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目的分析华宁县结核病与艾滋病病毒双重感染的现况,为做好TB/HIV双重感染者的治疗与管理提供技术支持。方法对2006-2011年双筛发现的15例TB/HIV双重感染者性别、年龄、职业、感染途径和抗结核治疗情况进行分析。结果在118例结核病人中开展HIV抗体检测,未检出阳性病例;在既往可随访到的146例HIV/AIDS中筛查出结核病患者15例,占10.3%,TB/HIV双重感染者以男性为主,占80.0%;以20~39岁居多,共10例,占66.7%;职业以农民为主,占73.3%;传播途径以性传播和注射吸毒传播为主,占93.3%。结论华宁县TB/HIV双重感染发病率高,应加强对TB/HIV的筛查工作。同时开展健康教育、安全套使用等干预措施,特别是针对农村青壮年性活跃人群,有效降低TB/HIV双重感染发病率。
Objective To analyze the current status of tuberculosis and HIV infection in Huaning County and provide technical support for the treatment and management of TB / HIV co-infection. Methods The gender, age, occupation, route of infection and antituberculosis treatment of 15 TB / HIV cohorts detected in 2006-20011 were analyzed. Results HIV antibody was detected in 118 cases of TB patients, and no positive cases were detected. Fifteen cases of tuberculosis were screened out from 146 cases of HIV / AIDS that were followed up, accounting for 10.3%. TB / HIV co-infected patients were male Accounting for 80.0%; mostly from 20 to 39 years old, a total of 10 cases, accounting for 66.7%; occupations mainly farmers, accounting for 73.3%; transmission of sexual transmission and injecting drug abuse accounted for 93.3%. Conclusion The prevalence of TB / HIV infection in Huaning County is high. Screening for TB / HIV should be strengthened. At the same time, we should carry out interventions such as health education and condom use, especially for sexually active people in rural areas and effectively reduce the incidence of double TB / HIV infection.