Evaluation of collaborative tuberculosis and human immunodeficiency virus activities in Phnom Penh, Cambodia.
METHODS
Phnom Penh, Cambodia.


OBJECTIVE
1) To monitor the number of tuberculosis (TB) patients undergoing human immunodeficiency (HIV) testing during TB treatment and trends of referral of TB-HIV patients to HIV services following the appointment of TB-HIV coordinators in TB wards,  and 2) to investigate factors that influence undesirable TB treatment outcomes.


METHODS
Retrospective descriptive study based on a review of patient records and interviews with programme staff.


RESULTS
Eighty-six per cent of newly registered TB patients underwent HIV testing. Most of the  TB-HIV patients were referred to HIV services. Using logistic regression analysis, the risk of an undesirable treatment outcome in extra-pulmonary TB was significantly lower than in smear-positive pulmonary TB. Interviews revealed that patients in poor clinical condition at the start of TB  treatment or who faced social problems, such as homelessness or foreign nationality, were at considerable risk for undesirable TB treatment outcomes.


CONCLUSIONS
The appointment of TB-HIV coordinators to TB wards resulted in better HIV testing uptake and referral to HIV care and treatment  services. To save TB-HIV patients' lives, it is important to continue this kind of study over a longer term to monitor these activities and to identify high-risk patients.
The Research Institute of Tuberculosis, Tokyo, Japan. yokot16@mb.infoweb.ne.jp
Y
Y
Tsurugi
K K
KK
Eam
M T
MT
Eang
R
R
Uehara
Y
Y
Nakamura
K
K
Murakami
T
T
Sugiyama
N
N
Yamada
N
N
Ishikawa
D000293:Adolescent; D000328:Adult; D000368:Aged; D019380:Anti-HIV Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D002160:Cambodia / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D060085:Coinfection / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D003299:Cooperative Behavior; D003376:Counseling; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D006297:Health Services Accessibility / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009937:Organizational Objectives; D010348:Patient Care Team / Q000458:organization & administration / Q000706:statistics & numerical data; D011237:Predictive Value of Tests; D011379:Prognosis; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration / Q000706:statistics & numerical data; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D055815:Young Adult
D019380:Anti-HIV Agents; D000995:Antitubercular Agents