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目的了解福建省结核菌(TB)/艾滋病病毒(HIV)双重感染筛查工作开展情况,为改进防治质量提供参考。方法对福建省2012年TB/HIV双重感染年报表进行汇总分析。结果 2012年HIV感染者及AIDS患者接受结核病症状筛查率85.3%,其中胸片或痰检的检查率为78.3%,结核病检出率为1.3%。新检出HIV阳性者接受结核病症状筛查率和接受胸片(痰检)检查率均高于随访的既往HIV阳性者,但两者结核病检出率差异无统计学意义。结核病患者接受HIV检测率10.2%,HIV检出率为0.2%。结论在新检和随访的既往HIV阳性者中发现结核病同样重要,尤其应重视既往HIV阳性者的随访质量,提高对该人群的动员技巧,提高检查依从性。在不同地区开展TB/HIV双重感染防治,应将当地工作特点与TB疫情和HIV流行强度相结合,动态监测掌握双重感染流行状况,使防治资源达到最大效益。
Objective To understand the status of screening for TB / HIV in Fujian Province and provide reference for improving the quality of prevention and treatment. Methods The 2012 annual report of double infection of TB / HIV in Fujian Province was collected and analyzed. Results In 2012, HIV-infected and AIDS-infected patients received 85.3% of TB symptoms, of which 78.3% had chest and sputum examination and 1.3% had tuberculosis. Newly detected HIV-positive tuberculosis screening rate and receiving sputum examination were higher than the previous follow-up of HIV-positive, but the difference between the two tuberculosis detection rate was not statistically significant. Tuberculosis patients received HIV test rate of 10.2%, HIV detection rate of 0.2%. Conclusions Tuberculosis is equally important in new HIV-positive and follow-up HIV-positive patients in the past. In particular, the quality of follow-up of previous HIV-positive patients should be emphasized, the mobilization skills should be improved, and the compliance of examination should be improved. In different regions to carry out prevention and treatment of TB / HIV dual infection, local work characteristics should be combined with the outbreak of TB epidemic and the strength of HIV epidemic, dynamic monitoring and control of the prevalence of double infection, the prevention and treatment resources to achieve maximum benefit.