浙江省艾滋病病毒感染者和艾滋病患者中结核病筛查情况分析
Screening of tuberculosis for people living with HIV/AIDS in Zhejiang province
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摘要: 目的通过掌握艾滋病病毒感染者和艾滋病(HIV/AIDS)患者中结核病的患病情况及发病趋势,以便对结核病和艾滋病双重感染者开展防治。方法对登记在册的HIV/AIDS人群进行症状询问、胸部拍片、痰涂片。结果通过筛查577例HIV/AIDS患者,发现结核病33例, 结核病患病率为5.72%;活动性肺结核31例,患病率为5.37%;痰涂片阳性4例,涂阳患病率为0.69%。其中HIV感染者检出率为3.36%,AIDS患者检出率为12.50%,差异有统计学意义 (I/Isup2/sup=16.36,IP/I<0.01)。结论HIV/AIDS人群是感染结核病的高危人群,应定期进行结核病筛查,做到早期发现,早期治疗。Abstract: ObjectiveTo investigate the prevalence of tuberculosis (TB) in the people living with HIV/AIDS (PLWHA), in order to conduct treatment for the people co-infected with HIV and TB. MethodsRegistered PLWHA received the screening including interrogation about symptoms, chest X ray and sputum smears. ResultsThirty three TB cases were detected among 577 PLWHA recruited in the screening with the prevalence rate of 5.72%. Thirty one active pulmonary TB cases were detected with the prevalence rate of 5.37%, and 4 sputum smear positive cases were detected with the positive rate of 0.69%. The detection rate of TB among the people infected with HIV was 3.36%, and the detection rate of TB among AIDS patients was 12.50%, the difference had statistical significance (I/Isup2/sup=16.36, IP/I<0.01). ConclusionPLWHA is the high risk population for TB, it is necessary to conduct regular TB screening for the early detection and early treatment of TB cases.