PMID- 27051604
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160407
LR  - 20200930
IS  - 2220-8372 (Print)
IS  - 2220-8372 (Electronic)
IS  - 2220-8372 (Linking)
VI  - 6
IP  - 1
DP  - 2016 Mar 21
TI  - Collaborative activities and treatment outcomes in patients with HIV-associated 
      tuberculosis in Viet Nam.
PG  - 8-14
LID - 10.5588/pha.16.0011 [doi]
AB  - SETTING: The National Tuberculosis (TB) Programme in Viet Nam and Ho Chi Minh 
      City (HCMC). OBJECTIVES: To determine 1) at national level between 2011 and 2013, 
      the relationship between human immunodeficiency virus (HIV) testing, uptake of 
      TB-HIV interventions and adverse treatment outcomes among TB-HIV patients; and 2) 
      in HCMC in 2013, patient characteristics associated with adverse outcomes. 
      DESIGN: An ecological study reviewing aggregate nationwide data and a 
      retrospective cohort review in HCMC. RESULTS: Nationwide, from 2011 to 2013, HIV 
      testing increased in TB patients from 58% to 68% and antiretroviral therapy (ART) 
      increased in TB-HIV patients from 54% to 63%. Adverse treatment outcomes in 
      TB-HIV patients increased from 24% to 27%, largely due to transfer out (5-9% 
      increase) and death. The Northern and Highland regions showed poor uptake of 
      TB-HIV interventions. In HCMC, 303 (27%) of 1110 TB-HIV patients had adverse 
      outcomes, with higher risks observed in those with previously treated TB, those 
      diagnosed as HIV-positive before TB onset and those never placed on cotrimoxazole 
      or ART. CONCLUSION: Despite improving HIV testing rates and TB-HIV interventions, 
      adverse outcomes in TB-HIV patients remain at about 26%. Characteristics 
      predicting higher risk of adverse outcomes must be addressed if Viet Nam wishes 
      to end the TB epidemic by 2030.
FAU - Huyen, T T T
AU  - Huyen TT
AD  - Viet Nam National Tuberculosis Control Programme/National Lung Hospital, Hanoi, 
      Viet Nam.
FAU - Nhung, N V
AU  - Nhung NV
AD  - Viet Nam National Tuberculosis Control Programme/National Lung Hospital, Hanoi, 
      Viet Nam.
FAU - Shewade, H D
AU  - Shewade HD
AD  - International Union Against Tuberculosis and Lung Disease (The Union) South-East 
      Asia Regional Office, New Delhi, India.
FAU - Hoa, N B
AU  - Hoa NB
AD  - Viet Nam National Tuberculosis Control Programme/National Lung Hospital, Hanoi, 
      Viet Nam ; The Union, Paris, France.
FAU - Harries, A D
AU  - Harries AD
AD  - The Union, Paris, France ; London School of Hygiene & Tropical Medicine, London, 
      UK.
LA  - eng
PT  - Journal Article
PL  - France
TA  - Public Health Action
JT  - Public health action
JID - 101624961
PMC - PMC4809731
OTO - NOTNLM
OT  - SORT IT
OT  - adverse treatment outcomes
OT  - antiretroviral therapy
OT  - cotrimoxazole preventive therapy
OT  - operational research
EDAT- 2016/04/07 06:00
MHDA- 2016/04/07 06:01
PMCR- 2016/03/21
CRDT- 2016/04/07 06:00
PHST- 2016/01/19 00:00 [received]
PHST- 2016/02/05 00:00 [accepted]
PHST- 2016/04/07 06:00 [entrez]
PHST- 2016/04/07 06:00 [pubmed]
PHST- 2016/04/07 06:01 [medline]
PHST- 2016/03/21 00:00 [pmc-release]
AID - 10.5588/pha.16.0011 [doi]
PST - ppublish
SO  - Public Health Action. 2016 Mar 21;6(1):8-14. doi: 10.5588/pha.16.0011.