The burden and characteristics of tuberculosis/human immunodeficiency virus (TB/HIV) in South Korea: a study from a population database and a ... View Full Text


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Article Info

DATE

2010-03-12

AUTHORS

Chang-Hoon Lee, Ji-young Hwang, Dae-Kyu Oh, Mee-Kyung Kee, Eunjung Oh, Jung-wook An, Jinhyun Kim, Heonsook Do, Hee-Jin Kim, Sung Soon Kim, Hwahyun Kim, Jeong-Gu Nam

ABSTRACT

BackgroundAlthough, in South Korea, human immunodeficiency virus/acquired immunodeficiency syndrome(HIV/AIDS) keeps increasing and tuberculosis(TB) burden is still significant, there have been few reports on TB/HIV cases. In this study, we investigated the burden and characteristics of TB/HIV patients in South Korea, an area with intermediate burden of TB and a low prevalent area with HIV/AIDS.MethodsWe identified patients with TB and cases with HIV between January 1 2001 and December 31 2005, from nationwide reporting system (TBnet and HIV/AIDS registry) through an electronic record linkage method. A questionnaire survey was also conducted and determined the rate of diagnosis of HIV among TB cases in public health units in 2005.ResultsThe number of cases with both HIV and TB was 137 (0.07% among 197,562 TB cases) and the newly detected TB/HIV cases per 100,000 population was increasing annually: 2001, 0.025; 2002, 0.031; 2003, 0.025; 2004, 0.071; 2005, 0.095. Males between 20 and 59 years of age accounted for 87.6% of TB/HIV patients. Compared with patients with TB alone, those with TB/HIV had a higher percentage of extrapulmonary TB (8.0% vs 19.0%; p < 0.0001). The standardized prevalence ratio (SPR) of HIV among patients with TB was 18.46 (95% CI, 15.50-21.83). SPR of HIV among male TB patients aged 20-59 and extrapulmonary TB cases was 39.64 (95% CI, 32.87-47.40) and 43.21 (95% CI, 28.22-63.31) respectively. Through a questionnaire survey of public health units, six patients (0.08%) were confirmed as having HIV among 7,871 TB patients in public health centers in 2005, which is similar to the result from the study through nationwide reporting systems.ConclusionsThe prevalence rate of TB/HIV patients is still low but increasing in South Korea. Physicians should consider performing HIV tests among TB patients, especially in higher-risk groups, such as young males with extrapulmonary TB in South Korea. More... »

PAGES

66

Journal

TITLE

BMC Infectious Diseases

ISSUE

1

VOLUME

10

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1471-2334-10-66

DOI

http://dx.doi.org/10.1186/1471-2334-10-66

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011782852

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20226025


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29 schema:description BackgroundAlthough, in South Korea, human immunodeficiency virus/acquired immunodeficiency syndrome(HIV/AIDS) keeps increasing and tuberculosis(TB) burden is still significant, there have been few reports on TB/HIV cases. In this study, we investigated the burden and characteristics of TB/HIV patients in South Korea, an area with intermediate burden of TB and a low prevalent area with HIV/AIDS.MethodsWe identified patients with TB and cases with HIV between January 1 2001 and December 31 2005, from nationwide reporting system (TBnet and HIV/AIDS registry) through an electronic record linkage method. A questionnaire survey was also conducted and determined the rate of diagnosis of HIV among TB cases in public health units in 2005.ResultsThe number of cases with both HIV and TB was 137 (0.07% among 197,562 TB cases) and the newly detected TB/HIV cases per 100,000 population was increasing annually: 2001, 0.025; 2002, 0.031; 2003, 0.025; 2004, 0.071; 2005, 0.095. Males between 20 and 59 years of age accounted for 87.6% of TB/HIV patients. Compared with patients with TB alone, those with TB/HIV had a higher percentage of extrapulmonary TB (8.0% vs 19.0%; p < 0.0001). The standardized prevalence ratio (SPR) of HIV among patients with TB was 18.46 (95% CI, 15.50-21.83). SPR of HIV among male TB patients aged 20-59 and extrapulmonary TB cases was 39.64 (95% CI, 32.87-47.40) and 43.21 (95% CI, 28.22-63.31) respectively. Through a questionnaire survey of public health units, six patients (0.08%) were confirmed as having HIV among 7,871 TB patients in public health centers in 2005, which is similar to the result from the study through nationwide reporting systems.ConclusionsThe prevalence rate of TB/HIV patients is still low but increasing in South Korea. Physicians should consider performing HIV tests among TB patients, especially in higher-risk groups, such as young males with extrapulmonary TB in South Korea.
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35 schema:keywords AIDS
36 BackgroundAlthough
37 ConclusionsThe prevalence rate
38 HIV
39 HIV cases
40 HIV patients
41 HIV test
42 HIV/AIDS
43 Korea
44 MethodsWe
45 Public Health Center
46 South Korea
47 TB
48 TB cases
49 TB patients
50 TB/HIV
51 TB/HIV cases
52 TB/HIV patients
53 age
54 area
55 burden
56 cases
57 center
58 characteristics
59 database
60 diagnosis
61 extrapulmonary TB
62 extrapulmonary TB cases
63 group
64 health centers
65 health units
66 high percentage
67 high-risk group
68 human immunodeficiency virus
69 human immunodeficiency virus/
70 immunodeficiency
71 immunodeficiency virus
72 intermediate burden
73 linkage method
74 low prevalent areas
75 male TB patients
76 males
77 method
78 nationwide reporting system
79 number
80 number of cases
81 patients
82 percentage
83 physicians
84 population
85 population database
86 prevalence rates
87 prevalence ratios
88 prevalent areas
89 public health units
90 questionnaire survey
91 rate
92 rate of diagnosis
93 ratio
94 record linkage methods
95 report
96 reporting system
97 results
98 standardized prevalence ratio
99 study
100 survey
101 system
102 test
103 tuberculosis/human immunodeficiency virus
104 units
105 virus
106 virus/
107 years
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