Clinical and Sociodemographic Risk Factors for Tuberculosis in Human Immunodeficiency Virus Infected Patients

Nibardo,

doi:10.3844/ajidsp.2013.142.147

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…The HIV + TB group was less literate and had a smaller median income than the HIV-group, which mirrors the socio-demographics of HIV + TB patients in the rest of the world [ 26 ] [ 27 ]. Twenty percent of our HIV positive participants were non-adherent to ART.…”

Section: Discussionmentioning

confidence: 99%

Clinical Correlates and Drug Resistance in HIV-Infected and -Uninfected Pulmonary Tuberculosis Patients in South India

Chandy¹,

Heylen²,

Mishra³

et al. 2016

WJA

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ObjectivesTo examine demographics, clinical correlates, sputum AFB (acid fast bacilli) smear grading DOTS (Directly Observed Therapy Short Course) uptake, and drug resistance in a cohort of newly-diagnosed, smear positive pulmonary tuberculosis (TB) patients with respect to HIV status at baseline, and compare smear conversion rates, side effects and mortality after two months.DesignA prospective study among 54 HIV positive and 41 HIV negative pulmonary TB patients. Data were collected via face-to-face interviews, review of medical records, and lab tests.ResultsHIVTB co-infected patients, though more symptomatic at baseline, showed more improvement in their symptoms compared to HIV-uninfected TB patients at follow-up. The HIV co-infected group had more prevalent perceived side effects, and sputum smear positivity was marginally higher compared to the HIV negative group at follow-up. Mortality was higher among the HIV-infected group. Both groups had high rates of resistance to first-line anti-tubercular drugs, particularly isoniazid. There was no significant difference in the drug resistance patterns between the groups.ConclusionsPrompt initiation and provision of daily regimens of ATT (Anti-Tubercular treatment) along with ART (Anti-Retroviral treatment) via ART centers is urgently needed in India. As resistance to ART and/or ATT is directly linked to medication non-adherence, the use of counseling, regular reinforcement, early detection and appropriate intervention strategies to tackle this complex issue could help prevent premature mortality and development of resistance in HIV-TB co-infected patients. The high rate of isoniazid resistance might preclude its use in India as prophylaxis for latent TB in HIV infected persons as per the World Health Organization (WHO) guideline.

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Section: Discussionmentioning

confidence: 99%

Clinical Correlates and Drug Resistance in HIV-Infected and -Uninfected Pulmonary Tuberculosis Patients in South India

Chandy¹,

Heylen²,

Mishra³

et al. 2016

WJA

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“…In terms of Perception (P), the presence of several providers transforms the comprehensive output into a sum of sub-outputs (P i ) delivered by heterogeneous partners (Ibrahim and Ibrahim, 2013;Nibardo et al, 2013). The perceived quality of such a suite of different sub-elements could have a positive impact on the final receiver (patient) given to the highest degree of perceived Specialization (SP i ) of the providers (e.g., catering, cleaning) (Fig.…”

Section: Analytical Modelmentioning

confidence: 99%

Caring More by Doing Less? An Enquiry About the Impacts of Outsourcing on Patient Care

Brunetta¹,

Giustiniano²,

Marchegiani³

2014

American Journal of Applied Sciences

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This study seeks to understand the potential impact of outsourcing on healthcare processes. By referring to a wider scope of industries and sectors, as they have been the experimental fields of most of the studies on outsourcing, we highlight the pros and cons of the externalization of activities related to patient care. Our purpose is to show and contextualize the (yet) ambiguous effects of relying on external partners in delivering services related to the health of patients. We argue that the seek for efficiency might sometimes hinder the global outcome of care; further we state that given the peculiar nature of the healthcare, outsourcing needs to be used within a wider strategic analysis of the activities. This study starts with a review of the literature on outsourcing strategies applied to healthcare sector and it also proposes an analytical model for decision-making. The main conclusion is that healthcare organizations should set up proper mechanisms for the governance of the overall transactions related to outsourcing in order to extend the span of control over the external providers as long as the effectiveness and the efficacy of the general outcome is not compromised. Both private and public health providers could benefit from a more reliable model for deciding on the span of their activities that can be outsourced.

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Clinical and Sociodemographic Risk Factors for Tuberculosis in Human Immunodeficiency Virus Infected Patients

Cited by 2 publications

References 16 publications

Clinical Correlates and Drug Resistance in HIV-Infected and -Uninfected Pulmonary Tuberculosis Patients in South India

Clinical Correlates and Drug Resistance in HIV-Infected and -Uninfected Pulmonary Tuberculosis Patients in South India

Caring More by Doing Less? An Enquiry About the Impacts of Outsourcing on Patient Care

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