The increasing burden of tuberculosis in rural South Africa--impact of the HIV epidemic.

摘要: In developing countries tuberculosis is the most common HIV-associated disease. A prospective study conducted in South Africas rural Hlabisa health district (KwaZulu-Natal) 1991-95 documented an increase annual caseload from 301 to 839 cases. The incidence of general population rose 154/100000 1991 413/100000 1995. Tuberculosis accounted for 4.7% all hospital admissions 1989 compared with 8.3% Between and 1995 proportion patients smear-positive pulmonary disease declined 65% 56% while pleural increased 7.5% 18% minimum HIV prevalence 8.7% 28.3% cases attributable infection was estimated at 44% least current adults this around 60%. monitoring trends extrapulmonary may be a useful way assessing HIV-related absence widespread testing. response alarming burden has expanded its community-based directly observed therapy treatment program.