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目的了解柳州市区结核杆菌/人类免疫缺陷病毒(TB/HIV)双重感染者情况,为制定TB/HIV双重感染防治措施提供科学依据。方法通过结核病与艾滋病双向筛查,对柳州市区2009—2011年筛查出的110例TB/HIV双重感染者资料进行分析。结果 2009—2011年共对1 668例结核病患者进行HIV检测,检测率为44.85%,检出HIV抗体阳性47例,阳性率为2.82%;对3 916例HIV抗体感染者和艾滋病(AIDS)患者进行结核筛查,筛查率为54.43%,查出结核患者63例,检出率为1.59%。110例TB/HIV双重感染者中,以男性为主,以家政、家务及待业者、农民和离退人员居多;110人中,95.45%实施抗结核治疗,58.18%完成了治疗,35.45%接受抗病毒治疗。结论柳州市区结核病和AIDS的双向筛查率低,应加强针对性宣传力度及覆盖面,提高患者治疗率和依从性,有效管理传染源,才能从根本上控制和预防TB/HIV双重感染的流行。
Objective To understand the situation of TB / HIV in Liuzhou and provide a scientific basis for the prevention and treatment of TB / HIV infection. Methods Through the two-way screening of tuberculosis and AIDS, the data of 110 cases of TB / HIV double infection screened from 2009 to 2011 in Liuzhou city were analyzed. Results A total of 1 668 HIV cases were detected in HIV-positive patients from 2009 to 2011, with a detection rate of 44.85%. 47 HIV positive cases were detected, with a positive rate of 2.82%. A total of 3 916 HIV-infected and AIDS patients Tuberculosis screening, the screening rate was 54.43%, found in 63 cases of tuberculosis patients, the detection rate was 1.59%. Among the 110 TB / HIV co-infected patients, male was the mainstay, while domestic workers, household workers and unemployed persons, peasants and retirees were the majority. Of the 110 patients, 95.45% were given anti-tuberculosis treatment, 58.18% were cured, 35.45% Antiviral treatment. Conclusion The two-way screening rate of TB and AIDS in Liuzhou city is low. It is necessary to strengthen targeted publicity and coverage, improve patient treatment rate and compliance, and effectively manage the source of infection so as to fundamentally control and prevent the prevalence of TB / HIV double infection .