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目的为进一步完善我省的TB与HIV双重感染防治工作提供科学依据。方法分析河南2012-2013年全国结核病信息管理系统报告中进行HIV抗体检测的结核病患者资料。结果初筛阳性检出率、确认阳性检出率、初筛假阳性率重点县较非重点县明显偏低(χ~2=13.24,P=0.0002;χ~2=4.65,P=0.031;χ~2=8.13,P=0.004)。结论应广泛开展非重点县结核病人中HIV抗体检测工作,重视非重点县综合性医院在结核病人HIV抗体检测中的作用,重视免疫印迹法在结核病人中HIV确证试验。
Objective To further improve the prevention and treatment of TB and HIV infection in our province to provide a scientific basis. Methods To analyze the data of tuberculosis patients who tested for HIV antibody in the report of national tuberculosis information management system in Henan from 2012 to 2013. Results The positive detection rate of primary screening showed that the positive detection rate and the false positive rate of primary screening were significantly lower than those of non-key counties (χ ~ 2 = 13.24, P = 0.0002; χ ~ 2 = 4.65, P = 0.031; ~ 2 = 8.13, P = 0.004). Conclusions HIV antibody testing in non-key county TB patients should be widely carried out. The role of non-key county general hospitals in detecting HIV antibodies in tuberculosis patients should be emphasized. HIV positive test in TB patients should be emphasized.