TB Research

Effect of Empiric Anti–Mycobacterium tuberculosis Therapy on Survival Among Human Immunodeficiency Virus–Infected Adults Admitted With Sepsis to a Regional Referral Hospital in Uganda

Riley Hazard, Peninah Kagina, Richard Kitayimbwa, Keneth Male, Melissa McShane, Dennis Mubiru, Emma Welikhe, Christopher C. Moore, et al. (9 authors)

Open Forum Infectious Diseases · 2019-03

Abstract

BACKGROUND: is the leading cause of bloodstream infection among human immunodeficiency virus (HIV)-infected patients with sepsis in sub-Saharan Africa and is associated with high mortality rates. METHODS: We conducted a retrospective study of HIV-infected adults with sepsis at the Mbarara Regional Referral Hospital in Uganda to measure the proportion who received antituberculosis therapy and to determine the relationship between antituberculosis therapy and 28-day survival. RESULTS: = .03). CONCLUSIONS: Empiric antituberculosis therapy was associated with improved survival rates among patients with severe sepsis, but not among all patients with sepsis.

MeSH terms

  • Medicine
  • Internal medicine
  • Sepsis
  • Hazard ratio
  • Tuberculosis
  • Odds ratio
  • Case fatality rate
  • Mortality rate
  • Retrospective cohort study
  • Confidence interval