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Title: Implementation of tuberculosis intensive case finding, isoniazid preventive therapy, and infection control ("Three I's") and HIV-tuberculosis service integration in lower income countries
Authors: M. Katherine Charles
Mary Lou Lindegren
C. William Wester
Meridith Blevins
Timothy R. Sterling
Nguyen Thi Dung
Jean Claude Dusingize
Divine Avit-Edi
Nicolas Durier
Barbara Castelnuovo
Gertrude Nakigozi
Claudia P. Cortes
Marie Ballif
Lukas Fenner
Samuel Ajayi
Kathryn Anastos
Jules Bashi
William Bishai
Andrew Boulle
Paula Braitstein
Gabriela Carriquiry
Jane E. Carter
Peter Cegielski
Cleophas Chimbetete
Mary Ann Davies
Lameck Diero
Stephany Duda
Matthias Egger
Tanoh François Eboua
Adrian Gasser
Elvin Geng
Joachim Charles Gnokori
Laura Hardwicke
Christopher Hoffmann
Robin Huebner
Nzali Kancheya
S. Kiertiburanakul
Peter Kim
Diero Lameck
Valériane Leroy
Charlotte Lewden
Anna Mandalakas
Mhairi Maskew
Rosemary McKaig
Lynne Mofenson
Mireille Mpoudi-Etame
Benson Okwara
Sam Phiri
Wasana Prasitsuebsai
April Petit
Hans Prozesky
Stewart E. Reid
Lorna Renner
Gary Reubenson
Annette Sohn
Quynh Vo
Dana Walker
Firas Wehbe
Christian Wejse
Carolyn Williams
Robin Wood
Kara Wools-Kaloustian
Zhang Yao
Evy Yunihastuti
F. J. Zhang
H. X. Zhao
N. Han
T. P. Merati
D. N. Wirawan
F. Yuliana
R. Ditangco
E. Uy
R. Bantique
P. Phanuphak
K. Ruxrungtham
A. Avihingsanon
M. Khongphattanayothin
S. Sungkanuparph
N. Sanmeema
R. Chaiwarith
T. Sirisanthana
W. Kotarathititum
T. T. Pham
D. D. Cuong
H. L. Ha
V. K. Nguyen
V. H. Bui
T. D. Nguyen
A. H. Sohn
B. Petersen
D. A. Cooper
Vanderbilt University School of Medicine
National Hospital of Tropical Diseases
Women's Equity in Access to Care and Treatment
Centre MTCT-plus
amfAR - The Foundation for AIDS Research
Infectious Diseases Institute
Rakai Health Sciences Program
Facultad de Medicina de la Universidad de Chile
Institut fur Sozial- und Praventivmedizin
Swiss Tropical and Public Health Institute (Swiss TPH)
Universitat Basel
Beijing Ditan Hospital
Universitas Udayana
The HIV Netherlands Australia Thailand Research Collaboration
Mahidol University
Research Institute for Health Sciences
Bach Mai Hospital
University of New South Wales (UNSW) Australia
Penang Hospital
Khon Kaen University
Albert Einstein College of Medicine of Yeshiva University
Newlands Clinic
Aurum Institute for Health Research
Lighthouse Trust
Tygerberg Hospital
Universiteit Stellenbosch
Desmond Tutu HIV Centre
University of Cape Town
CNHU Hubert Maga
Centre Hospitalier Universitaire de Yopougon
Korle Bu Hospital
Bandim Health Project
Keywords: Agricultural and Biological Sciences;Biochemistry, Genetics and Molecular Biology
Issue Date: 1-Apr-2016
Citation: PLoS ONE. Vol.11, No.4 (2016)
Abstract: © 2016 Charles et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Setting: World Health Organization advocates for integration of HIV-tuberculosis (TB) services and recommends intensive case finding (ICF), isoniazid preventive therapy (IPT), and infection control ("Three I's") for TB prevention and control among persons living with HIV. Objective: To assess the implementation of the "Three I's" of TB-control at HIV treatment sites in lower income countries. Design: Survey conducted between March-July, 2012 at 47 sites in 26 countries: 6 (13%) Asia Pacific, 7 (15%), Caribbean, Central and South America, 5 (10%) Central Africa, 8 (17%) East Africa, 14 (30%) Southern Africa, and 7 (15%) West Africa. Results: ICF using symptom-based screening was performed at 38% of sites; 45% of sites used symptom-screening plus additional diagnostics. IPT at enrollment or ART initiation was implemented in only 17% of sites, with 9% of sites providing IPT to tuberculin-skin-test positive patients. Infection control measures varied: 62% of sites separated smear-positive patients, and healthcare workers used masks at 57% of sites. Only 12 (26%) sites integrated HIV-TB services. Integration was not associated with implementation of TB prevention measures except for IPT provision at enrollment (42% integrated vs. 9% nonintegrated; p = 0.03). Conclusions: Implementation of TB screening, IPT provision, and infection control measures was low and variable across regional HIV treatment sites, regardless of integration status.
ISSN: 19326203
Appears in Collections:Scopus 2016-2017

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