Human immunodeficiency virus associated tuberculosis more often due to recent infection than reactivation of latent infection [Review article]
BACKGROUND: It is unclear whether human immunodeficiency virus (HIV) increases the risk of tuberculosis (TB) mainly through reactivation or following recent Mycobacterium tuberculosis (re)infection. Within a DNA fingerprint-defined cluster of TB cases, reactivation cases are assumed to be the source...
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| Hauptverfasser: | , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
January 2011
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| In: |
The international journal of tuberculosis and lung disease
Year: 2011, Jahrgang: 15, Heft: 1, Pages: 24-31 |
| ISSN: | 1815-7920 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://www.ingentaconnect.com/contentone/iuatld/ijtld/2011/00000015/00000001/art00006#
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| Verfasserangaben: | R.M.G.J. Houben, A.C. Crampin, R. Ndhlovu, P. Sonnenberg, P. Godfrey-Faussett, W.H. Haas, G. Engelmann, C.J. Lombard, D. Wilkinson, J. Bruchfeld, S. Lockman, J. Tappero, J.R. Glynn |
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| 245 | 1 | 0 | |a Human immunodeficiency virus associated tuberculosis more often due to recent infection than reactivation of latent infection [Review article] |c R.M.G.J. Houben, A.C. Crampin, R. Ndhlovu, P. Sonnenberg, P. Godfrey-Faussett, W.H. Haas, G. Engelmann, C.J. Lombard, D. Wilkinson, J. Bruchfeld, S. Lockman, J. Tappero, J.R. Glynn |
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| 520 | |a BACKGROUND: It is unclear whether human immunodeficiency virus (HIV) increases the risk of tuberculosis (TB) mainly through reactivation or following recent Mycobacterium tuberculosis (re)infection. Within a DNA fingerprint-defined cluster of TB cases, reactivation cases are assumed to be the source of infection for subsequent secondary cases. As HIV-positive TB cases are less likely to be source cases, equal or higher clustering in HIV-positives would suggest that HIV mainly increases the risk of TB following recent infection.METHODS: A systematic review was conducted to identify all studies on TB clustering and HIV infection in HIV-endemic populations. Available individual patient data from eligible studies were pooled to analyse the association between clustering and HIV.RESULTS: Of seven eligible studies, six contributed individual patient data on 2116 patients. Clustering was as, or more, likely in the HIV-positive population, both overall (summary OR 1.26, 95%CI 1.0-1.5), and within age groups (OR 1.50, 95%CI 0.9-2.3; OR 1.00, 95%CI 0.8-1.3 and OR 2.57, 95%CI 1.4-5.7) for ages 15-25, 26-50 and >50 years, respectively.CONCLUSIONS: Our results suggest that HIV infection mainly increases the risk of TB following recent M. tuberculosis transmission, and that TB control measures in HIV-endemic settings should therefore focus on controlling M. tuberculosis transmission rather than treating individuals with latent M. tuberculosis infection. | ||
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| 700 | 1 | |a Ndhlovu, R. |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Tappero, J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Glynn, J.R. |e VerfasserIn |4 aut | |
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