Nursing Care for Patients with HIV/AIDS Co-infected with Multidrug-Resistant Tuberculosis : Two Case Studies.

Abstract

     Nursing care for HIV/AIDS patients with multidrug-resistant tuberculosis: 2 case studies The objectives were to study and compare nursing care using the nursing process for caring for patients with HIV/AIDS and multidrug-resistant tuberculosis. This was a case study. Two cases were selected for the study. Only patients with HIV/AIDS and multidrug-resistant tuberculosis who came to the respiratory tract infectious disease clinic of Bamrasnaradura Institute in fiscal years 2023 and 2025 and had complicated nursing problems.

     Results of the study: Case study 1 A 63-year-old Thai male patient with underlying HIV, diabetes, and hypertension was diagnosed with multidrug-resistant tuberculosis (MDR-TB) and was treated with a 9-month short-term multidrug-resistant tuberculosis regimen along with multiple antiretroviral drugs for HIV. The patient had nausea and vomiting from tuberculosis drugs during one period of treatment, but was very cooperative, took his medication regularly, and continuously came for check-ups. The treatment results concluded that tuberculosis was not found after treatment and continued to take antiretroviral drugs well. Case study 2: A 56-year-old Thai male patient who had been treated for pulmonary tuberculosis and HIV infection but had a history of not taking antiretroviral drugs for approximately 1 year due to financial problems was later re-admitted with symptoms of fever, chronic cough, and abdominal pain. The results showed that he had multidrug-resistant tuberculosis (MDR-TB). He was treated with the BPaLM regimen for 6 months and was closely monitored in the hospital.