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津巴布韦 HIV 阳性男男性行为者中存在肺结核症状。

Presence of tuberculosis symptoms among HIV-positive men who have sex with men (MSM) in Zimbabwe.

机构信息

ICAP in Zimbabwe, Harare, Zimbabwe.

AIDS and TB Programmes, Ministry of Health and Child Care, Harare, Zimbabwe.

出版信息

AIDS Res Ther. 2024 Mar 28;21(1):18. doi: 10.1186/s12981-024-00605-8.

Abstract

We conducted secondary data analysis using a biobehavioral survey dataset of 1538 MSM from Zimbabwe. Survey participants were screened for the four symptoms suggestive of tuberculosis infection using the WHO TB screening algorithm. Results: All participants experienced at least one symptom suggestive of tuberculosis. 40% of HIV-positive MSM reported having had a cough in the last month and 13% of them experienced unexpected weight loss. The prevalence of experiencing any of the four TB symptoms amongst HIV-positive MSM was 23%. Contribution There is an urgent need for active TB case finding and treatment amongst HIV-positive MSM in Zimbabwe. Clinicians will need to ensure that MSM who need TB testing receive it timeously.

摘要

我们利用来自津巴布韦的 1538 名男男性行为者的生物行为调查数据集进行了二次数据分析。调查参与者使用世界卫生组织的结核病筛查算法筛查了四种提示结核病感染的症状。结果:所有参与者都至少经历过一种提示结核病的症状。40%的 HIV 阳性男男性行为者报告说他们在上个月有过咳嗽,13%的人经历过意外体重减轻。在 HIV 阳性男男性行为者中,任何一种四种结核病症状的患病率为 23%。意义 津巴布韦的 HIV 阳性男男性行为者中迫切需要进行主动的结核病病例发现和治疗。临床医生需要确保需要结核病检测的男男性行为者及时接受检测。

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本文引用的文献

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Missed opportunities for diagnosis and treatment in patients with TB symptoms: a systematic review.
Public Health Action. 2022 Mar 21;12(1):10-17. doi: 10.5588/pha.21.0022.
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Screening for tuberculosis: time to move beyond symptoms.
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Tuberculosis infection testing in HIV-positive men who have sex with men from Xi'an China.
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