Tuberculosis control in people living with HIV/AIDS.
Gabriela Tavares Magnabosco, Lívia Maria Lopes, Rubia Laine de Paula Andrade and 3 others
PMID 27627120WHAT IT FOUND
Patients living with HIV rated TB control services as intermediate.
Blood tests and antiretrovirals were satisfactory, but chest X-rays, tuberculin tests, sputum checks, and preventive drugs were unsatisfactory. Basic HIV care is strong; TB screening and prevention are weak.
Key findings
01Participants rated the overall supply of TB control actions and services as intermediate.
02Availability of facial masks, drugs to prevent opportunistic diseases, and isoniazid for TB prevention were rated unsatisfactory.
03Sputum smear requests for patients with cough, fever, and weight loss were considered unsatisfactory.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling, which may introduce selection bias. Results rely on patient recall, which can be inaccurate. The study only captured the perception of patients, not clinical records or provider perspectives. The findings are specific to the health services in Ribeirão Preto in 2012-2013 and may not apply to other regions or time periods.
Declared interests
The paper was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP). No conflicts of interest were declared.
The easy way to misread this
Do not conclude that TB control services are failing globally or in all settings. These findings reflect specific patient perceptions in one Brazilian municipality during a defined period and do not represent objective clinical audit data.