
dc.subject |
Africa |
en_US |
dc.subject |
AIDS-Related Opportunistic Infections |
en_US |
dc.subject |
Antitubercular Agents |
en_US |
dc.subject |
Asia |
en_US |
dc.subject |
Caribbean Region |
en_US |
dc.subject |
HIV Infections |
en_US |
dc.subject |
Humans |
en_US |
dc.subject |
Infection Control |
en_US |
dc.subject |
Isoniazid |
en_US |
dc.subject |
Poverty |
en_US |
dc.subject |
South America |
en_US |
dc.subject |
Tuberculosis |
en_US |
dc.subject |
World Health Organization |
en_US |
dc.title |
Implementation of tuberculosis intensive case finding, isoniazid preventive therapy, and infection control ("Three I's") and HIV-tuberculosis service integration in lower income countries |
en_US |
dc.type |
info:eu-repo/semantics/article |
|
dc.identifier.doi |
https://doi.org/10.1371/journal.pone.0153243 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#3.01.05 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#3.02.07 |
|
dc.relation.issn |
1932-6203 |
|