TB and HIV in the Central African region: current knowledge and knowledge gaps
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Reliable and comprehensive data on the HIV/AIDS and TB co-pandemics from Central Africa remain scarce. This systematic review provides a comprehensive overview on current and past research activities in the region and provides a basis for future research work to close knowledge gaps.
The scientific literature was searched for publications meeting the following search terms: “tuberculosis” or “HIV” or “acquired immunodeficiency syndrome”, combined with “Central Africa”, or the names of individual countries within the region. Original studies, reviews and case series were included, and a selection of relevant articles was made.
Most research in the field of HIV and TB has been conducted in Cameroon, where the epidemics have been described fairly well. The Democratic Republic of Congo ranked second on the amount of publications, despite the civil wars over the past several decades. Very little has been published on HIV and TB in the other countries, possibly due to the poor infrastructure of health care systems, lack of scientific capacity building or shortage of laboratory equipment.
Despite the relatively high burden of HIV and TB in the Central African region, the amount of research activities on these topics is limited. A better understanding of the co-epidemics in this region is urgently needed. The occurrence of opportunistic infections, treatment complications and drug resistance in TB and HIV need to be better described; the failure of public health systems needs to be understood, and research infrastructure needs to be developed. Only then will it be possible to turn the tide against the HIV and TB epidemics in this region.
- TB and HIV in the Central African region: current knowledge and knowledge gaps
Volume 42, Issue 2 , pp 281-294
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- Springer Berlin Heidelberg
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- Central Africa
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- Author Affiliations
- 1. Department of Infectious Diseases, Division of Internal Medicine, Center of Tropical Medicine and Travel Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands
- 2. Institute of Tropical Medicine, University of Tübingen, Wilhelmstrasse 27, 72074, Tübingen, Germany
- 3. Centre de Recherches Médicales de Lambaréné (CERMEL), BP 118, Lambaréné, Gabon
- 4. Institute of Infectious Diseases and Molecular Medicine, University of Cape Town, Anzio Road, Cape Town, 7925, South Africa
- 5. National TB and Leprosy Control Program, Ministry of Health, P.O. Box 30205, Lusaka, Zambia
- 6. UNZA-UCLMS Research & Training Programme, University Teaching Hospital, Nationalist Road, P.O. Box 50110, Lusaka, Zambia
- 7. Department of Infection, Division of Infection and Immunity, University College London, Gower Street, London, WC1E 6BT, UK