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目的:了解在HIV/AIDS转诊到结核病防治机构进行结核病筛查的工作现状、问题并探讨问题产生的原因,为相关政策制定与修订提供依据。方法:通过定性研究,对艾滋病高流行地区3县区的领导和技术人员进行个人深入访谈。结果:在HIV/AIDS病人中进行结核病筛查主要问题有,第一,HIV/AIDS病人中筛查结核病筛查率难以保证;第二,HIV/AIDS病人中筛查结核病时在诊断上存在一定的困难;第三,在HIV/AIDS病人中筛查结核病时可能存在交叉感染,大部分防治机构未采取有效的措施预防交叉感染。结论:通过随访责任人加强HIV/AIDS随访率,提高HIV/AIDS中结核病诊断水平,加强结核病感染控制等加强HIV/AIDS中结核病的识别和诊断。
OBJECTIVE: To understand the status quo and problems of tuberculosis screening at the HIV / AIDS referral to tuberculosis prevention and treatment agencies and to explore the causes of the problems so as to provide basis for the formulation and revision of relevant policies. Methods: Through qualitative research, we conducted personal in-depth interviews with leaders and technicians from 3 counties in areas with high AIDS prevalence. Results: The main problems in tuberculosis screening among HIV / AIDS patients are as follows. First, the screening rate of screening for tuberculosis in HIV / AIDS patients is difficult to guarantee. Second, there is a certain diagnosis in tuberculosis screening among HIV / AIDS patients Thirdly, there may be cross-infection when screening for tuberculosis in HIV / AIDS patients, and most of the prevention and treatment agencies do not take effective measures to prevent cross-infection. Conclusion: The follow-up of responsible persons should increase the follow-up rate of HIV / AIDS, improve the diagnosis of tuberculosis in HIV / AIDS, strengthen the control of tuberculosis infection and strengthen the identification and diagnosis of tuberculosis in HIV / AIDS.