Tuberculosis Knowledge among Persons Living with HIV Attending a Tertiary Hospital in Lima, Peru

Jose Luis Paredes Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru;
Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;

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Rafaella Navarro Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru;
Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;

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Juan Echevarria Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru;
Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;
HIV Program, Hospital Cayetano Heredia, Lima, Peru

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Carlos Seas Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru;
Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;

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Mateo Prochazka Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;

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Larissa Otero Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru;
Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;

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ABSTRACT.

Tuberculosis (TB) is the leading cause of death among people living with HIV (PLWH). Limited TB knowledge has been associated with delayed TB diagnosis and low adherence to TB treatment. A cross-sectional study was conducted among PLWH at the largest HIV-referral center in Lima, Peru, to describe TB knowledge among PLWH and potential associated sociodemographic factors. Participants answered a self-administered survey on TB knowledge, which consisted of five questions about TB cure, transmission, treatment, symptoms, and prevention. Of 179 PLWH enrolled, most participants did not know that isoniazid (85%) and antiretrovirals (78%) are preventive measures for TB, and 56 (31.3%) knew that TB can be asymptomatic in PLWH. We did not find statistical differences in TB knowledge based on gender, education, marital status, and time on HIV care. We identified important gaps in TB knowledge among PLWH. Addressing these gaps could empower PLWH to reduce their TB risk.

Author Notes

Authors’ addresses: Jose Luis Paredes, Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru, and Internal Medicine, Advocate Illinois Medical Center, Chicago, Illinois, E-mail: carlos.seas@upch.pe. Rafaella Navarro, Carlos Seas, and Larissa Otero, Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru, and Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru, E-mails: jose.luis.paredes.s@upch.pe, rafaella.navarro.h@upch.pe, and larissa.otero@upch.pe. Juan Echevarria, Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru, and HIV Program, Hospital Cayetano Heredia, Lima, Peru, E-mail: juan.echevarria.z@upch.pe. Mateo Prochazka, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru, E-mail: mateoprochazka@gmail.com.

Address correspondence to Jose Luis Paredes, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres 15102, Lima, Peru. E-mail: jose.luis.paredes.s@upch.pe
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