Tuberculosis-HIV co-infection: Progress and challenges after two decades of global antiretroviral treatment roll-out

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...

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Detalles Bibliográficos
Autores: Letang, Emilio, Ellis, Jayne, Naidoo, Kogieleum, Casas, Esther C., Sánchez, Paquita, Hassan-Moosa, Razia, Cresswell, Fiona, Miró Meda, José M. (José María), 1956-, García-Basteiro, Alberto L.
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2020
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/168021
Acceso en línea:https://hdl.handle.net/2445/168021
Access Level:acceso abierto
Palabra clave:Tuberculosi
VIH (Virus)
Antiretrovirals
Tuberculosis
HIV (Viruses)
Antiretroviral agents
Descripción
Sumario: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.