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Chinese Journal of Antituberculosis ›› 2011, Vol. 33 ›› Issue (7): 416-421.

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Analysis of cooperation model and effect of TB/HIV co-infection

1.中国疾病预防控制中心结核病预防控制中心; 2.中国疾病预防控制中心艾滋病预防控制中心   

  1. 1.National Center for TB Control and Prevention,China CDC,Beijing 102206,China;2.National Center for AIDS/STD Control and Prevention,China CDC,Beijing 102206,China
  • Received:2011-04-19 Online:2011-07-12 Published:2012-03-14
  • Contact: Cheng Shiming E-mail:smcheng@chinatb.org

Abstract: Objective To explore the cooperation models in different regions and their effects on TB/HIV case finding. Methods Six counties of 4 provinces including Henan,Yunnan,Sichuan and Guangxi were selected to investigate the distribution and function of TB and HIV related institutions.2135 of 2396 new registered TB patients in 6 counties from Sep.2006 to Feb.2007 were tested for HIV infection,68 cases were detected HIV positive,and 3879 cases of HIV/AIDS were administered face-to-face TB questionnaires,1751 cases were detected as positive questionnaire and among them,250 cases were TB patients.Through the two-way screening,318 cases were detected as TB/HIV cases. Results There were two patterns of cooperation model in these 6 counties.One is inter-division cooperation within the same institution;the other is inter-institution cooperation between disease control institutions and medical agencies.In 3 counties with inter-division cooperation model,referral in place rate of HIV/AIDS patients all reached 100.0%(54/54,159/159,335/335);In other 3 counties with inter-institution cooperation,this rate was 100.0%(39/39),91.0%(343/377)and 99.9%(786/787)respectively.In these 6 counties,the HIV testing rate of TB patients was 89.1%(2135/2396)(33.0%100.0%),the detection rate of TB cases was 14.3%(250/1751)(1.6%—22.9%) in people living with HIV/AIDS,and the HIV/AIDS detection rate in TB patients was an average of 3.2%(68/2135)(1.0%6.5%).TB/HIV case detection through TB screening among HIV/AIDS contributed 78.6%(250/318)(54.9%98.6%) of the total 318 cases detected. Conclusion To establish the cooperation model is the prerequisite for TB/HIV case detection.

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

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