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. 1999 Jan;89(1):73–75. doi: 10.2105/ajph.89.1.73

Universal HIV screening at a major metropolitan TB clinic: HIV prevalence and high-risk behaviors among TB patients.

S E Weis 1, B Foresman 1, P E Cook 1, K J Matty 1
PMCID: PMC1508514  PMID: 9987468

Abstract

OBJECTIVES: This study assessed the outcome of implementing a policy of universal screening of patients with tuberculosis (TB) for HIV infection at a major metropolitan public health TB clinic. METHODS: HIV serologic testing was completed on 768 (93%) of 825 eligible patients. Ninety-eight HIV-positive cases (13%) were compared with 670 HIV-negative cases. The presence of adult HIV risk factors was determined by structured interview and review of medical records. RESULTS: One or more HIV risk factors were present in 93% of HIV-positive cases and 42% of HIV-negative cases. CONCLUSIONS: The metropolitan TB clinic is well suited for HIV screening, and HIV-antibody testing and counseling should be provided to all TB patients.

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Selected References

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  1. Asch S. M., London A. S., Barnes P. F., Gelberg L. Testing for human immunodeficiency virus infection among tuberculosis patients in Los Angeles. Am J Respir Crit Care Med. 1997 Jan;155(1):378–381. doi: 10.1164/ajrccm.155.1.9001340. [DOI] [PubMed] [Google Scholar]
  2. Avins A. L., Woods W. J., Lindan C. P., Hudes E. S., Clark W., Hulley S. B. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA. 1994 Feb 16;271(7):515–518. [PubMed] [Google Scholar]
  3. Barnes P. F., Bloch A. B., Davidson P. T., Snider D. E., Jr Tuberculosis in patients with human immunodeficiency virus infection. N Engl J Med. 1991 Jun 6;324(23):1644–1650. doi: 10.1056/NEJM199106063242307. [DOI] [PubMed] [Google Scholar]
  4. Barnes P. F., Silva C., Otaya M. Testing for human immunodeficiency virus infection in patients with tuberculosis. Am J Respir Crit Care Med. 1996 Apr;153(4 Pt 1):1448–1450. doi: 10.1164/ajrccm.153.4.8616580. [DOI] [PubMed] [Google Scholar]
  5. Jacobson J. M., Worner T. M., Sacks H. S., Lieber C. S. Human immunodeficiency virus and hepatitis B virus infections in a New York City alcoholic population. J Stud Alcohol. 1992 Jan;53(1):76–79. doi: 10.15288/jsa.1992.53.76. [DOI] [PubMed] [Google Scholar]
  6. Katz D. J., Hall W. N., Keon N. B., Crane L. R. HIV testing in patients with tuberculosis. Physician response to national recommendations. Am Rev Respir Dis. 1993 May;147(5):1283–1286. doi: 10.1164/ajrccm/147.5.1283. [DOI] [PubMed] [Google Scholar]
  7. Onorato I. M., McCray E. Prevalence of human immunodeficiency virus infection among patients attending tuberculosis clinics in the United States. J Infect Dis. 1992 Jan;165(1):87–92. doi: 10.1093/infdis/165.1.87. [DOI] [PubMed] [Google Scholar]
  8. Pitchenik A. E., Burr J., Suarez M., Fertel D., Gonzalez G., Moas C. Human T-cell lymphotropic virus-III (HTLV-III) seropositivity and related disease among 71 consecutive patients in whom tuberculosis was diagnosed. A prospective study. Am Rev Respir Dis. 1987 Apr;135(4):875–879. doi: 10.1164/arrd.1987.135.4.875. [DOI] [PubMed] [Google Scholar]
  9. Shafer R. W., Chirgwin K. D., Glatt A. E., Dahdouh M. A., Landesman S. H., Suster B. HIV prevalence, immunosuppression, and drug resistance in patients with tuberculosis in an area endemic for AIDS. AIDS. 1991 Apr;5(4):399–405. doi: 10.1097/00002030-199104000-00007. [DOI] [PubMed] [Google Scholar]
  10. Theuer C. P., Hopewell P. C., Elias D., Schecter G. F., Rutherford G. W., Chaisson R. E. Human immunodeficiency virus infection in tuberculosis patients. J Infect Dis. 1990 Jul;162(1):8–12. doi: 10.1093/infdis/162.1.8. [DOI] [PubMed] [Google Scholar]
  11. Zolopa A. R., Hahn J. A., Gorter R., Miranda J., Wlodarczyk D., Peterson J., Pilote L., Moss A. R. HIV and tuberculosis infection in San Francisco's homeless adults. Prevalence and risk factors in a representative sample. JAMA. 1994 Aug 10;272(6):455–461. [PubMed] [Google Scholar]

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