Universal HIV screening at a major metropolitan TB clinic: HIV prevalence and high-risk behaviors among TB patients.
OBJECTIVE
This study assessed the outcome of implementing a policy of universal screening of patients with tuberculosis (TB) for HIV infection at a major metropolitan public health TB clinic.


METHODS
HIV serologic testing was completed on 768 (93%) of 825 eligible patients. Ninety-eight HIV-positive cases (13%) were compared with 670 HIV-negative cases. The presence of adult HIV risk factors was determined by structured interview and review of medical records.


RESULTS
One or more HIV risk factors were present in 93% of HIV-positive cases and 42% of HIV-negative cases.


CONCLUSIONS
The metropolitan TB clinic is well suited for HIV screening, and HIV-antibody testing and counseling should be provided to all TB patients.
Weis
S E
SE
Department of Medicine, University of North Texas Health Science Center, Fort Worth 76107, USA. sweis@hsc.unt.edu
Foresman
B
B
Cook
P E
PE
Matty
K J
KJ
D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D016022:Case-Control Studies; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis*; D018023:HIV Seronegativity; D015438:Health Behavior; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000458:organization & administration*; D008875:Middle Aged; D016134:Organizational Policy; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D012307:Risk Factors; D012309:Risk-Taking; D011795:Surveys and Questionnaires; D013781:Texas; D014376:Tuberculosis / Q000150:complications* / Q000523:psychology*; D019037:Urban Health Services / Q000458:organization & administration*