Tuberculosis in HIV Patient

  • Bidhan Nidhi Paudel Department of Gastroenterology Bir Hospital, NAMS Kathmandu, Nepal
  • Punya Paudel Paropakar Hospital Thapathali Kathmandu
  • Luna Paudel BPKIHS Dharan
  • Govinda Prasad Dhungana Department of Microbiology, Shree Siddhanath Science Campus, Mahendranagar
  • Gyanendra Lal Amatya Bir Hospital Kathmandu, Nepal
  • Prakash Kandel Alabama

Abstract

Introduction: Strict monitoring of anti tuberculosis therapy (ATT) and antiretroviral therapy (ART) is crucial for proper management of TB/HIV co-infected patients.

Methods: Between December 2006 and December 2008 a prospective observational study was conducted among 135 TB/HIV co-infected patients visiting antiretroviral therapy in Seti Zonal Hospital, Dhangadi. The diagnosed TB patients were subjected to ATT through directly observed treatment short-course (DOTS) and its response was evaluated as per WHO guidelines.

Results:  Among 135 studied subjects, 71.9% were males and over 88 % of the patients were in the age group 21 to 50. Of the Total TB cases 68.1% presented pulmonary TB (PTB) and 37.20% of the Extra-pulmonary Tuberculosis (EPTB) cases were lymph node TB. 75.5% of them had completed ATT, 8.2% transfer out and 12.6% were default.

Conclusions: Majority of the patients presented PTB, and lymph node TB was found to be the most common EPTB. Comparatively, high efficacy of ATT was found in HIV patients visiting this resource poor setting.

Key words: antiretroviral therapy; anti TB therapy; Dhangadi; lymph node T; treatment response.

Author Biographies

Bidhan Nidhi Paudel, Department of Gastroenterology Bir Hospital, NAMS Kathmandu, Nepal

Senior Consultant

Department of Gastroenterology
Bir Hospital, NAMS
Kathmandu, Nepal

Punya Paudel, Paropakar Hospital Thapathali Kathmandu

Senior Registrar

Paropakar Hospital
Thapathali Kathmandu

Luna Paudel, BPKIHS Dharan

Junior Resident

BPKIHS, Dharan

Govinda Prasad Dhungana, Department of Microbiology, Shree Siddhanath Science Campus, Mahendranagar
Department of Microbiology,
Shree Siddhanath Science Campus, Mahendranagar
Gyanendra Lal Amatya, Bir Hospital Kathmandu, Nepal

Medical Officer

Bir Hospital, Kathmandu, Nepal

Published
2013-09-24
How to Cite
Paudel, B., Paudel, P., Paudel, L., Dhungana, G., Amatya, G., & Kandel, P. (2013). Tuberculosis in HIV Patient. Journal of Nepal Medical Association, 52(191). https://doi.org/10.31729/jnma.2051
Section
Original Article