在押人群HIV/AIDS与结核病双重感染调查

Analysis on coincidence of HIV/AIDS and tubercolosis in criminal suspects

目的调查在押人群的人类免疫缺陷病毒（HIV）感染与合并结核病（TB）双重感染情况.方法对2005年6月～9月某监所860名在押人群进行HIV检测,并调查结核病感染情况及吸毒史.结果 860名在押人群中HIV感染者50例,占5.8%;50例HIV感染者中结核病11例,发病率22%;810例HIV阴性者中结核病8例,发病率0.99%.HIV感染者结核病的发病机率远远大于HIV阴性者,二者比较差异有统计学意义（P〈0.05）.结论在押人群中HIV阳性者合并TB的机率高于HIV阴性者,建议对HIV阳性者应进行常规痰涂片检查和结核菌素试验,以期做到艾滋病（AIDS）合并结核病（TB）的早期诊断与治疗.

Objective To investigate the coincidence status with HIV/AIDS and tuberculosis（ TB）in criminal suspects. Methods HIV and TB infection status were tested in 860 criminal suspects, who were arrested from June to Septenber in 2005, meanwhile the history of drug abuse were collected. Results 50 of persons in 860 persons suspects were tested to be HIV postitive, at the incident rate of 5.8% （50/860）and then 11 of 50 HIV positive persons were found to be infected with TB, at the incident rate of 22 % （11/50）, however, in 810 negtive HIV persons, only 8 were diagnosed to be TB, at the rate of 0.99 % . HIV positive persons were more possibly concidented with TB than HIV negative ones, the TB coincident rate between two groups were statistically different（ P 〈 0.05 ）. Conclusion In criminal suspects, HIV positive persons were more possibly coincidented with TB than HIV negtive ones, to this special problem and population more care should be taken by CDC and even whole society, furtherly the sputum smear slide and TB toxin test should be routinely carried out to HIV positive persons.