       Document 0456
 DOCN  M9630456
 TI    An audit of HIV testing and HIV serostatus in tuberculosis patients,
       Blantyre, Malawi.
 DT    9603
 AU    Harries AD; Maher D; Mvula B; Nyangulu D; Department of Medicine, Queen
       Elizabeth Central Hospital,; Blantyre, Malawi.
 SO    Tuber Lung Dis. 1995 Oct;76(5):413-7. Unique Identifier : AIDSLINE
       MED/96091565
 AB    SETTING: Queen Elizabeth Central Hospital, Blantyre, Malawi. OBJECTIVE:
       An audit of voluntary HIV testing, with pre- and post-test counselling,
       of adult patients diagnosed with all types of tuberculosis. DESIGN: A
       review of case files of adult patients with tuberculosis registered with
       the District Tuberculosis Officer, Blantyre, between April 1993 and
       March 1994. RESULTS: There were 1095 tuberculosis patients, mean age 32
       years, of whom 665 (60.7%) had HIV-serological testing. 496 patients
       (74.6% of those tested) were HIV seropositive. 73% of patients who were
       hospitalized for the initial intensive phase of treatment were
       HIV-tested compared with 37% of patients who received ambulatory
       chemotherapy (P < 0.001). In patients HIV-tested, 5 did not wish to know
       their results and post-test counselling was done in 516 (78%). 23
       patients refused HIV testing. 362 (84%) patients not HIV-tested never
       received pre-test counselling. Of 664 patients who received 2SRHZ/6HT(E)
       in hospital, 84 (12.6%) patients died and 8 (1.2%) absconded. The
       abscondee rate was unrelated to HIV serostatus. CONCLUSION: A large
       proportion of tuberculosis patients who receive supervised treatment in
       hospital accept confidential HIV testing and the abscondee rate is low.
       The clinical management of patients is improved.
 DE    Adult  Ambulatory Care  *AIDS Serodiagnosis  Comparative Study
       Hospitalization  Human  HIV Seropositivity/COMPLICATIONS/*DIAGNOSIS
       *Medical Audit  Patient Dropouts  Tuberculosis/*COMPLICATIONS/DRUG
       THERAPY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

