A Comparative Study for Incidence of Tuberculosis between HIV & non HIV patients attending RNTCP at Government General Hospital , Krishna District Vijayawada

Poosapati Ratna Kumari, Boorgula Sushma Yadav

Abstract


The present study was carried out to ascertain the incidence of Tuberculosis among HIV positive patients correlating with their CD4 counts and to compare this result with the incidence of Tuberculosis among non HIV individuals . This study was conducted from July to October 2012 at Revised National Tuberculosis Control Programme (RNTCP) Centre , Government General Hospital ,Vijayawada Andhra Pradesh , India. All new cases (HIV & non HIV) were screened for tuberculosis positive by testing early morning sputum samples by fluorescent microscopy , using Auramine O Staining . HIV cases were further classified in correlation with their CD4 count . 310 HIV positive patients were screened for tuberculosis , 46 (16 females & 30 males) i.e.. 14.838% were found to be Tuberculosis positive Among 46 HIV positives ,based on CD4 count 28 (60.86%) individuals (10 females , 18 males ) had CD4 count below 200 .18 (39.13%) individuals (8 females , 10 males ) had CD4 count between 200 -500 . Where as in 845 non HIV individuals , 80 ( 16 females & 64 males ) i.e.. 9.467% were found to be Tuberculosis positive . The study reveals that 14.838% of HIV patients were diagnosed for Tuberculosis when compared to non HIV , 9.467% have been diagnosed . Incidence rate of Tuberculosis is more in CD4 count , less than 200 (60.86%) . Tuberculosis is one of the important opportunistic infection in HIV seropositive individuals in India . Its incidence underscores for strategies leading to rapid identification and treatment .

 

Key words : HIV , Tuberculosis ,CD4 counts , RNTCP .


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