HIV/AIDS患者中肺结核可疑者转诊及相关因素分析

目的 了解艾滋病防治机构对HIV/AIDS 患者中结核病可疑症状者向结核病防治机构转诊的到位率和转诊到位时间间隔，探讨影响转诊的因素。 方法 艾滋病防治机构的医生在对HIV/AIDS患者提供检测后咨询和随访时，进行结核病可疑症状的问卷筛查，对问卷筛查阳性的患者，转诊病人到结核病防治机构进行结核病检查，结核病防治机构记录患者到位时间和相关因素。 结果艾滋病防治机构向结核病防治机构转诊有结核病可疑症状的HIV/AIDS患者130例，转诊到位率64.6%（84/130），结核病检出率7.1%（6/84）。转诊当天到达结核病防治机构者36例（42.9%），1～14-d内到达的32例(38.1%)，15～30-d内到达的8例(9.5%)，30-d以后到达的8例(9.5%)。 结论 建立艾滋病和结核病防治机构间合作机制，对提高HIV/AIDS患者中结核病可疑症状转诊率和缩短转诊到位时间十分重要。同时，要进一步研究影响转诊到位率的因素，加大力度提高转诊到位率，及早发现和治疗结核病人。

Cross-referral of HIV/AIDS suspected tuberculosis and influence factors

Objective To understand the actual situation of referral between HIV and TB institutions and explore the factors affecting referral. Methods HIV patients were screened by TB questionnaire by doctors of HIV institutions during post-HIV test counseling and follow-up.Patients with positive questionnaire were referred to TB institution for further TB examination.Patient＇s arrival time after referral were recorded. Results 130 cases of HIV patients with TB suspected symptoms were referral from HIV institution to TB institution.Referral arrival rate was 64.6%（84/130）,TB detection rate was 7.1%（6/84）.36（42.9%） cases reached TB service on the same referral day,32（38.1%） reached within 1 to 14 days,8（9.5%） reached within 15 to 30 days and 8（9.5%） after 30 days. Conclusions It is important to establish the collaboration mechanism between HIV and TB institution in order to improve the referral rate and shorten the arrival time.Factors affecting referral arrival rate should be further researched.