Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Metcalfe, John Z. ; Porco, Travis C. ; Westenhouse, Janice ; Damesyn, Mark ; Facer, Matt ; ... More +
Metcalfe, John Z. ; Porco, Travis C. ; Westenhouse, Janice ; Damesyn, Mark ; Facer, Matt ; Hill, Julia ; Xia, Qiang ; Watt, James P. ; Hopewell, Philip C. ; Flood, Jennifer Less -
Description:
To understand the epidemiology of tuberculosis (TB) and HIV co-infection in California, we cross-matched incident TB cases reported to state surveillance systems during 1993-2008 with cases in the state HIV/AIDS registry. Of 57,527 TB case-patients, 3,904 (7%) had known HIV infection. TB rates for persons with HIV declined from 437 to 126 cases/100,000 persons during 1993-2008; rates were highest for Hispanics (225/100,000) and Blacks (148/100,000). Patients co-infected with TB-HIV during 2001-2008 were significantly more likely than those infected before highly active antiretroviral therapy became available to be foreign born, Hispanic, or Asian/Pacific Islander and to have pyrazinamide-monoresistant TB. Death rates decreased after highly active antiretroviral therapy became available but remained twice that for TB patients without HIV infection and higher for women. In California, HIV-associated TB has concentrated among persons from low and middle income countries who often acquire HIV infection in the peri-immigration period.
Subject:
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Adolescent
Adult
Age Distribution
Antiretroviral Therapy, Highly Active
California/epidemiology
Coinfection/drug Therapy
Coinfection/epidemiology
Epidemiological Monitoring
Female
HIV Infections/drug Therapy
HIV Infections/epidemiology
Humans
Incidence
Male
Middle Aged
Prevalence
Retrospective Studies
Tuberculosis, Pulmonary/epidemiology
Young Adult

Source:
Emerg Infect Dis. 19(3):400-406.
Document Type:
Journal Article
Place as Subject:
California
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:6c2a9c399f6956cb8bc12e0d6d4a4f060723b49ab5330e3f7a2cd43fe95fde31
File Type:

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