Servicio de orientacion y deteccion de VIH vinculado a un programa comunitario antituberculoso en una poblacion de alto riesgo

Translated title of the contribution: Wide-spread HIV counseling and testing linked to a community-based tuberculosis control program in a high-risk population

J. Desormeaux, M. P. Johnson, J. S. Coberly, P. Losikoff, E. Johnson, R. Huebner, L. Geiter, H. Davis, J. Atkinson, R. E. Chaisson, R. Boulos, N. A. Halsey

Research output: Contribution to journalArticle

Abstract

The aim of the work reported here was to evaluate community-wide screening for HIV infection that was linked to a tuberculosis control program in a population at high risk for both infections. Between May 1990 and August 1992, adults in Cite Soleil, Haiti, were recruited by community health workers at their homes and in clinics for individual, clinic-based counseling and testing for HIV and tuberculosis. All of the screened subjects were offered post-test HIV counseling. Those with active tuberculosis received treatment, while those with latent tuberculosis and HIV infection were offered an opportunity to participate in a trial of antituberculosis chemoprophylaxis. The 10611 individuals screened for HIV represented 10.0% of the adult population in Cite Soleil. HIV infection was detected in 1629 (15.4%) and active tuberculosis in 242 (2.3%). Latent M. tuberculosis infection was found in 4800 (67.5%) of 7309 community residents who completed tuberculosis screening, 781 (16.3%) of whom were coinfected with HIV. The high prevalence of HIV infection found in this screened population, as compared to other groups undergoing HIV screening in the same community, suggests that people at high risk for HIV infection selectively sought or accepted tuberculosis clinic screening. Also, many people with active tuberculosis were identified earlier in the course of their disease than they would have been in the absence of a screening program. Overall, the results indicate that community-based screening for HIV infection within a tuberculosis control program can result in effective targeting of screening for both infections.

Translated title of the contributionWide-spread HIV counseling and testing linked to a community-based tuberculosis control program in a high-risk population
Original languageSpanish
Pages (from-to)463-471
Number of pages9
JournalBoletin de la Oficina Sanitaria Panamericana
Volume120
Issue number6
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Environmental Science(all)
  • Public Health, Environmental and Occupational Health
  • Earth and Planetary Sciences(all)

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    Desormeaux, J., Johnson, M. P., Coberly, J. S., Losikoff, P., Johnson, E., Huebner, R., Geiter, L., Davis, H., Atkinson, J., Chaisson, R. E., Boulos, R., & Halsey, N. A. (1996). Servicio de orientacion y deteccion de VIH vinculado a un programa comunitario antituberculoso en una poblacion de alto riesgo. Boletin de la Oficina Sanitaria Panamericana, 120(6), 463-471.