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目的了解平山县肺结核病人中HIV感染状况,为制定防治对策提供依据。方法选择2009年5月1日-2012年11月30日平山县疾控中心结核病门诊登记的850例肺结核病人按照知情同意原则进行HIV抗体筛查。结果 850例肺结核病人中检出HIV抗体阳性者4例,阳性率为0.47%,4例病例已全部进入艾滋病期;TB/HIV双重感染病人均无固定职业,文化程度较低,以青壮年男性为主,检出的4例TB/HIV双感病人具备主动实施的高危行为史,HIV感染方式以性传播为主。结论平山县结核病人中存在HIV双重感染,对肺结核患者应加强健教宣传、HIV抗体监测及管理。
Objective To understand the status of HIV infection among pulmonary tuberculosis patients in Pingshan County, and to provide basis for prevention and treatment measures. Methods Select 850 cases of tuberculosis patients registered in Pingshan CDC TB Clinic from May 1, 2009 to November 30, 2012 to conduct HIV antibody screening according to the principle of informed consent. Results In 850 cases of tuberculosis patients, 4 cases were detected positive for HIV antibody, the positive rate was 0.47%, 4 cases had all entered the AIDS stage; TB / HIV double infection patients have no fixed occupation, lower education, young men Mainly detected 4 cases of TB / HIV dual-sense patients with active implementation of high-risk behavior history, HIV infection mainly sexual transmission. Conclusion There are double HIV infection in TB patients in Pingshan County. Publicity of TB education and HIV antibody monitoring and management should be strengthened in TB patients.