Mir Anwar
Richmond Chest Hospital, South Africa
Title: Five years Retrospective descriptive Study of TB and HIV patient at Richmond Chest (TB) Hospital, KZN, South Africa.
Biography
Biography: Mir Anwar
Abstract
Background- South Africa has the highest HIV and TB burden in the world. Co –infection of TB and HIV are the worst in respect of morbidity and mortality in this part of the world.
Objective- To know the outcome of TB & HIV patients while treating in Hospital setup. To explore the risk of Co-infection amongst TB & HIV patients we compare both isolated TB patients and TB & HIV patients.
Methods – TB and HIV infection in retrospective descriptive study was in our mind. Total 3544 patients were admitted in Richmond Chest (TB) Hospital, KZN province of South Africa from 2009 to 2013. Total admission in 2009 was 993, death rate was 29%. While 2013 was 318 death rate was 23%, Age range of the patients were 15 to 65 years. Crude proportionate was observed Male- 48% Female – 45% Children -7%
Results - The incidence of death amongst the all patients of exclusive TB, and TB & HIV co-infection shows different variation in different age group.
Out of total death, more than 50% were in the age group of 30 to 60 years of old. It also shows Death rate were higher in the category of patients having co- infection TB and HIV together.
Out of total death, 40% had low CD4 count, below 100.which is a significant to observe.
The male and female ratio does not show any major difference neither in disease pattern nor in outcome in our study, but in South Africa as a whole country wise study shows Female are more infected than male.
Conclusion - Decrease of death rate was not due to improvement of care and management, it was noted admission policy had been dramatically changed in Richmond Hospital which leads to decline input of patients in the hospital that reflect declining death rate in later year.
Early diagnosis and early initiation of treatment and re-treatment will definitely give better outcome in years to come.
The new era of fixed dose once a day treatment both in TB and HIV shows better compliance amongst the poor set up patient’s society.
Acknowledgements- CEO & IT officer of Richmond TB Hospital who helps me to use the data & make this study possible.