国内外Mtb与HIV双重感染防治进展与展望

Progress and prospect of Mtb and HIV co-infection prevention

为了分析Mtb与HIV双重感染防治进展,发现存在问题与困难,探讨解决方法,提高Mtb与HIV双重感染防治工作质量.查阅了近年来与Mtb与HIV双重感染防治工作相关资料：WHO年报数据、政策指南等;我国出台政策文件及下发相关工作手册、国家级试点总结报告等;Mtb与HIV双重感染防治诊断、治疗及管理相关文献.结果说明自2004年WHO出台了《结核分枝杆菌/艾滋病病毒联合行动策略》以来,在Mtb与HIV双重感染患者发现、治疗、管理、预防等方面形成了较完善的策略,各国Mtb与HIV双重感染防治工作取得了较大进步.我国围绕Mtb与HIV双重感染疫情监测,Mtb与HIV感染双向筛查、HIV感染者与AIDS患者进行异烟肼预防性治疗等方面开展了一系列试点工作,2010年我国Mtb与HIV双重感染防治工作已覆盖全国.但在结核病防治机构与艾滋病防治机构间合作、Mtb与HIV双重感染患者登记报告、Mtb与HIV感染双向筛查质量、Mtb与HIV双重感染患者管理的质量等方面仍有待于进一步提高.

In order to analyze the progress on Mtb and HIV co infection prevention,problems and difficul ties,explore solutions in order to improve work quality of Mtb and HIV co infection prevention,we reviewed the related information on Mtb and HIV co infection prevention in recent years including WHO annual reports,policy guides,policy documents and related manual issued in China,stat,level pilot summary reports and relevant literature on Mtb and HIV co infection diagnosis,treatment and management.Since 2004,WHO released the Mycobacterium tuberculosis/HIVJoint Action Strategy,a relatively sound policy on Mtb and HIV co infection treatment,management and prevention was established.National work on Mtb and HIV co infection prevention has made great progress,conducted a series of pilot work centered on the surveillance of Mtb and HIV co infection epidemic,two way screening,INH preventive therapy.Since 2010,Mtb and HIV co infection prevention work expand to the whole country in China.However,there remains to be further improved in terms of Mtb and HIV inter-agency cooperation,registration reports,bbdirectional screening quality,and management of co infection patients.