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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 understand the status of HIV infection in patients with active pulmonary tuberculosis in Hunan Province and to analyze the case of double TB / HIV infection and to provide policy recommendations for future prevention and treatment of TB / HIV infection. Methods A systematic sampling method was used to randomly select 14 districts and counties in Hunan Province as the monitoring points. The newly registered TB patients from September 1, 2007 to December 31, 2007 in each monitoring and checkup agency were provided with free HIV Antibodies to detect and carry out immunoblotting assays (WB). Results A total of 1947 patients with active pulmonary tuberculosis were enrolled in this study. Among them, 1877 HIV-positive volunteers were recruited voluntarily, with a detection rate of 96.4%. Two cases of TB / HIV infection were detected (1.01 ‰). Two cases of TB / HIV infection were found to have high risk of HIV infection. Conclusions HIV infection rate among TB patients in Hunan Province is relatively low. HIV antibody test in populations with high risk of HIV is helpful to find more HIV infected persons and patients.