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[目地]通过对结核病人进行HIV感染状况筛查,分析江西省结核病人人群中HIV的流行特征,为制定TB/HIV双重防治感染措施提供科学依据。[方法]2007年9～12月在调查县(区)新登记的结核病患者病例,填写《新登记结核病人HIV感染现状调查表》,对同意接受HIV筛查的病人进行抽血、检测,初筛阳性的患者进行确证实验。[结果]97%的登记病人接受了筛查,筛查出5例TB/HIV阳性患者,感染率为0.36%,项目地区与非项目地区TB/HIV双重感染有统计学差异(u=4.45,P﹤0.001)。[结论]重点加强HIV感染高疫情流行地区中重点人群HIV感染监测,建立有效的部门合作机制,强化治疗管理,为控制TB/HIV疫情的主要手段。
[Objective] To screen HIV status of tuberculosis patients and analyze the epidemiological characteristics of HIV in TB population in Jiangxi Province, and provide a scientific basis for the development of TB / HIV dual infection control measures. [Methods] From September to December 2007, new cases of tuberculosis patients registered in the counties (districts) were filled in. The Questionnaire on Status of HIV Infection among Newly Registered TB Patients was filled out. Blood samples were collected from patients who agreed to receive HIV screening. Screen positive patients to confirm the experiment. [Results] Ninety-seven percent of the registered patients were screened and 5 TB / HIV-positive patients were screened out. The infection rate was 0.36%. There was a significant difference in TB / HIV double infection between the non-project areas and the non-project areas (u = 4.45, P <0.001). [Conclusion] It is important to strengthen the HIV infection surveillance of key population in areas with high prevalence of HIV infection, establish effective departmental cooperation mechanism and strengthen treatment management as the main means to control the TB / HIV epidemic.