RT Journal Article
SR Electronic
T1 British HIV Association national audit on the management of patients co-infected with tuberculosis and HIV
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 222
OP 226
DO 10.7861/clinmedicine.11-3-222
VO 11
IS 3
A1 Backx, Matthijs
A1 Curtis, Hilary
A1 Freedman, Andrew
A1 Johnson, Margaret
A1 ,
YR 2011
UL http://www.rcpjournals.org/content/11/3/222.abstract
AB This audit aims to compare UK management of tuberculosis (TB)/HIV co-infection with recommended practice and to describe local care arrangements. Services providing HIV care were invited to complete a survey of care arrangements and to review case notes of HIV positive patients aged over 16 who started therapy for active TB between October 2007 and April 2008. Corresponding TB services, if separate, were invited to complete a similar survey. Responses were received from 124 of 170 HIV services, and 18 corresponding TB services. Data were obtained for 236 co-infected patients. Despite some incomplete data, this audit yielded useful findings. Many positive smear results were unacceptably delayed. The TB therapy completion rate fell short of the chief medical officer's (CMO's) 85% target. Culture confirmation of pulmonary TB met the CMO's 65% target. A high number of patients were diagnosed with HIV during investigation of TB. Contrary to current guidelines, many services do not routinely test TB patients for HIV.