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目的调查广西新登记结核病人的艾滋病病毒感染流行病学特征,为TB/HIV双重感染防治策略的制定及资源的合理配置提供理论依据。方法采取系统抽样法,选择广西15个有HIV感染疫情的地区开展结核病人中的HIV相关问卷调查及检测。结果2007年9~12月2795例结核病人纳入调查,23名结核病人拒绝调查,实际调查2772名。调查发现54名HIV感染者,总的感染率为1.95%;男性HIV感染者46人,感染率为2.38%;15~49岁结核病人中HIV感染率为2.54%;教师干部等HIV感染率为3.54%,服务业HIV感染率为2.94%;初中文化程度的结核病人HIV感染率为3.09%;已婚者的HIV感染率为2.15%,未婚者的HIV感染率为0.86%,其他婚姻状况的结核病人HIV感染率为5.66%;淋巴结核HIV感染率为22.22%。结论有必要加强结核病与艾滋病防治的协调工作,开展有针对性的双重感染防治工作,以早期发现、治疗双重感染病人,减少结核、HIV的传播,降低双重感染病人的发病率和死亡率。
Objective To investigate the epidemiological characteristics of HIV infection in newly registered TB patients in Guangxi and provide theoretical basis for the prevention and control strategy of TB / HIV dual infection and rational allocation of resources. Methods A systematic sampling method was used to select HIV-related questionnaires and tests among TB patients in 15 HIV / AIDS-infected areas of Guangxi. Results From September to December 2007, 2795 tuberculosis patients were included in the survey, 23 tuberculosis patients refused to investigate, and 2772 were actually investigated. The survey found that 54 HIV-infected persons, the overall infection rate was 1.95%; 46 HIV-infected men, the infection rate was 2.38%; 15 to 49-year-old tuberculosis HIV infection rate was 2.54%; teacher cadre HIV infection rate 3.54% in the service industry, 2.94% in the service industry, 3.09% in the tuberculosis patients in the junior middle school education level, 2.15% in the married people and 0.86% in the unmarried people. The other marital status HIV infection rate of tuberculosis patients was 5.66%; HIV infection rate of lymph node tuberculosis was 22.22%. Conclusion It is necessary to strengthen the coordination of tuberculosis and AIDS prevention and treatment and carry out targeted prevention and treatment of double infection in order to find and treat double infected patients early, reduce the spread of tuberculosis and HIV and reduce the morbidity and mortality of double infected patients.