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目的了解新疆伊宁市结核杆菌/艾滋病病毒(TB/HIV)双重感染现状和流行病学特征,发现防控工作的重点人群,为伊宁市TB/HIV双重感染防控工作提供依据。方法采用回顾性研究,分析2010—2015年疾病预防控制部门新登记报告TB/HIV双重感染病人的病案信息、实验室检查结果及转归结果。结果 2010年1月1日—2015年12月31日新登记报告的TB/HIV双重感染病人623例、登记率196/10万人,阴性病人492例(占78.97%),痰涂片阳性双感病人74例(占11.88%),结核性胸膜炎和其他肺外结核病57例(占9.15%),TB/HIV双重感染病人登记率呈波动下降趋势;在登记报告的TB/HIV双重感染病人中,男性(31/10万)、青壮年(34/10万)、维吾尔族(38/10万)TB/HIV双重感染登记率较高。结论 2010—2015年伊宁市TB/HIV双重感染登记率总体呈下降趋势,但疫情仍然较重,男性病人明显多于女性病人,青壮年、维吾尔族人群登记率较高,应作为双感防控和健康宣传教育的重点人群。
Objective To understand the status quo and epidemiological characteristics of dual infection of TB / HIV in Yining, Xinjiang and to find out the key population for prevention and control work, so as to provide basis for the prevention and control of TB / HIV in Yining City. Methods A retrospective study was conducted to analyze the medical record information, laboratory test results and outcome of TB / HIV dual infection newly reported by CDC in 2010-2015. Results 623 cases of TB / HIV dual infection were newly registered from January 1, 2010 to December 31, 2015, with a registration rate of 196/10 million and 492 negative patients (accounting for 78.97%). Positive sputum smear-positive double 74 cases (11.88%), tuberculous pleurisy and 57 cases of extra-pulmonary tuberculosis (9.15%) were detected in patients with TB / HIV infection. The enrollment rate of patients with TB / HIV double-infection was fluctuating downward. (31/10 million), young adults (34/10 million) and Uyghur (38/10 million) TB / HIV. Conclusion The registration rate of TB / HIV dual infection in Yining City between 2010 and 2015 generally shows a downward trend, but the epidemic is still heavy. There are more male patients than female patients. The enrollment rate of young adults and Uyghur people should be higher. Control and health promotion and education of key people.