Research Article

Epidemiological, Clinical, Evolutive and Prognostic Aspects of Tuberculosis HIV Co-Infection in the Gbeke Region in Côte D'ivoire

Authors: Kone Djakaridja, Yeo Liomehin, Coulibaly Dramane, Kadiane-Oussou Juliette, Dje Bi Hospice, Yapo Martine Tatiana, Karidioula Jean-Marie, Aba Yapo Thomas, Kra Ouffoue.

DOI: 10.33425/2639-9458.1175

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Abstract

Introduction: TB/HIV co-infection is a major health problem in Africa. This co-infection is associated with high mortality and additional therapeutic challenges. This study aimed to determine current aspects of tuberculosis in TB/HIV patients.

Materials and method: We carried out a retrospective, descriptive and analytical study over a period of 4 years. We used the medical records of TB/HIV patients from the Gbêkê region. Data analysis was performed with Epi Info 3.2.1 software.

Results: The prevalence of HIV in tuberculosis patients was 18.7%. The average age of the patients was 37 years old. The female gender (60%) predominated. The patients lived as a couple in 49.1%. Nurses accounted for 2.6%. Pulmonary tuberculosis (79.3%) was predominant. The extra-pulmonary forms were dominated by pleural (45.3%) and lymph node (32.4%) tuberculosis. The site of infection was unique (74.4%) and drug-resistant forms accounted for 3.1%. All the patients screened were immediately put on anti-tuberculosis treatment, only 94.8% had been put on antiretroviral treatment. Mortality was 18.7%. The determinants of mortality were the age group from 5 to 14 years (p

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