Hiv /Tb Mortality In Albania During The Years 2004-2015
The co-epidemic of tuberculosis (TB) and human immunodeficiency virus (HIV) is one of the major global challenges in the present time .The co-infection with the human immunodeficiency virus (HIV) and tuberculosis (TB) is a major public health problem throughout the world. TB causes ill-health among millions of people each year and ranks alongside the human immunodeficiency virus (HIV) as a leading cause of death worldwide.
OBJECTIVE: To evaluate and document the level of mortality to HIV positive TB patients during the years 2004-2015
METHODS: This was a descriptive cohort study .It was conducted from January 2004 to December 2015 at the University Hospital Center “Mother Theresa” in Tirana. Evaluating patients’ files with HIV/AIDS infection followed at the Outpatient Clinic for HIV/AIDS, part of Infectious Service, University Hospital Center, “Mother Teresa”, and Tirana, Albania. Out of 751 patients with HIV infection, we have included 40 patients with co-infection HIV and TB. Evaluation of the epidemiological data, clinical and therapeutic of TB patients encountered in HIV/AIDS. Data were subjected to descriptive and correlation analyses. Simple percentages, and graphs were used to present the results.
RESULTS: From January 2004 to December 2015, approximately 5.6 % of the 751 HIV positive people in Albania are infected with TB (from 751 HIV positive cases, 42 cases have TB and HIV co-infection). According to the distribution by sex, 88% of them were males and 12 % were females. The most affected age was 36-45 years old, followed by the age-groups 26-35 years and 46-55 years respectively 35 %; 30 % and 20 %.The male to female ratio was 7.4. There were 19 deaths cases among patients with HIV and TB co-infection. The specific weight of mortality was 45.2 % (19 cases out of 42 in total). The mortality rate of adult females was 16,7% (3 death cases out 18 in total); of adult males was 83.3% (15 death cases of 18 in total); of children was 5,3 % (one case out of 19 HIV/TB deaths cases in total). 94.7% of HIV/TB deaths cases were adults and 5.3% (1 case out of 19 HIV/TB deaths cases in total) were children under the 15 years old. Only for the year 2015, about 33.3 % (2 deaths cases out of 6 in total) of people with HIV/TB co-infection were dead. 50% (1 death case out 2 cases) of HIV positive TB co-infected women were died during the year 2015. TB deaths among HIV positive people account for 33.3% (2 deaths cases out of six deaths in total) of all HIV positive deaths, in 2015. Most of the cases or 75 % of them belong to the age group 30-50 year old.
Keywords- TB, HIV, co-infection, mortality.