2011-2013年浙江省温州市结核菌/艾滋病病毒双重感染筛查与治疗资料分析[J]. 疾病监测, 2015, 30(1): 42-45. DOI: 10.3784/j.issn.1003-9961.2015.01.012
引用本文: 2011-2013年浙江省温州市结核菌/艾滋病病毒双重感染筛查与治疗资料分析[J]. 疾病监测, 2015, 30(1): 42-45. DOI: 10.3784/j.issn.1003-9961.2015.01.012
Screening and treatment of Mycobacterium tuberculosis/HIV co-infection in Wenzhou, Zhejiang, 2011-2013[J]. Disease Surveillance, 2015, 30(1): 42-45. DOI: 10.3784/j.issn.1003-9961.2015.01.012
Citation: Screening and treatment of Mycobacterium tuberculosis/HIV co-infection in Wenzhou, Zhejiang, 2011-2013[J]. Disease Surveillance, 2015, 30(1): 42-45. DOI: 10.3784/j.issn.1003-9961.2015.01.012

2011-2013年浙江省温州市结核菌/艾滋病病毒双重感染筛查与治疗资料分析

Screening and treatment of Mycobacterium tuberculosis/HIV co-infection in Wenzhou, Zhejiang, 2011-2013

  • 摘要: 目的 分析浙江省温州市结核菌/艾滋病病毒(TB/HIV)双重感染筛查与治疗情况,为更有效地开展双重感染防治工作提供有益参考. 方法 通过国家结核病管理信息系统和《TB/HIV双重感染防治管理工作年度报表》,收集并分析温州市2011-2013年TB/HIV双重感染双向筛查、双重感染患者抗结核和抗病毒治疗以及抗结核治疗转归情况数据资料. 结果 3年共登记HIV感染和艾滋病(AIDS)患者3694例次,X线胸片和痰涂片检查3534例次,结核病检查率95.67%;发现结核病患者45例,结核病检出率1.27%.共登记结核病患者17 140例, HIV抗体检测3067例,检测率为17.89%;发现HIV抗体阳性患者13例,HIV抗体阳性检出率为0.42%.双向筛查双重感染患者检出率对比,差异有统计学意义(2=13.605,P0.01).累计发现双重感染患者58例,抗结核治疗率91.38%(53/58),抗病毒治疗率55.17%(32/58).25例纳入结核病管理信息系统登记管理.1年转归治愈率36.00%(9/25),治疗成功率(治愈+完成疗程)80.00%(20/25),死亡占8.00%(2/25). 结论 结核病防治机构和艾滋病防治机构合作实施双向筛查、共同管理,是早期发现TB/HIV双重感染患者、提高治疗成功率、减少死亡的有效措施.

     

    Abstract: Objective To understand the performance of screening and treatment of Mycobacterium tuberculosis/HIV co-infection in Wenzhou, Zhejiang province, and provide evidence for the improvement of the co-infection. Methods The data about the screening and treatment of M. tuberculosis/HIV co-infection were collected from national tuberculosis reporting information system and annual reports of M. tuberculosis/HIV co-infection prevention and treatment in Wenzhou from 2011 to 2013 for statistical analysis. Results A total of 3694 cases/times of HIV infection were registered during this period, X-ray chest examination and sputum smear detection were conducted for 3534 cases (95.67%), and 45 tuberculosis(TB) cases were detected (1.27%). A total of 17 140 TB cases were registered, HIV test was conducted for 3067 cases (17.89%), and 13 cases of HIV infection were detected (0.42%). The difference in co-infection detection rate was statistical significant between the two detections (2=13.605, P0.01). Totally 58 cases of M. tuberculosis/HIV co-infection were detected. Among these cases, 53 received anti-TB treatment (91.38%), 32 received antiretroviral treatment (55.17%). Twenty five co-infection cases were reported to tuberculosis reporting information system, 9 were cured (36.00%), 2 were fatal (8.00%). The rate of successful treatment (cured and full course treatment) was 80.00% (20/25). Conclusion Cooperation between anti TB institution and CDC in screening of M. tuberculosis/HIV co-infection is an effective way for the early detection of M. tuberculosis/HIV co-infection, increasing of successful treatment rate and reducing of death rate.

     

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