Tuberculosis-HIV Co-Infection: Progress and Challenges After Two Decades of Global Antiretroviral Treatment Roll-Out.

ART Diagnosis Diagnóstico HIV/AIDS Implementation challenges Pathogenesis Patogénesis Resource-limited settings Retos en implementación Situaciones de recursos limitados TARV Tratamiento Treatment Tuberculosis VIH/SIDA

Journal

Archivos de bronconeumologia
ISSN: 1579-2129
Titre abrégé: Arch Bronconeumol
Pays: Spain
ID NLM: 0354720

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 24 07 2019
accepted: 02 11 2019
entrez: 4 4 2022
pubmed: 1 7 2020
medline: 1 7 2020
Statut: ppublish

Résumé

Despite wide antiretroviral scale-up during the past two decades resulting in declining new infections and mortality globally, HIV-associated tuberculosis remains as a major public health concern. Tuberculosis is the leading HIV-associated opportunistic infection and the main cause of death globally and, particularly, in resource-limited settings. Several challenges exist regarding diagnosis, global implementation of latent tuberculosis treatment, management of active tuberculosis, delivery of optimal patient-centered TB and HIV prevention and care in high burden countries. In this article we review the advances on pathogenesis, diagnosis, and treatment after nearly two decades of global roll-out of antiretroviral therapy and discuss the current challenges for the global control of tuberculosis-HIV co-infection.

Identifiants

pubmed: 35373756
pii: S1579-2129(20)30151-8
doi: 10.1016/j.arbr.2019.11.013
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

446-454

Informations de copyright

Copyright © 2020. Published by Elsevier España, S.L.U.

Auteurs

Emilio Letang (E)

ISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain; Infectious Diseases Department, Hospital del Mar, Hospital del Mar Research Institute, Barcelona, Spain. Electronic address: emili.letang@isglobal.org.

Jayne Ellis (J)

Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda; Hospital for Tropical Diseases, University College London, London, UK.

Kogieleum Naidoo (K)

Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa; MRC-CAPRISA HIV-TB Pathogenesis and Treatment Research Unit, Doris Duke Medical Research Institute, University of KwaZulu-Natal, South Africa.

Esther C Casas (EC)

Southern Africa Medical Unit, Médecins sans Frontières, Cape Town, South Africa.

Paquita Sánchez (P)

Infectious Diseases Department, Hospital del Mar, Hospital del Mar Research Institute, Barcelona, Spain.

Razia Hassan-Moosa (R)

Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa; MRC-CAPRISA HIV-TB Pathogenesis and Treatment Research Unit, Doris Duke Medical Research Institute, University of KwaZulu-Natal, South Africa.

Fiona Cresswell (F)

Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda; Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK; MRC-UVRI-London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda.

Jose M Miró (JM)

Infectious Diseases Service, Hospital Clínic-IDIBAPS, University of Barcelona, Barcelona, Spain.

Alberto L García-Basteiro (AL)

ISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain; Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.

Classifications MeSH