Publications by authors named "J Zawedde"

OBJECTIVESPulmonary TB (PTB) increases the risk of chronic lung complications, which are associated with increased morbidity and mortality. We determined the prevalence and predictors of post-TB lung disease and persistent symptoms in a resource-limited setting.METHODSAdults who completed PTB treatment underwent spirometry and completed the St.

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The diagnosis and monitoring of tuberculosis treatment is difficult as many patients are unable to produce sputum. This means that many patients are treated on the basis of clinical findings and consequently some will be exposed to anti-tuberculosis drugs unnecessarily. Moreover, for those appropriately on treatment and unable to produce a sputum sample, it will be impossible to monitor the response to treatment.

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Background: In 2018, the tuberculosis molecular bacterial load assay (TB-MBLA), a ribosomal RNA-based test, was acknowledged by WHO as a molecular assay that could replace smear microscopy and culture for monitoring tuberculosis treatment response. In this study, we evaluated the accuracy of TB-MBLA for diagnosis and monitoring of treatment response in comparison with standard-of-care tests.

Methods: For this longitudinal prospective study, patients aged 18 years or older with presumptive tuberculosis (coughing for at least 2 weeks, night sweats, and weight loss) were enrolled at China-Uganda Friendship Hospital Naguru (Kampala, Uganda).

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Article Synopsis
  • An analysis of preserved ratio impaired spirometry (PRISm) indicates a normal FEV to forced vital capacity ratio but low FEV levels, which can lead to increased mortality.
  • The study involved adults in Kampala, Uganda, with and without HIV, exploring the impact of sex on PRISm development after pneumonia treatment, particularly tuberculosis (TB).
  • Results showed that while overall HIV was linked to lower odds of PRISm, female sex was associated with higher odds, especially among individuals with HIV, suggesting distinct influences of sex and HIV on lung health.
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Objectives: Spirometric abnormalities are frequent, and obstructive lung disease (OLD) is a common comorbidity among people with HIV (PWH). HIV increases the risk of many comorbidities to a greater degree in women than in men. Few studies have evaluated whether sex modifies the HIV-associated risk of OLD.

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