湖南省活动性肺结核患者艾滋病病毒感染现况调查

Survey on Prevalence of HIV Infection in Patients with Active Pulmonary Tuberculosis in Hunan Province

目的了解湖南省活动性肺结核患者中HIV感染现状,分析TB/HIV双重感染的病例,为今后开展TB/HIV双重感染防治工作提供政策建议。方法采用系统抽样的方法,在湖南省随机抽取14个区县作为监测点,对各监测点结防机构于2007年9月1日-12月31日期间新登记的活动性肺结核患者进行免费HIV抗体检测并进行免疫印迹试验(WB)。结果本研究共纳入活动性肺结核患者1947例,其中自愿采血接受HIV抗体检测者1877例,受检率为96.4%。检出TB/HIV双重感染者2例(1.01‰),检出的2例TB/HIV双重感染者均有过HIV高危行为。结论湖南省结核患者中HIV感染率较低,对具有HIV高危行为的人群进行HIV抗体检测有利于发现更多的HIV感染者和病人。

Objective To investigate the prevalence of HIV infection in patients with active pulmonary tuberculosis in Hunan Province,to analyze the cases with TB/HIV double infection,and to put forward some policy suggestions on prevention and control of TB/HIV double infection.Methods Fourteen counties were selected in Hunan Province through systematic sampling,in which new registered TB patients ranging from Sep.1,2007 to Dec.31,2007 were screened by HIV antibody test and diagnosed by Western blot test.Results Totally 1,947 TB cases were recruited in the study,among them 1,877 cases screened voluntarily,with the test rate of 96.4%.Two patients （1.01‰） were found to be TB/HIV double infected,both of whom had HIV high risk behavior.Conclusions The rate of HIV infection is lower in TB patients in Hunan Province.Conducting HIV antibody test among persons with HIV high risk behavior is of benefit to detecting more people living with HIV/AIDS.