title: Screening and case detection for tuberculosis among people living with HIV in Addis Ababa, Ethiopia.
abstract: BACKGROUND
  The spread of HIV epidemic in Africa has resulted in a fourfold increase in the number of tuberculosis cases. Screening for tuberculosis among people living with HIV would increase case detection. In Ethiopia, it is neither practiced well nor researched in depth.
  
  
  OBJECTIVE
  To assess the proportion of Screening and Case Detection for Tuberculosis among People Living with HIV.
  
  
  METHODS
  Between February 2008 and May 2008, a cross sectional facility-based survey was conducted by exit interview of 406 people living with HIV whether they have been asked by health providers for the presence of cough or unusual lump in their lymph node sites as recommended by National TB/HIV implementation guideline from HIV chronic care.
  
  
  RESULTS
  Based on our findings, 89.7% of clients reported being screened for tuberculosis at least once during their follow-up visits. The case detection rate while screening was 15.6%. Male respondents were about two times more likely to be diagnosed for tuberculosis than females [AOR (95% CI) 2.18 (1.30-3.66)].
  
  
  CONCLUSIONS
  In general, there was high proportion of screening and case detection for tuberculosis among people living with HIV. The screening has to be well strengthened as many more active cases can be detected.
authors.affiliation: School of Public Health, Faculty of Medicine, Addis Ababa University.
authors.forename: Amenu
authors.initials: A
authors.lastname: Wesen
authors.forename: Getnet
authors.initials: G
authors.lastname: Mitike
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology*; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology
chemical_list: D019380:Anti-HIV Agents