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中国防痨杂志 ›› 2012, Vol. 34 ›› Issue (7): 455-458.

• 论著 • 上一篇    下一篇

南宁市西乡塘区第五轮全球基金Mtb与HIV双重感染项目实施效果评价

赵亚玲 林新勤 秦绚 刘绍明   

  1. 530023  广西南宁市疾病预防控制中心结核病防治科(赵亚玲、秦绚、刘绍明),项目办公室(林新勤)
  • 收稿日期:2011-09-15 出版日期:2012-07-10 发布日期:2012-07-06
  • 通信作者: 赵亚玲 E-mail:Jfkzyl @163.com

Effect evaluation of the 5th round of the Global Fund project on TB-HIV co-infection control in Xixiangtang district, Nanning city

ZHAO Ya-ling,LIN Xin-qin,QIN Xun,LIU Shao-ming   

  1. Department of Tuberculosis Prevention and Control, Center of Disease Prevention and Control, Nanning 530023,China
  • Received:2011-09-15 Online:2012-07-10 Published:2012-07-06
  • Contact: ZHAO Ya-ling E-mail:Jfkzyl @163.com

摘要: 目的  对南宁市西乡塘区第五轮全球基金Mtb与HIV双重感染项目2006至2010年间的执行效果进行评价。 方法  对南宁市第四人民医院2006年10月至2010年9月上报的Mtb与HIV双重感染防治项目季报表进行描述性统计分析。对到南宁市第四人民医院就诊的西乡塘区3821例结核病患者进行了HIV抗体筛查, 对可随访的4085例HIV感染和(或)AIDS患者开展结核病筛查。 结果  进行HIV抗体筛查率为72.5%(3821/5272);检测出HIV阳性70例,HIV阳性检出率1.8%(70/3821)。可随访HIV感染和(或)AIDS患者筛查率92.2%(4085/4431);发现结核病686例,检出率为16.8%(686/4085)。2006年10月至2009年9月南宁市西乡塘区HIV感染合并肺结核患者265例,治愈率为7.6%(20/265),完成疗程率为44.5%(118/265),治疗成功率为52.1%(138/265),死亡率为24.5%(65/265),丢失率为23.4%(62/265)。 结论  要加强对HIV感染与AIDS患者的随访,以及双重感染患者的治疗管理和健康教育工作,提高双重感染患者的治疗成功率、减少丢失率。

关键词: 获得性免疫缺陷综合征, 结核,肺, 重叠感染, 南宁市

Abstract: Objective  To evaluate the effect of the 5th round of the Global Fund project on TB-HIV co-infection control in Xixiangtang District, Nanning city.  Methods  We made a descriptive analysis on the quarterly report by the Fourth Peoples’ Hospital of Nanning city reported from October 2006 to September 2010, and carried out HIV antibody test for 3821 TB cases attending the hospital and TB screening for 4085 HIV/AIDS cases being followed-up.  Results  HIV antibody test proportion of TB cases was 72.5% (3821/5272); among them, 70 HIV positive cases were detected with the HIV-positive detection rate of 1.8% (70/3821). TB screening proportion of HIV/AIDS cases being followed-up was 92.2% (4085/4431); among them, 686 case were found to be TB cases with the TB detection rate of 16.8% (686/4085). From October 2006 to September 2009, there were 265 TB-HIV co-infection cases reported in total, of whom 7.6% (20/265) were cured, 44.5% (118/265) completed the treatment course, 24.5% (65/265) died and 23.4% (62/265) lost to follow-up.  Conclusion  We should strengthen the treatment management of co-infection patients and health education, and continuously improve the treatment success rate and reduce the loss rate.

Key words: Acquired immunodeficiency syndrome, Tuberculosis,pulmonary, Superinfection, Nanning city