Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, Ethiopia
Ashenafi Abossie, Tsegaye Yohanes Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia Background: Tuberculosis (TB) is the most frequent life-threatening opportunistic disease among people living with HIV and remains a lea...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2017-03-01
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| Series: | Therapeutics and Clinical Risk Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/assessment-of-isoniazid-preventive-therapy-in-the-reduction-of-tubercu-peer-reviewed-article-TCRM |
| _version_ | 1819140366312407040 |
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| author | Abossie A Yohanes T |
| author_facet | Abossie A Yohanes T |
| author_sort | Abossie A |
| collection | DOAJ |
| description | Ashenafi Abossie, Tsegaye Yohanes Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia Background: Tuberculosis (TB) is the most frequent life-threatening opportunistic disease among people living with HIV and remains a leading cause of mortality, even among persons receiving antiretroviral therapy (ART). Isoniazid preventive therapy (IPT) and cotrimoxazole prophylaxis have been recommended for the benefit of HIV/AIDS-infected individuals to prevent opportunistic infections. The aim of this study was to assess IPT prophylaxis in the reduction of TB among ART patients. Methods: The study was a hospital-based retrospective study. A total of 271 study participants’ available information such as demographic data, the type of prophylaxis used, and TB/HIV coinfection status as well as other variables were collected from clinical laboratory and HIV care/ART follow-up clinic. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) version 20.0. Results: TB-infected ART patients were higher among non-IPT group (37 [27.8%]) compared to IPT group (12 [8.7%]). The finding showed that IPT prophylaxis significantly reduces acquiring TB with the relative risk =0.31 (95% confidence interval =0.122, 0.49) in ART patients of this study site where the tuberculosis prevalence is prominent. ART had significant contribution for CD4+ T-cell lymphocyte count improvement in both IPT and non-IPT groups (P<0.05) in this study. Conclusion: IPT had significant contributions to reduce the burden of TB in ART patients than non-IPT group. This result highlights the use of IPT for the prevention of TB, especially for all ART patients. Other longitudinal studies are needed to observe the benefits and side effects of IPT prophylaxis in tuberculin skin test-positive individuals. Keywords: IPT prophylaxis, ART patients, tuberculosis, CD4+ T-cell count, opportunistic disease |
| first_indexed | 2024-12-22T11:37:25Z |
| format | Article |
| id | doaj.art-974fa82ee2dd42a2968f8e9bd3ca79aa |
| institution | Directory Open Access Journal |
| issn | 1178-203X |
| language | English |
| last_indexed | 2024-12-22T11:37:25Z |
| publishDate | 2017-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Therapeutics and Clinical Risk Management |
| spelling | doaj.art-974fa82ee2dd42a2968f8e9bd3ca79aa2022-12-21T18:27:23ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2017-03-01Volume 1336136632051Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, EthiopiaAbossie AYohanes TAshenafi Abossie, Tsegaye Yohanes Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia Background: Tuberculosis (TB) is the most frequent life-threatening opportunistic disease among people living with HIV and remains a leading cause of mortality, even among persons receiving antiretroviral therapy (ART). Isoniazid preventive therapy (IPT) and cotrimoxazole prophylaxis have been recommended for the benefit of HIV/AIDS-infected individuals to prevent opportunistic infections. The aim of this study was to assess IPT prophylaxis in the reduction of TB among ART patients. Methods: The study was a hospital-based retrospective study. A total of 271 study participants’ available information such as demographic data, the type of prophylaxis used, and TB/HIV coinfection status as well as other variables were collected from clinical laboratory and HIV care/ART follow-up clinic. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) version 20.0. Results: TB-infected ART patients were higher among non-IPT group (37 [27.8%]) compared to IPT group (12 [8.7%]). The finding showed that IPT prophylaxis significantly reduces acquiring TB with the relative risk =0.31 (95% confidence interval =0.122, 0.49) in ART patients of this study site where the tuberculosis prevalence is prominent. ART had significant contribution for CD4+ T-cell lymphocyte count improvement in both IPT and non-IPT groups (P<0.05) in this study. Conclusion: IPT had significant contributions to reduce the burden of TB in ART patients than non-IPT group. This result highlights the use of IPT for the prevention of TB, especially for all ART patients. Other longitudinal studies are needed to observe the benefits and side effects of IPT prophylaxis in tuberculin skin test-positive individuals. Keywords: IPT prophylaxis, ART patients, tuberculosis, CD4+ T-cell count, opportunistic diseasehttps://www.dovepress.com/assessment-of-isoniazid-preventive-therapy-in-the-reduction-of-tubercu-peer-reviewed-article-TCRMIPT prophylaxisART patientsTuberculosisCD4+ T-cell count |
| spellingShingle | Abossie A Yohanes T Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, Ethiopia Therapeutics and Clinical Risk Management IPT prophylaxis ART patients Tuberculosis CD4+ T-cell count |
| title | Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, Ethiopia |
| title_full | Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, Ethiopia |
| title_fullStr | Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, Ethiopia |
| title_full_unstemmed | Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, Ethiopia |
| title_short | Assessment of isoniazid preventive therapy in the reduction of tuberculosis among ART patients in Arba Minch Hospital, Ethiopia |
| title_sort | assessment of isoniazid preventive therapy in the reduction of tuberculosis among art patients in arba minch hospital ethiopia |
| topic | IPT prophylaxis ART patients Tuberculosis CD4+ T-cell count |
| url | https://www.dovepress.com/assessment-of-isoniazid-preventive-therapy-in-the-reduction-of-tubercu-peer-reviewed-article-TCRM |
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