Antiretroviral treatment uptake and attrition among HIV-positive patients with tuberculosis in Kibera, Kenya

作者：Tayler Smith K; Zachariah R^*; Manzi M; Kizito W; Vandenbulcke A; Sitienei J; Chakaya J; Harries A D

来源：Tropical Medicine and International Health, 2011, 16(11): 1380-1383.

DOI：10.1111/j.1365-3156.2011.02863.x

• attrition
• human immunodeficiency virus
• tuberculosis
• antiretroviral treatment
• Kibera
• Kenya

Using data of human immunodeficiency virus-positive patients with tuberculosis from three primary care clinics in Kibera slums, Nairobi, Kenya, we report on the proportion that started antiretroviral treatment (ART) and attrition (deaths, lost to follow-up and stopped treatment) before and while on ART. Of 427 ART eligible patients, enrolled between January 2004 and December 2008, 70% started ART, 19% were lost to attrition and 11% had not initiated ART. Of those who started ART, 14% were lost to attrition, making a cumulative pre-ART and ART attrition of 33%. ART uptake among patients with TB was relatively good, but programme attrition was high and needs urgent addressing.

• 出版日期2011-11