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目的分析广西结核分枝杆菌(TB)/艾滋病病毒(HIV)双重感染(简称TB/HIV感染)患者的发现和死亡变化趋势,为控制TB/HIV感染发病和死亡提供依据。方法收集各市、县2010-2013年双重感染的年度报表,按艾滋病流行率高低分重点和非重点地区,分析TB/HIV感染患者登记、HIV抗体阳性者筛查结核病和结核病患者检测HIV的报告趋势,对登记报告的趋势进行归因和责任分析。结果 2010-2013年,TB/HIV感染患者占活动性TB患者的比例为3.8%;死亡患者占TB/HIV感染患者的比例为5.2%;2011-2013年。TB/HIV感染患者报告数下降了46.0%,每年下降23.0%;HIV筛查TB登记报告下降55.0%,TB检测HIV登记报告下降23.5%;重点地区HIV筛查TB登记报告下降66.9%,TB检测HIV报告下降了36.5%。70.9%TB/HIV感染患者发病登记归因于重点地区;因重点地区HIV阳性者筛查TB造成登记下降责任比例为98.8%,TB检测HIV下降责任比例为19.1%;非重点地区HIV阳性筛查TB、TB检测HIV登记造成的下降责任比例分别为-10.9%和-7.0%。结论 2010-2013年的广西TB/HIV感染患者登记快速下降,主要由重点地区HIV阳性者感染TB登记下降引起。需改变筛查、检测策略和方法,建立筛查程序,不断加强HIV阳性者中TB病例的发现能力。
OBJECTIVE: To analyze the trends of the changes of death and TB in HIV / AIDS patients with TB / HIV infection in Guangxi and provide evidence for controlling the incidence and mortality of TB / HIV infection. Methods To collect annual reports of double infections in different cities and counties from 2010 to 2013, and to analyze HIV / AIDS-infected TB patients and HIV-positive TB patients by HIV-positive and HIV-positive HIV / , Attribution of reporting trend and responsibility analysis. Results In 2010-2013, TB / HIV infection accounted for 3.8% of active TB patients; deaths accounted for 5.2% of TB / HIV infection patients; and 2011-2013. The number of TB / HIV infected patients decreased by 46.0% and decreased by 23.0% per year respectively; HIV screening decreased by 55.0% in TB screening and 23.5% reduction in TB by HIV testing; 66.9% reduction in TB registration by HIV screening in key areas; TB testing The HIV report dropped by 36.5%. The incidence of 70.9% TB / HIV infection was attributed to key areas; 98.8% of respondents were screened for TB due to HIV-positive in key areas, and 19.1% were responsible for the decline in HIV-TB detected by TB; HIV-positive screening in non-priority areas TB, TB detection of HIV registration decreased responsibility for the proportion of -10.9% and -7.0%. Conclusion The rapid decline of TB / HIV infection in Guangxi from 2010 to 2013 is mainly caused by the drop of TB registration in HIV-positive infected areas in key areas. Screening, testing strategies and methods need to be changed and screening procedures established to continually enhance the ability of TB cases in HIV-positive individuals.