Latent Tuberculosis among Persons at Risk for Infection with HIV, Tijuana, Mexico

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Garfein, Richard S. ; Laniado-Laborin, Rafael ; Rodwell, Timothy C. ; Lozada, Remedios ; Deiss, Robert ; Burgos, Jose Luis ; Cuevas-Mota, Jazmine ; Cerecer, Paris ; Moser, Kathleen ; Volker, Maria Luisa ; Strathdee, Steffanie A.
• Description:
  Because there is little routine tuberculosis (TB) screening in Mexico, the prevalence of latent TB infection (LTBI) is unknown. In the context of an increasing HIV epidemic in Tijuana, Mexico, understanding prevalence of LTBI to anticipate emergence of increased LTBI reactivation is critical. Therefore, we recruited injection drug users, noninjection drug users, female sex workers, and homeless persons for a study involving risk assessment, rapid HIV testing, and TB screening. Of 503 participants, the overall prevalences of TB infection, HIV infection, and TB/HIV co-infection were 57%, 4.2%, and 2.2%, respectively; no significant differences by risk group (p>0.05) were observed. Two participants had TB (prevalence 398/100,000). Incarceration in Mexico (odds ratio [OR] 2.28), age (OR 1.03 per year), and years lived in Tijuana (OR 1.02 per year) were independently associated with TB infection (p<0.05). Frequent LTBI in marginalized persons may lead to increases in TB as HIV spreads.
• Subjects:
  Adult Age Factors Drug Users Female HIV Infections Humans Ill-Housed Persons Latent Tuberculosis Male Prevalence Prisoners Prostitution Risk Risk Factors

  More +
• Source:
  Emerg Infect Dis. 16(5):757-763.
• Document Type:
  Journal Article
• Place as Subject:
  Mexico
• Location:
  North America
• Volume:
  16
• Issue:
  5
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:6c8c38c503e1d794b5a60e1a639a6a765e750f0d6349b709c8f8c5887f583b92
• Download URL:
  https://stacks.cdc.gov/view/cdc/18103/cdc_18103_DS1.pdf
• File Type:
  [PDF - 209.97 KB ]