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© 1998 Faculty of Public Health Medicine of the Royal Colleges of Physicians of the United Kingdom

research-article

Notification of tuberculosis in patients with AIDS


Andrew Ferguson, Senior Registrar in Public Health Medicine
Diane Bennett, Consultant Epidemiologist
Sarah Conning, HIV and Communicable Diseases Officer

PHLS Communicable Disease Surveillance Centre London NW9 5EQ
Kensington & Chelsea and Westminster Health Authority 50 Eastbourne Terrace, London W2 6LX


Address correspondence to Dr A. Ferguson, at 75 Ringstead Crescent, Crosspool, Sheffield S10 5SH.

BACKGROUND: In the early 1990s cases of tuberculosis in people with HIV infection and AIDS were undernotified. A study to evaluate changes in notification rates in two inner London local authorities was undertaken for the period January 1993–June 1996 inclusive.

METHODS: For residents of the two local authorities, tuberculosis notifications were identified using a local database, and cases of AIDS with a recorded diagnosis of tuberculosis were identified from AIDS case reports.

RESULTS: During the study period, only 13 (32 per cent) of the 41 AIDS cases with a recorded diagnosis of tuberculosis were also notified as a case of tuberculosis. However, the proportion of notified cases rose from 0 per cent (0 of 11) in 1993to 50 percent (5 of 10) in 1995 and 63 percent (5 of 8) in early 1996.

CONCLUSIONS: The increase in the tuberculosis notification rate for people with AIDS is encouraging, but scope for improvement remains.

Keywords: AIDS, HIV infection, tuberculosis, notification


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