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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (9): 802-805.doi: 10.3969/j.issn.1000-6621.2014.09.011

• 专家论坛 • 上一篇    下一篇

国内外Mtb与HIV双重感染防治进展与展望

周林 刘二勇   

  1. 102206 北京,中国疾病预防控制中心结核病预防控制中心患者关怀部
  • 收稿日期:2014-07-03 出版日期:2014-09-10 发布日期:2014-11-28

Progress and prospect of Mtb and HIV co-infection prevention

ZHOU Lin, LIU Er-yong   

  1. Patient Care Division of National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2014-07-03 Online:2014-09-10 Published:2014-11-28

摘要: 为了分析Mtb与HIV双重感染防治进展,发现存在问题与困难,探讨解决方法,提高Mtb与HIV双重感染防治工作质量。查阅了近年来与Mtb与HIV双重感染防治工作相关资料:WHO年报数据、政策指南等;我国出台政策文件及下发相关工作手册、国家级试点总结报告等;Mtb与HIV双重感染防治诊断、治疗及管理相关文献。结果说明自2004年WHO出台了《结核分枝杆菌/艾滋病病毒联合行动策略》以来,在Mtb与HIV双重感染患者发现、治疗、管理、预防等方面形成了较完善的策略,各国Mtb与HIV双重感染防治工作取得了较大进步。我国围绕Mtb与HIV双重感染疫情监测,Mtb与HIV感染双向筛查、HIV感染者与AIDS患者进行异烟肼预防性治疗等方面开展了一系列试点工作,2010年我国Mtb与HIV双重感染防治工作已覆盖全国。但在结核病防治机构与艾滋病防治机构间合作、Mtb与HIV双重感染患者登记报告、Mtb与HIV感染双向筛查质量、Mtb与HIV双重感染患者管理的质量等方面仍有待于进一步提高。

关键词: 结核/预防和控制, HIV感染, 重叠感染

Abstract: In order to analyze the progress on Mtb and HIV co-infection prevention, problems and difficulties, explore solutions in order to improve work quality of Mtb and HIV co-infection prevention, we reviewed the related information on Mtb and HIV co-infection prevention in recent years including WHO annual reports, policy guides, policy documents and related manual issued in China, state-level pilot summary reports and relevant literature on Mtb and HIV co-infection diagnosis, treatment and management. Since 2004, WHO released the Mycobac-terium tuberculosis/HIV Joint Action Strategy, a relatively sound policy on Mtb and HIV co-infection treatment, management and prevention was established. National work on Mtb and HIV co-infection prevention has made great progress, conducted a series of pilot work centered on the surveillance of Mtb and HIV co-infection epidemic, two-way screening, INH preventive therapy. Since 2010, Mtb and HIV co-infection prevention work expand to the whole country in China. However, there remains to be further improved in terms of Mtb and HIV inter-agency cooperation, registration reports, bi-directional screening quality, and management of co-infection patients.

Key words: Tuberculosis/prevention &, control, HIV infections, Superinfection