HIV and tuberculosis: predictive factors of not - adherence to the treatment of tuberculosis in municipalities selected of the Metropolitan Area of Buenos Aires

M. B. HERRERO

México, DC

Conferencia; XVII International AIDS Conference (AIDS 2008); 2008

The goal of this research study is to describe health services and patients characteristics associated with the success and failure of treatments. A case-control study will be carried out in public health institutions from the Metropolitan Area of Buenos Aires. Each health service interviews will be conducted to patients receiving TB treatment to describe their characteristics. The findings will be compared among those patients who succeed in completing treatment in contrast to those who failed to do it.Study conducted at the beginning of this research showed that it was necessary to include HIV as a variable to be analyzed. The direct relation between the default of the treatments and HIV´s condition was surprising. On the other hand there was alarming the number of defaults that died during the fieldwork with HIV+ and Tuberculosis as an associate disease. The results of the research show two fundamental points for future intervention projects. Due to the social situation of the HIV epidemic and the situation of extreme poverty the quantity of cases of Tuberculosis continues increasing in Argentina, especially in Buenos Aires, this is indicating that the adherence of treatments has to be analyzed in terms of the association of both diseases, especially in the case of Tuberculosis that appears as a secondary disease and with a medication difficult to tolerate. The second point was the deficient communication between the services of neumonology and infectology. It is indispensable to generate proposals for the work as a whole of both services, which allows not only to optimize resources, but also to achieve the captation of the totality of the patients that will allow an ideal adherence of the treatments.