Titre : | Value of chest radiography in a tuberculosis prevention programme for HIV-infected people, Botswana. Commentary. (2003) |
Auteurs : | B. MOSIMANEOTSILE ; Chifumbe CHINTU ; N.M. HONE ; T.A. KENYON ; E.J. LEE ; G. MOALOSI ; T.L. MOETI ; H.J. MOFFAT ; Peter MWABA ; E.A. TALBOT ; Government of Botswana. Ministry of Health. Gaborone. BWA ; University of Zambia School of Medicine. Unza Ucmls Project. Lusaka. ZMB ; Us Centers for Disease Control and Prevention. Botusa Project. Gaborone. BWA |
Type de document : | Article |
Dans : | Lancet (The) (vol. 362, n° 9395, 2003) |
Pagination : | 1516-1552 (3p.) |
Langues: | Anglais |
Mots-clés : | Sida ; Virose ; Infection ; Tuberculose ; Bactériose ; Poumon ; Radiographie ; Botswana ; Afrique ; Complication ; Dépistage ; Examen complémentaire ; Homme ; Immunopathologie ; Appareil respiratoire [pathologie] ; Tuberculose pulmonaire ; Radiodiagnostic |
Résumé : | [BDSP. Notice produite par INIST-CNRS yGw1R0x1. Diffusion soumise à autorisation]. To exclude tuberculosis, WHO/UNAIDS recommends considering medical history, symptom screen, and chest radiograph before starting tuberculosis prevention In people Infected with HIV. The value of a chest radiograph for this purpose Is unknown. We prospectively assessed 935 HIV-infected outpatients seeking isoniazid preventive therapy. Of 935 patients, 692 (74%) had no signs or symptoms of tuberculosis. Of these 692,123 (18%) were lost during the chest radiograph process, and one (0.2%) of the remaining 563 was diagnosed with tuberculosis on the basis of the chest radiograph. A screening chest radiograph should not be required routinely for asymptomatic people taking isoniazid as preventive treatment In settings able to screen for signs and symptoms of tuberculosis. |