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• W1813168485 abstract "High Rates of Undiagnosed Pulmonary Tuberculosis and Barriers to Diagnosis and Care Among HIV-positive Patients in a Rural South African Hospital: A Crosssectional cohort study Palav A. Babaria, N. Sarita Shah, Anthony P. Moll, Neel R. Gandhi, Gerald H. Friedland. Yale AIDS Program, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT. Tuberculosis (TB) is the leading cause of mortality among HIV infected patients in South Africa. Symptoms of active TB may be subtle in HIV patients and go unrecognized in early illness, creating an opportunity for nosocomial TB transmission. Late presentation and delayed diagnosis of TB also contribute to increased mortality and community-based TB transmission. In an effort to identify active TB promptly, screening for TB must be integrated into routine HIV care and barriers to seeking care must be addressed. We prospectively initiated a standardized TB screening program at a rural HIV clinic to determine the prevalence of unsuspected TB and drug-resistant TB. All HIV clinic patients at a rural hospital in Tugela Ferry, South Africa were screened for TB symptom and those with one or more TB symptoms (e.g., cough, night sweats, fever) were enrolled and submitted sputum samples for microscopy, mycobacterial culture and drug-susceptibility testing (DST). We also administered a questionnaire to all inpatient and outpatient participants based on the Information, Motivation, and Behavioral Skills" @default.
• W1813168485 created "2016-06-24" @default.
• W1813168485 creator A5033933184 @default.
• W1813168485 date "2009-01-01" @default.
• W1813168485 modified "2023-09-26" @default.
• W1813168485 title "High Rates of Undiagnosed Pulmonary Tuberculosis and Barriers to Diagnosis and Care Among TB and HIV co-infected patients in a Rural South African Hospital: A Cross-sectional cohort study" @default.
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