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目的了解艾滋病防治机构对HIV/AIDS患者中结核病可疑症状者向结核病防治机构转诊的到位率和转诊到位时间间隔,探讨影响转诊的因素。方法艾滋病防治机构的医生在对HIV/AIDS患者提供检测后咨询和随访时,进行结核病可疑症状的问卷筛查,对问卷筛查阳性的患者,转诊病人到结核病防治机构进行结核病检查,结核病防治机构记录患者到位时间和相关因素。结果艾滋病防治机构向结核病防治机构转诊有结核病可疑症状的HIV/AIDS患者130例,转诊到位率64.6%(84/130),结核病检出率7.1%(6/84)。转诊当天到达结核病防治机构者36例(42.9%),1～14 d内到达的32例(38.1%),15～30 d内到达的8例(9.5%),30 d以后到达的8例(9.5%)。结论建立艾滋病和结核病防治机构间合作机制,对提高HIV/AIDS患者中结核病可疑症状转诊率和缩短转诊到位时间十分重要。同时,要进一步研究影响转诊到位率的因素,加大力度提高转诊到位率,及早发现和治疗结核病人。
Objective To understand the referral rate and referral time interval of HIV / AIDS patients to tuberculosis control institutions in HIV / AIDS patients with suspected symptoms, and to explore the factors influencing referral. Methods HIV / AIDS prevention and treatment physicians conducted post-test counseling and follow-up of HIV / AIDS patients, screened the questionnaires of suspicious symptoms of tuberculosis, and referred patients to TB control institutions for tuberculosis examination and tuberculosis control The institution records the patient’s arrival time and related factors. Results HIV / AIDS patients were referred to tuberculosis prevention and control institutions for 130 cases of HIV / AIDS suspicious symptoms, the referral rate was 64.6% (84/130), and the detection rate of tuberculosis was 7.1% (6/84). Thirty-six patients (42.9%) arrived at the TB control center on the day of referral, 32 patients (38.1%) arrived within 1 to 14 days, 8 patients (9.5%) arrived within 15 to 30 days and 8 patients reached after 30 days (9.5%). Conclusion The establishment of an inter-agency cooperation mechanism for AIDS and tuberculosis prevention is very important to improve the referral rate of suspicious symptoms and shorten referral time of tuberculosis in HIV / AIDS patients. At the same time, we should further study the factors that affect the referral rate, increase efforts to improve the referral rate, and early detection and treatment of TB patients.