Progress towards universal HIV testing among TB patients in Viet Nam: a retrospective cohort evaluation of TB/HIV surveillance, 2011-2017
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摘要:
Background:Tuberculosis (TB) and HIV remain a major causes of morbidity and mortality globally.We conducted an analysis of TB/HIV surveillance data to describe the trends in HIV testing coverage and HIV positivity rate among TB patients in Viet Nam,2011-2017.Main text:This was a descriptive study based on review and analysis of surveillance data from the National Tuberculosis Control Programme from 2011 to 2017.During this period,721 342 TB cases were diagnosed.Of these,520 490 (72.2%) had a previously documented HIV status or were tested for HIV during TB care and treatment.The proportion of TB patients whose HIV status was reported increased,from 58.5% in 2011 to 82.9% in 2017 (P value for trend =0.014).The proportion of TB patients infected with HIV decreased,from 8.0% in 2011 to 3.7% in 2017 (P value for trend =0.018).Conclusions:The proportion of TB patients with a reported HIV status was increased from 2011 to 2017,however HIV testing coverage remained below the National Tuberculosis Control Programme targets (> 90%).National Tuberculosis Control Programme needs to focus on ensuring eveny registered TB patients has a documented HIV status,ensuring full coverage of HIV testing as part of routine TB care.