山东省结核病人中HIV感染率调查资料的流行病学特征分析  

Analysis on HIV Screening from Tuberculosis Patients in Shandong Province-Epidemiological Perspective

作　　者：李芳[1] 李曙光[1] 金瑾[1] 刘红红[1] 郑建礼[1] 刘小晖[1] 

机构地区：[1]山东省结核病防治中心,山东济南250013

出　　处：《预防医学论坛》2009年第1期7-9,共3页Preventive Medicine Tribune

摘　　要：[目的]了解山东省结核病人中的HIV感染率基线情况并着重对不同性别TB/HIV感染者的流行病学特征进行分析,为降低HIV感染人群中结核病的负担提供基础数据。[方法]采用系统抽样方法抽取14个县作为调查点,对调查点2007年9月1日至12月31日期间新登记的结核病人进行HIV抗体筛检工作。[结果]项目期间共纳入有效病人1881例,进行HIV抗体初筛1794例,受检率为95.37%;检测出TB/HIV双重感染者2例,检出率为1.11‰;不同性别结核病人的年龄、学历、婚姻状况分布不同;检出的2例TB/HIV双重感染者具备主动实施的高危行为史。[结论]山东省结核病人中的HIV感染率较低;在HIV低流行地区的结核病人中开展常规HIV抗体的普遍筛检不符合成本效益原则;对具有高危行为的结核病人进行选择性HIV抗体检测尤为重要。[Objective]To have an understanding of HIV infection rate during TB patients in Shandong province and carry on analysis of TB/HIV co-infected patients from epidemiological perspective. [Methods] 14 counties were selected from Shandong province through systematic sampling,in which new registered TB patient ranging from Sep. 1,2007 to Dec. 31,2007 were screened by HIV antibiotic checking. [Resuits]1881 TB cases were admitted by the project verse 1 794 screened,inspective rate reached 95.37 %; TB/HIV co-infected cases were checked out, checking positive rate is 1.11% ; TB patientgs distribution of different age and diploma and marriage have gender differents. High-risking behavior was as- sumed by 2 TB/HIV co-infected patients from the infection survey. [Conclusion]Infection rate of HIV is lower in TB patients of Shandong province; It is not recommended conducting regular HIV screening in TB patients in areas of which HIV infection rate is lower. Priority of HIV screening should be given TB patients had high-risking behavior related with HIV infection.

关 键 词：结核病 HIV 筛检 流行病 

分 类 号：R512.91[医药卫生—内科学] R511.1[医药卫生—临床医学]