Epidemiology of Tuberculosis and HIV Co-Infection in Butembo, Democratic Republic of the Congo
Junior Leta Baduru
Department of Surgery, Matanda Hospital, Faculty of Medicine, Université Catholique du Graben, Democratic Republic of the Congo.
Joel Kambale Ketha
Department of Anaesthesia and Intensive Care, Beni Referral Hospital, Beni, Democratic Republic of the Congo.
Adelard Kalima Nzanzu
Department of Internal Medicine, Matanda Hospital, Université Catholique du Graben, Democratic Republic of the Congo.
Jean Bosco Kambale Maliro
Department of Internal Medicine, Matanda Hospital, Université Catholique du Graben, Democratic Republic of the Congo.
Jean Paulin Mbo Mukokole
Department of Internal Medicine, Faculty of Medicine, Université de Kisangani, Democratic Republic of the Congo.
Franck Katembo Sikakulya *
Department of Surgery, Matanda Hospital, Faculty of Medicine, Université Catholique du Graben, Democratic Republic of the Congo.
*Author to whom correspondence should be addressed.
Abstract
Introduction: TB-HIV co-infection constitutes a real public health problem, and its control constitutes a challenge for African countries and their health services. The aim of this survey was to determine the epidemiological profile of TB-HIV co-infection in the town of Butembo, DRC.
Methods: We undertook a retrospective survey which covered a period of nine years (1/2007-12/2015). We enrolled patients from Katwa referral hospital, Kitatumba referral hospital, MATANDA hospital and Makasi health centre; which are health facilities in charge of the detection and treatment of Tuberculosis in Butembo town.
Results: The prevalence of the co-infection TB-HIV was 18.3%. Female patients were the most co-infected with a sex ratio of 1.27. The age group of 25 to 44 years was the most concerned (20.3%); traders were more co-infected with 51,0% of all recorded cases; the fact single has been found as a risk factor of co-infection (22.1%). Most of the co-infected patients did not respond to tuberculosis treatment, and their Ziehl Neelsen test was negative. The death rate of the co-infection TB-HIV was 22.6%.
Conclusion: TB-HIV co-infection remains a major problem for public health. The reduction of its prevalence constitutes a challenge in Butembo.
Keywords: Epidemiology, tuberculosis, HIV, co-Infection, Butembo