Medical Department, Operational Center Brussels, MSF-Luxembourg, Luxembourg.
Trop Med Int Health. 2011 Nov;16(11):1380-3. doi: 10.1111/j.1365-3156.2011.02863.x. Epub 2011 Aug 11.
Using data of human immunodeficiency virus-positive patients with tuberculosis from three primary care clinics in Kibera slums, Nairobi, Kenya, we report on the proportion that started antiretroviral treatment (ART) and attrition (deaths, lost to follow-up and stopped treatment) before and while on ART. Of 427 ART eligible patients, enrolled between January 2004 and December 2008, 70% started ART, 19% were lost to attrition and 11% had not initiated ART. Of those who started ART, 14% were lost to attrition, making a cumulative pre-ART and ART attrition of 33%. ART uptake among patients with TB was relatively good, but programme attrition was high and needs urgent addressing.
利用肯尼亚内罗毕基贝拉贫民窟三家初级保健诊所的人类免疫缺陷病毒阳性结核病患者的数据，我们报告了在开始抗逆转录病毒治疗（ART）之前和之后开始接受治疗的比例（死亡、失访和停止治疗）。在 2004 年 1 月至 2008 年 12 月期间纳入的 427 名符合 ART 条件的患者中，70%开始接受 ART，19%失访，11%尚未开始接受 ART。在开始接受 ART 的患者中，14%失访，因此，在开始接受 ART 之前和之后的累计失访率为 33%。结核病患者接受 ART 的比例相对较高，但方案失访率很高，需要紧急解决。
