PURPOSE: The purpose of the study was to evaluate the prevalence of Tb infection in HIV possitive drugs abusers.
METHODS: Drugs abusers with a sufficient medical history were studied.In all the subjects a tuberculin skin test (TST)was performed by experienced nurses and blood was also sampled for HIV serology. In all the subjects with a positive TST, a chest x-ray was performed and if symptomatic ,also a sputum smear for ACB was obtained .In a total of 380 subjects (58 % male) a TST was performed,but only 295 returned for the evaluation of TST.
RESULTS: Of the 295 [ 154 (52%) Greek origin and 141(48%) foreign born ]fully evaluated subjects ,75 (25%) were TST positive.None of them had received at the past any anti-TBC treatment The HIV sero-prevalence in all these subjects was 112 (38%) - 40(36%) of these were also TST positive.From the whole number of TST positive, 5 subjects were detected with active TBC (positive smear) and have received anti-TBC treatment ( 1 subject failed to follow up). Among the rest TST positive ,only 25 subjects have been started on twice weekly supervised treatment with INH for almost a year.
CONCLUSIONS: Our results have shown a high proportion of both HIV/Tb infection in Athens inner city intravenous drugs abusers.
CLINICAL IMPLICATIONS: The problem of dual HIV/Tb infection has to be re-evaluated and when needed,supervised treatment may be given.
DISCLOSURE: The following authors have nothing to disclose: Fotini Babatsikou, Dimitrios Korogiannos, Nikolaos Tatsis, Stavroulia Boulia, Vicky Lazarou, George Tatsis
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