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目的 调查结核病人群的艾滋病病毒（HIV）感染情况,了解HIV与结核分枝杆菌（MTB）的相关性。方法 对2 272例诊断为结核病的住院病人进行HIV抗体检测,初筛阳性者进一步做免疫印迹试验（WB）。结果 检出HIV抗体阳性者7例,检出率为0.308％。7例 HIV抗体阳性者中,男性 5例,女性 2例。其中 6例为活动性肺结核,1例结核性胸膜炎,发病年龄以 20～40岁为主,占86％。结论 结核病人群中的HIV抗体阳性者比一般人群高10倍。建议对有HIV高危行为的结核病患者尤其是中青年患者做常规HIV抗体检测,以便早期发现、治疗HIV/MTB双重感染者,顶防与控制艾滋病和结核病的流行。
Objective To investigate the HIV status of tuberculosis patients and to understand the relationship between HIV and Mycobacterium tuberculosis (MTB). Methods A total of 2 272 hospitalized patients diagnosed with tuberculosis were tested for HIV antibody, and those with primary screening were further tested by Western blotting (WB). Results 7 cases were detected positive for HIV antibody, the detection rate was 0.308%. Of the seven HIV-positive patients, there were 5 males and 2 females. Among them, 6 cases were active tuberculosis and 1 case was tuberculous pleurisy. The age of onset was 20-40 years old, accounting for 86%. Conclusion HIV-positive TB patients are 10 times more likely than the general population. It is recommended to conduct routine HIV antibody testing on TB patients with high HIV risk, especially in young and middle-aged patients, so as to find and treat the HIV / MTB dual infection at an early stage, prevent and control AIDS and TB epidemics.