广西百色市HIV／TB双重感染现况分析

摘要

Objective To explore the status of HIV/TB co-infection in Baise so as to provide the references for HIV/TB co-infection control and prevention.Methods The characteristics of 205 patients with HIV/TB co-infection confirmed in the two-way screening conducted by AIDS/TB control and prevention organizations in all counties(districts) in Baise were analyzed.Results The ratio of the cases from Youjiang county,Tianyang county,Tiandong county and Pingguo county to the total cases of the city was 91.22%(187/205).The morbidities in various age groups showed no significant difference(P>0.05),and the mortality increased with the increasing age.Farmers and migrant workers gained the highest morbidity,accounted for 70.24%(144/205).The retirees gained the highest mortality(20.00%).The HIV infection correlated with sexual transmission in 68.92%of patients with HIV/TB co-infection,which was the common transmission route in Baise.Conclusion HIV/TB co-infection has its own characteristics in Baise.It is necessary to carray out the continuous comprehensive two-way screening on HIV/TB co-infection.%目的：了解百色市艾滋病病毒／结核杆菌（ HIV／TB ）双重感染的情况，为防控 HIV／TB 双重感染提供参考。方法分析百色市各县（区）艾滋病防治机构和结核病防治机构双向筛查出的HIV／TB 双重感染患者205例的感染特点。结果右江、田阳、田东和平果等4县（区）病例数占全市总发现病例数的91．22％（187／205），各年龄组发病率比较均衡（P＞0．05），但病死率有随年龄组的递增有上升的趋势；发病人数最多的职业为农民和民工，占70．24％（144／205）；病死率最高的为离退休人员（20．00％）；HIV／TB双重感染者中HIV的感染途径与性传播有关的占68．29％，为本地的主要传播途径。结论百色市HIV／TB双重感染有其特点，继续全面开展双向筛查工作非常必要。