The burden of TB-HIV in the European Union - how much do we know? A survey of TB-HIV surveillance practices and results.


Kruijshaar, ME; Pimpin, L; Abubakar, I; Rice, B; Delpech, V; Drumright, LN; Hollo, V; Huitric, E; van de Laar, M; Amato-Gauci, A; Manissero, D; Ködmön, C; (2011) The burden of TB-HIV in the European Union - how much do we know? A survey of TB-HIV surveillance practices and results. The European respiratory journal, 38 (6). pp. 1374-81. ISSN 0903-1936 DOI: https://doi.org/10.1183/09031936.00198310

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Abstract

: Information on the burden of tuberculosis (TB)-HIV co-infection is critical for the planning and evaluation of TB-HIV control and treatment strategies. This study assessed current practices in countries of the European Union (EU) and European Economic Area (EEA) for monitoring HIV co-infection in TB surveillance systems, countries' current co-infection burden and associated clinical practice. An online survey was distributed to all national TB surveillance nominated European Centre for Disease Prevention and Control contact points in the EU/EEA. We received 25 responses from 30 countries (83% response rate). Patients' HIV status was collected in 18 out of the 25 TB surveillance systems, usually via clinician reporting (16 out of 18 surveillance systems). Although most countries recommended routine testing of TB patients for HIV, the proportion actually tested varied from 5% to 90%. The burden of HIV co-infection was found to be elevated in countries with higher levels of HIV testing and higher prevalence of HIV. We suggest that TB-HIV co-infection be monitored in all EU/EEA countries to facilitate the planning and evaluation of TB-HIV control strategies. Strengthening collaboration between TB and HIV clinicians and surveillance departments, and consideration of patient confidentiality restraints would be advantageous. The level of HIV testing in TB patients is low despite national recommendations and testing should be further promoted and monitored.<br/>

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Research Centre: TB Centre
PubMed ID: 21719488
Web of Science ID: 298155600022
URI: http://researchonline.lshtm.ac.uk/id/eprint/508

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