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目的分析重庆大足区结核病(TB)患者中艾滋病病毒(HIV)的感染状况及流行特征,为制定TB/HIV双重感染防治计划与策略提供依据。方法采用描述流行病学方法和χ2检验,对大足区2012-2014年结核病患者中HIV感染状况进行分析。结果2012-2014年,大足区登记结核病患者1694例,对1343例结核病患者检测HIV,检测率为79.28%;检出HIV抗体阳性33例,阳性检出率为2.46%。农民占75.76%。不同年龄段TB患者间HIV感染率差异有统计学意义。结论大足区TB/HIV疫情处于低流行水平,但疫情不容忽视;要重点关注农民和流动人群中的感染者;加强疫情监测、转诊和干预,及时发现感染者,控制结核病和艾滋病的进一步传播。
Objective To analyze the prevalence and epidemiological characteristics of HIV among TB patients in Dazu District of Chongqing, and to provide evidence for the prevention and treatment plan of TB / HIV infection. Methods Descriptive epidemiological methods and χ2 test were used to analyze the prevalence of HIV infection among TB patients from 2012 to 2014 in Dazu district. Results From 2012 to 2014, 1694 cases of tuberculosis were registered in Dazu District. HIV was detected in 1343 cases of tuberculosis patients. The detection rate was 79.28%. 33 cases were detected positive for HIV antibody, the positive rate was 2.46%. Farmers accounted for 75.76%. HIV infection rates among TB patients of different ages were statistically significant. Conclusion The prevalence of TB / HIV in Dazu District is at a low prevalence level, but the epidemic should not be overlooked. The focus should be on those infected by peasants and floating population. Strengthened surveillance, referral and intervention, timely detection of infected persons, control of tuberculosis and further transmission of AIDS .