Study on factors affecting TB/HIV co-infection in four counties of China

作     者：Shi-Ming CHENG Yu-Ji LAI Er-Yong LIU Lin ZHOU Xue-Jing WANG Qiu-Lan CHEN Dong-Ming LI Ning WANG 

作者机构：National Center for TB Control and PreventionChinese Center for Disease Control and PreventionBeijing 102206China National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and PreventionBeijing 102206China 

出 版 物：《Frontiers of Medicine》 (医学前沿（英文版）)

年 卷 期：2010年第4卷第2期

页      面：185-191页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

主　　题：tuberculosis/acquired immunodeficiency syn-drome dual infection prevention and control case detection impact factors 

摘      要：The factors affecting case detection of tuber-culosis(TB)/human immunodeficiency virus(HIV)co-infection cases were explored in order to provide evidence-based formulation of a TB/HIV co-infection control strategy in *** counties with different modes of HIV transmission and varying cooperation mechanisms between TB and HIV institutions were *** test among TB patients and TB examination among people living with HIV/acquired immunodeficiency syndrome(AIDS)were *** also completed ques-tionnaires on potential factors affecting TB/HIV *** results showed that 19(1.7%)were HIV-positive among 1089 cases of people living with active TB who received HIV ***,there were 126(10%)cases of active TB among 1255 cases of people living with HIV/*** the newly discovered 145 cases of TB/HIV co-infection,AIDS institutions found 86.9%of these co-infections and 14.1%came from TB *** different registration categories,there were 31(21.4%)cases of smear positive TB,104(71.7%)cases of smear negative TB,and extrapulmonary cases accounted for 10(6.9%).Gender,occupation,marital status,ethnic group,education,HIV transmission route,CD4 level,and type of TB susceptible symptoms had significant effects on whether HIV/AIDS patients were co-infected with TB disease(P0.01).Sex,age,ethnic group,occupation,and type of tuberculosis had no significant influence on whether TB patients had HIV *** institutions couldfind more TB/HIV co-infection patients in compar-ison with TB institutions,particularly in patients with smear negative pulmonary tuberculosis and extrapulmon-ary ***,a cooperation mechanism should be built up between TB and HIV control systems,and routine TB checks should be conducted for HIV/AIDS *** areas where sex or drug use is the major transmission mode of HIV infection,antiretroviral therapy should be expanded,treatment adherence should be improved and patients’immunity level should