广西TB/HIV双重感染筛查与诊疗管理现况分析

Analysis on status quo of TB/HIV dual infection screening and diagnosis and treatment management in Guangxi

目的分析2010-2015年广西结核分枝杆菌(TB)/HIV双重感染筛查与治疗监测数据,评估防治现况及发展趋势。方法收集2010-2015年TB/HIV双重感染年度监测报表,导出相应年份的结核病和获得性免疫缺陷综合征(简称艾滋病)专报数据,将数据进行比对和趋势分析。结果 2010-2015年,广西结核病患者中的HIV检测接受率和HIV感染/艾滋病患者的结核病相关筛检接受率呈逐年上升趋势(P<0.05);双向筛查的阳性检出率呈逐年下降趋势(P<0.05);TB/HIV双重感染患者主要集中在广西中部地区;年度监测TB/HIV双重感染防治工作年度监测报表数据与专报系统的双向登记筛查数趋于一致,但仍有误差;TB/HIV双重感染患者接受抗结核和抗病毒联合治疗率较低,在20%~60%波动;治疗成功率虽然逐年提高,但仍受到死亡、丢失和其他转归的影响。结论广西地区TB/HIV双重感染疫情随着双重感染防治工作的全面推进,已取得一定的效果。

Objective To analyze the data of TB/HIV dual infection screening and treatment monitoring in Guangxi during 2010--2015 and to evaluate the prevention and treatment status quo and development trend. Methods The annual monitoring report forms of TB/HIV dual infection during 2010 -- 2015 were collected for deriving the special data of AIDS in corresponding ／ years. Then the data were conducted the comparison and trend analysis. Results The acceptance rates of HIV detection among Guangxi TB patients and the acceptance rate of TB related screening detection in patients with HIV infection/AIDS showed the increasing trend year by year （P〈0. 05）; the positive detection rate of two-way showed the decreasing trend year by year （P〈 0.05）. The patients with TB/HIV dual infection were mainly concentrated in the central area of Guangxi. The annual monitoring report table data m annual monitoring TB/HIV dual infection prevention and treatment work trended to he consistent with the two- way registration and screening data in the special report system, but the errors still existed ;the rate of receiving anti-TB and anti-vi- ral combined therapy in the patients with TB/HIV dual infection was lower, which was fluctuated from 20% to 60Y0 ;the treatment success rate was still elevated year by year, but which was affected by death,lose and other outcomes. Conclusion The TB/HIV dual epidemic situation has already obtained a certain effect along with comprehensively promoting the dual infection prevention and control work in Guangxi area.