南宁市西乡塘区第五轮全球基金Mtb与HIV双重感染项目实施效果评价

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目的 对南宁市西乡塘区第五轮全球基金Mtb与HIV双重感染项目2006至2010年间的执行效果进行评价.方法 对南宁市第四人民医院2006年10月至2010年9月上报的Mtb与HIV双重感染防治项目季报表进行描述性统计分析.对到南宁市第四人民医院就诊的西乡塘区3821例结核病患者进行了HIV抗体筛查,对可随访的4085例HIV感染和(或)AIDS患者开展结核病筛查.结果 进行HIV抗体筛查率为72.5%(3821/5272);检测出HIV阳性70例,HIV阳性检出率1.8%(70/3821).可随访HIV感染和(或)AIDS患者筛查率92.2%(4085/4431);发现结核病686例,检出率为16.8%(686/4085).2006年10月至2009年9月南宁市西乡塘区HIV感染合并肺结核患者265例,治愈率为7.6%(20/265),完成疗程率为44.5%(118/265),治疗成功率为52.1%(138/265),死亡率为24.5%(65/265),丢失率为23.4%(62/265).结论 要加强对HIV感染与AIDS患者的随访,以及双重感染患者的治疗管理和健康教育工作,提高双重感染患者的治疗成功率、减少丢失率.
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