The spread of AIDS and the re-emergence of tuberculosis in Catalonia, Spain

M, Vall Mayans; Maguire, Andrew; Miret, Montserrat; Alcaide, J.; Parrón, I.; Casabona, Jordi

doi:10.1097/00002030-199704000-00014

Cited by 17 publications

(7 citation statements)

References 14 publications

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“…The proportion of TB-related AIDS diagnoses among PWID ranged from 5 to 48% (Table 5; Amill et al, 2004;Castilla et al, 1995Castilla et al, , 1997Cayla et al, 1995;Chariyalertsak et al, 2001;Godoy et al, 1998;Jones et al, 1996;Laguardia and Merchan-Hamann, 2003;Schwoebel et al, 1995;Triol et al, 1996;Vall Mayans et al, 1997), highest in Spain and Portugal, the most TB-affected countries in Western Europe, and lowest in the UK, Puerto Rico and mainland US, where population TB rates are considerably lower (World Health Organization, 2010). Common predictors of TB as an AIDSdefining illness were male gender and acquisition of HIV through IDU (versus other transmission routes).…”

Section: Active Tb Disease: Prevalence Incidence and Multi-drug Resimentioning

confidence: 99%

Tuberculosis, injecting drug use and integrated HIV-TB care: A review of the literature

Grenfell¹,

Leite²,

Garfein³

et al. 2013

Drug and Alcohol Dependence

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Section: Active Tb Disease: Prevalence Incidence and Multi-drug Resimentioning

confidence: 99%

Tuberculosis, injecting drug use and integrated HIV-TB care: A review of the literature

Grenfell¹,

Leite²,

Garfein³

et al. 2013

Drug and Alcohol Dependence

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“…There is already a large body of empirical evidence showing that history of imprisonment is an important risk factor for TB among those with AIDS [16,17] and those who engage in high-risk behaviours for HIV infection [18]. However, co-infection with HIV and TB among prisoners poses risks not only to the prisoners themselves, but also to prison staff [19,20] and contacts following release.…”

Section: Introductionmentioning

confidence: 99%

Prisoners co‐infected with tuberculosis and HIV: a systematic review

Edge

King

Dolan

et al. 2016

Journal of the International AIDS Society

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IntroductionAlmost from the beginning of the HIV epidemic in 1981, an association with tuberculosis (TB) was recognized. This association between HIV and TB co-infection has been particularly evident amongst prisoners. However, despite this, few studies of TB in prisons have stratified results by HIV status. Given the high prevalence of HIV-positive persons and TB-infected persons in prisons and the documented risk of TB in those infected with HIV, it is of interest to determine how co-infection varies amongst prison populations worldwide. For this reason we have undertaken a systematic review of studies of co-infected prisoners to determine the incidence and/or prevalence of HIV/TB co-infection in prisons, as well as outcomes in this group, measured as treatment success or death.MethodsA literature search was undertaken using the online databases PubMed, Embase, IBSS, Scopus, Web of Science, Global Health and CINAHL Plus. No restrictions were set on language or publication date for article retrieval, with articles included if indexed up to 18 October 2015. A total of 1975 non-duplicate papers were identified. For treatment and outcome data all eligible papers were appraised for inclusion; for incidence/prevalence estimates papers published prior to 2000 were excluded from full text review. After full text appraisal, 46 papers were selected for inclusion in the review, 41 for incidence/prevalence estimates and nine for outcomes data, with four papers providing evidence for both outcomes and prevalence/incidence.ResultsVery few studies estimated the incidence of TB in HIV positive prisoners, with most simply reporting prevalence of co-infection. Co-infection is rarely explicitly measured, with studies simply reporting HIV status in prisoners with TB, or a cross-sectional survey of TB prevalence amongst prisoners with HIV. Estimates of co-infection prevalence ranged from 2.4 to 73.1% and relative risks for one, given the other, ranged from 2.0 to 10.75, although some studies reported no significant association between HIV and TB. Few studies provided a comparison with the risk of co-infection in the general population.ConclusionsPrisoners infected with HIV are at high risk of developing TB. However, the magnitude of risk varies between different prisons and countries. There is little evidence on treatment outcomes in co-infected prisoners, and the existing evidence is conflicting in regards to HIV status influence on prisoner treatment outcomes.PROSPERO Number: CRD42016034068

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“…En ellos suele observarse un incremento de la incidencia de tuberculosis en relación con la población general, al presentar un mayor número de factores predisponentes, principalmente enfermedad pulmonar obstructiva crónica y neoplasias [1][2][3] . Esta población podría posiblemente contribuir de algún modo a la alta persistencia de tuberculosis en España [1][2][3][4] .…”

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