255805 TB knowledge partnership and prevention project

Monday, October 29, 2012

Ashley Edwards, RN, MSN , TB & Refugee Health Branch and Point Loma Nazarene School of Nursing, County of San Diego and Point Loma Nazarene University, San Diego, CA
Kathleen Moser, MD, MPH , TB & Refugee Health Branch, County of San Diego, San Diego, CA
Jeanne Maiden, RN, PhD, CNS , School of Nursing, Point Loma Nazarene University, San Diego, CA
Son Chae Kim, PhD, RN , School of Nursing, Point Loma Nazarene University, San Diego, CA
Background/Statement of Problem: HIV is the most potent risk factor known to cause reactivation of latent TB infection (LTBI). The study's purpose is to describe TB knowledge, attitudes, and practices (TB-KAP) of persons with HIV in an urban county. Methods: A convenience sample of Spanish and English literate adults with HIV who attend the County's main STD clinic are being recruited. Participants are asked to (1) complete a TB-KAP survey and (2) take an interferon gamma release assay (IGRA) TB test. Patients with a positive IGRA are referred to their provider or offered LTBI treatment by the County. Results: Data collection is in progress and will be completed by June 2012. The majority of the study sample (N=80) were male, US born, with at least some college level education. Sixty-four percent correctly identified that TB is spread through the air. Fifty-six percent recognized cough as a sign of TB. Fifty-six percent did not know there is a cure for TB. Fifty-seven percent reported their chance of getting TB is none or low. Fifty-percent reported having a test for TB within the past two years. Nine percent have tested positive on the study IGRA. Conclusion: Highly educated study participants may lack knowledge about TB transmission, symptoms, and cure. Only half of participants report having a TB test in the past two years although among a high-risk population recommended for testing. Knowledge obtained will help the local TB control program develop targeted educational programs for persons with HIV and their medical providers.

Learning Areas:
Assessment of individual and community needs for health education
Protection of the public in relation to communicable diseases including prevention or control
Public health or related research

Learning Objectives:
1)Describe the TB knowledge, attitudes, and practices of the study population. 2)Explain TB screening guidelines for persons with HIV. 3)Differentiate latent TB infection from active TB disease. 4)Discuss how TB testing can be expanded to alternative settings such as a STD clinic.

Keywords: HIV/AIDS, Tuberculosis

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My clinical background includes direct nursing care of patients with HIV in the inpatient setting, and tuberculosis case management in the public health setting. I have cared for patients co-infected with TB and HIV in both settings. I am a first time investigator who is passionate about TB prevention among persons with HIV. I am being closely mentored through the research process by doctorally prepared nursing professors and my supervising TB Control physician.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.