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中国防痨杂志 ›› 2013, Vol. 35 ›› Issue (11): 905-909.

• 论著 • 上一篇    下一篇

对Mtb与HIV双重感染防治重点县（区）结核病患者进行HIV检测的效果分析

李涛 成诗明 杜昕 王冬梅 赖钰基 刘二勇 周林   

  1. 102206北京，中国疾病预防控制中心结核病预防控制中心统计监测部（李涛、杜昕），主任办公室（成诗明），患者关怀部（王冬梅、赖钰基、刘二勇、周林）
  • 收稿日期:2013-09-22 出版日期:2013-11-10 发布日期:2013-11-03
  • 通信作者: 周林 E-mail:zhoulin@chinatb.org

Analysis on results of HIV screening among TB patients in national key counties (districts) for Mtb/HIV co-infection control and prevention

LI Tao, CHENG Shi-ming, DU Xin, WANG Dong-mei, LAI Yu-ji, LIU Er-yong, ZHOU Lin   

  1. Department of Statistics and Surveillance, National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2013-09-22 Online:2013-11-10 Published:2013-11-03
  • Contact: ZHOU Lin E-mail:zhoulin@chinatb.org

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摘要： 目的分析全国Mtb与HIV双重感染防治工作重点县（区）对结核病患者进行HIV检测的结果，为进一步完善Mtb与HIV双重感染的检出策略提供依据。方法采用流行病学研究方法，分析2010年和2012年全国294个Mtb与HIV双重感染防治工作重点县（区）中开展HIV抗体检测的48848和98739例新登记结核病患者的筛查情况，同时将HIV抗体检测阳性率与全国结核病患者中HIV感染现状调查的阳性率及2540个非重点县（区）新登记结核病患者的HIV抗体检测阳性率进行对比。结果2010年，294个Mtb与HIV双重感染防治工作重点县（区）结核病患者平均HIV筛查率为43.32%（48848/112757）；进行HIV检测的结核病患者中HIV的总体检出率为2.71%（1324/48848）；非重点县（区）进行HIV检测的结核病患者中HIV的总体检出率为0.41%（185/45274）。2012年，相应的比率分别为86.63%（98739/113978）、1.63%（1605/98739）和0.39%（628/159586）。2010、2012年重点县（区）HIV检出率［2.71%（1324/48848）、1.63%（1605/98739）］与非重点县（区）HIV检出率［0.41%（185/45 274）、0.39%（628/159586）］比较，差异均有统计学意义（χ2=789.17、1080.37；P值均＜0.0001）。2010、2012年294个重点县（区）共检测出Mtb与HIV双重感染者分别为1324例和1605例，占全国估算患者例数的50.40%（1324/2627）和63.64%（1605/2522）。结论2012年全国Mtb与HIV双重感染防治重点县（区）新登记的结核病患者中HIV检测例数和检出的Mtb与HIV双重感染者与2010年相比均有显著上升， Mtb与HIV双重感染防治重点县（区）筛查策略实施效果良好。

关键词: 结核/预防和控制, HIV感染, 重叠感染, HIV, 登记, 评价研究

Abstract: Objective  To analyze the results of HIV screening among tuberculosis (TB) patients in national key counties (districts) for Mtb/HIV co-infection control and prevention, and to provide evidence for improving HIV screening strategy among TB patients. Methods  The results of 48 848/98 739 screened patients of 294 national Mtb/HIV co-infection key counties (districts) in 2010/2012 were analyzed, and the positive rate was compared with that of National HIV Infection Survey among TB patients and of 2540 non-priority counties. Results  In 2010, the average HIV screening rate in 294 key counties (districts) was 43.32% (48 848/112 757), the overall HIV detection rate in key counties and non-priority counties were 2.71% (1324/48 848) and 0.41% (185/45 274) respectively, and the corresponding rates were 86.63% (98 739/113 978), 1.63% (1605/98 739) and 0.39% (628/159 586) in 2012. The HIV detection rates of key counties were 2.71% (1324/48 848) and 1.63% (1605/98 739) respectively in 2010 and 2012, while those of non-priority counties were 0.41% (185/45 274) and 0.39% (628/159 586). The differences of HIV detecting rate were significant between key counties and non-priority counties in 2010 and 2012 (χ2=789.17/1080.37, P<0.0001). The numbers of Mtb/HIV co-infection cases detected in 294 key counties in 2010 and 2012 were 1324 and 1605 respectively, which accounted for 50.40% (1324/2627) and 63.64% (1605/2522) of the estimated number of national Mtb/HIV patients. Conclusion  The number of screened cases and Mtb/HIV patients detected in key counties in 2012 has increased significantly than in 2010, and the implementation effect of the strategy of HIV screening among TB patients in Mtb/HIV co-infection key counties is good.

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

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