信宜市吸毒人员HIV感染及合并肺结核的调查

Survey of infectious status of HIV and co-infection with tuberculosis in drug users in Xinyi City

目的了解信宜吸毒人员人类免疫缺陷病毒(HIV)感染及合并肺结核的情况,探索防治对策。方法对信宜戒毒所的吸毒人员及到信宜市慢病站就诊有吸毒史的人员全部免费进行HIV抗体初筛和X线胸部透视。HIV抗体初筛阳性者送广东省疾病预防控制中心进行确认,对胸部透视发现肺结核病可疑者,结合胸片、痰涂片、结核抗体(含PPD试验)及临床表现进行肺结核的确诊。结果共检查531例,HIV感染者25例(其中男22例,女3例),患病率4.71%;合并肺结核8例,占HIV感染者的32.0%。结论信宜吸毒人员HIV感染疫情严峻,且有向一般人群传播的趋势,合并肺结核也相当严重,应引起有关部门的关注,HIV感染者或有静脉吸毒史者宜及时作胸部X线检查和PPD试验,对肺结核患者也应作HIV抗体初筛,利于早期诊断与防控。

Objective Know the situation about drugs taking personnel who are infected with HIV combining palmonary tuberculosis, probe the epidemic situation and prevention countermeasure. Methods All free of charge seeing a doctor to drugs taking personnel of the drug rehabilitation center in Xin Yi City and to chronic disease station of Xin Yi City personnel having drug taking history carries out HIV antibody first sieve and Xline bosom perspective. HIV antibody first sieve gender person are sent to the province CDC to carry out confirmation, discover doubtful person of tuberculosis to bosom perspective, Carry out the pulmonary tuberculosis confirmation of a disease combining with chest x - ray photograph, sputum smear, tuberculosis antibody （contain the PPD experiment） and clinical symptom. Results Examine 531 examples in total, HIV infected person 25 examples （among them 22 males examples, 3 female examples）, Morbidity 4.71%, Combine pulmonary tuberculosis that 8 examples, take up HIV infected person 32.0%. Conclusion The drug taking personnel HIV infection epidemic situation is austere in Xin Yi City, and have the trend spreading toward general crowd, the situation combining pulmonary tuberculosis is grave, should cause concerns among the related department, HIV affected person or have vein drug taking history person to ought to do the chest x - ray examination and PPD experiment in time, to those patients who suffering from pulmonary tuberculosis are also should do HIV antibody first sieve, it is good for early diagnosing and prevention.