湖南省慈利县2002-2006年肺结核病人中HIV感染哨点监测结果

目的监测慈利县活动性肺结核病人艾滋病毒（HIV）感染流行趋势，为制定艾滋病预防控制规划提供依据，为预防效果的评价提供准确信息。方法采用酶联免疫吸附试验（ELISA）对哨监测点的活动性肺结核病人进行HIV初筛，初筛阳性者采用蛋白印迹（WB）实验确认。结果2100例肺结核病人中，HIV感染者9例，占0．43％。男性组感染率0．44％，女性组感染率0．41％，差异无统计学意义（x^2=0．0004，P〉0．05）。感染者年龄在25—67岁，痰结核菌涂片阳性和阴性的肺结核HIV感染率分别为0．16％和0．82％，差异有统计学意义（x^2=5．19，P〈0．05）。结论应重点加强肺结核病人的HIV哨点监测，同时对这些高危人群采取干预措施，控制HIV的传播。

Surveillance of HIV Infection among the Tuberculosis Patients of Cili County of Hunan Province during 2002～2006

[Objective] To detect the epidemic tendency of HIV infection among tuberculosis patients and provide basis for AIDS prevention and control.[Methods] ELISA was applied for the first screening of HIV;the positive cases in the first screening were confirmed by WB experiment.[Results] Among the 2 100 tuberculosis patients,9 cases were HIV-infected(0.43%);the infectious rate in the male group and the female group were 0.44% and 0.41% respectively,no significant difference was found (P<0.05).The infected patients were between the age of 25 and 67;the rate of HIV infection in sputum smear(+) and sputum smear(-) were 0.16% and 0.82% respectively,the difference was significant(P<0.05).[Conclusion] HIV sentinel surveillance should be strengthened on tuberculosis patients;inference should be carried out among the high-risk population to control the spread of HIV.