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Dr
Willliam Worodria

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Project Title

Management of Lower Respiratory Tract Infections in Sub-Saharan Africa, a Pragmatic Approach (LoRTISA study)

EDCTP Project

TMA2018SF-2465

EDCTP Program

EDCTP2

EDCTP Project Call

Senior Fellowship (SF)

Host Organisation

Department Institution Country
Infectious Diseases Institute Limited (IDI) Uganda

Project Title

Short- and long-term clinical and immunological outcomes of patients with HIV/TB coinfections on ART

EDCTP Project

TA.2010.40200.0019

EDCTP Program

EDCTP1

EDCTP Project Call

Senior Fellowship (SF)

Project Objectives

To study short-term effects of TB and ART treatment (the incidence, predictors and clinical characteristics of TB-IRIS, side effects of the therapy, causes of early mortality) and long term effects of ART after completing TB treatment (clinical events such as infections, late-onset IRIS, adverse effects of therapy or immunological and virological events such as changes in CD4 counts, CD4 %; viral load, viral resistance). Also to study possible factors influencing these outcomes such as adherence and factors affecting them, TB relapse and mycobacteriological factors, immunological defects and social factors that are associated with a recurrent TB episode and causes of mortality

Study Design

A cohort study to compare the effectiveness of early versus delayed antiretroviral therapy on prevention of mortality HIV-TB co-infected patients in a programmatic setting

Host Organisation

Department Institution Country
Infectious Disease Institute Makerere University Uganda

Sites

Results & Outcomes

Targeted recruitment: 189 out of 280 patients were enrolled for the study. Capacity Building: 1) Dr Jabo Christian who enrolled for a Masters of Medicine in Radiology at Makerere University successfully defended his thesis in May 2014. 2) Ms Justine Nakiwala, the PhD student at the Institute of Tropical Medicine, Antwerp who was studying the role of neutrophils in the pathogenesis of TB-IRIS completed the initial stage of her data collection at this site and continued with her PhD work in South Africa.