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目的提高结核病和艾滋病双重感染患者发现率、治疗成功率和减少患者死亡。方法省、市、县三级分别建立结核病和艾滋病防治机构合作机制;对结防机构新登记的肺病人进行HIV抗体检测;对艾防机构辖区内可随访的HIV/AIDS患者进行TB检测;结核病人治疗按《中国结核病防治规划实施工作指南》实施。结果 2007年10月-2009年10月结防机构新登记肺结核患者6 590例,进行HIV检测6 035例(91.6%),HIV阳性31例(0.5%);同期艾防机构累计完成HIV/AIDS患者TB筛查2 139人次,查出结核病94例(4.4%),其中,肺结核为87.2%,肺外结核为12.8%;2007年10月-2008年10月共发现TB/HIV患者72例,对其中66例进行了抗结核治疗,治愈13例,完成疗程28例,治疗成功率62.1%,死亡14例(21.2%),丢失6例(9.1%)。结论 1、结防机构和艾防机构合作实施双向筛查,是提高TB/HIV双重感染患者发现率的切实有效的方法。2、加强治疗管理、开展关爱活动、争取患者配合是提高治疗成功率、减少死亡有效措施。
Objective To improve the detection rate of patients with double infection of tuberculosis and AIDS, the success rate of treatment and reduce the death of patients. Methods The cooperation mechanisms of tuberculosis and AIDS prevention and control institutions were set up at the provincial, municipal and county levels respectively. HIV antibody testing was performed on newly registered pulmonary patients in the prevention and control institutions. TB detection was carried out on HIV / AIDS patients who were followed up in the areas of the prevention and treatment agencies. Tuberculosis Patient treatment according to “China’s TB prevention and treatment plan implementation guidelines” implementation. Results From October 2007 to October 2009, there were 6 590 newly registered tuberculosis patients in TB control agencies, 6 035 (91.6%) were HIV tested and 31 (0.5%) were HIV positive. Over the same period, they completed HIV / AIDS A total of 2 139 TB patients were detected, of which 94 (4.4%) were confirmed as tuberculosis, of which 87.2% were tuberculosis and 12.8% were extrapulmonary tuberculosis; 72 TB / HIV patients were found from October 2007 to October 2008, Among them, 66 cases were treated with anti-TB therapy, 13 cases were cured, 28 cases completed the treatment, the success rate was 62.1%, 14 cases died (21.2%) and 6 cases (9.1%) were lost. Conclusion 1, the prevention and treatment agencies and AI prevention agencies to implement bi-directional screening is to improve the detection rate of TB / HIV double infection in patients with a practical and effective method. 2, to strengthen treatment and management, carry out care activities, and strive for patient cooperation is to improve the success rate of treatment, reduce death and effective measures.