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安徽解双重感染难题初见成效
来源∶健康报 2010。03。18
本报讯 （记者冯立中 陈 旭 通讯员徐晓敏）艾滋病和结核病易相生相伴。近年来，安徽省实施为期3年的艾滋病、结核病双重感染控制项目，取得了较好效果。该省近日公布的统计数据显示，到2009年年底，该省7个试点县共检出双重感染病人244名。经过有针对性的治疗，双重感染患者的涂阳肺结核治愈率达到78.2%。
艾滋病和结核病属伴发性疾病，其双重感染可加速患者病变进程，导致病情迅速恶化并死亡。目前，我国结核病防治和艾滋病防治分属不同的部门，过去二者间很少合作。从2006年年底开始，安徽在阜阳、宿州、淮北、亳州4市的7个县实施了艾滋病、结核病双重感染防治项目。项目采取的主要策略是：对结防门诊新登记的结核病病人进行免费艾滋病抗体检测，发现艾滋病病毒感染者；在艾滋病病毒感染者和患者中进行免费结核病筛查，发现结核病病人；对发现的双重感染者及时进行免费抗结核治疗和抗艾滋病治疗，同时对接受治疗的双重患者提供交通费补助。
经过3年努力，7个试点县共在结防门诊对14302名新发现的结核病病人进行艾滋病病毒抗体检测，发现阳性者41人；在2376名随访的艾滋病病毒抗体阳性者中进行结核病筛查，发现结核病病人203名。当地卫生部门均对查出的双重感染者进行了针对性治疗。
据安徽省结防所专家介绍，目前，对重感染者的防治还存在不少困难。比如，结防机构和艾防机构的合作问题；双重治疗中药品毒副作用增强问题；治疗中发生免疫重建综合征问题；患者依存性差等。相关技术人员正在进行相应的对策研究。
艾滋病和結核病易相生相伴
安徽解雙重感染難題初見成效
來源∶健康報 2010。03。18
本報訊（記者馮立中陳旭通訊員徐曉敏）艾滋病和結核病易相生相伴。近年來，安徽省實施為期3年的艾滋病、結核病雙重感染控制項目，取得了較好效果。該省近日公佈的統計數據顯示，到2009年年底，該省7個試點縣共檢出雙重感染病人244名。經過有針對性的治療，雙重感染患者的塗陽肺結核治愈率達到78.2%。
艾滋病和結核病屬伴發性疾病，其雙重感染可加速患者病變進程，導致病情迅速惡化並死亡。目前，我國結核病防治和艾滋病防治分屬不同的部門，過去二者間很少合作。從2006年年底開始，安徽在阜陽、宿州、淮北、亳州4市的7個縣實施了艾滋病、結核病雙重感染防治項目。項目採取的主要策略是：對結防門診新登記的結核病病人進行免費艾滋病抗體檢測，發現艾滋病病毒感染者；在艾滋病病毒感染者和患者中進行免費結核病篩查，發現結核病病人；對發現的雙重感染者及時進行免費抗結核治療和抗艾滋病治療，同時對接受治療的雙重患者提供交通費補助。
經過3年努力，7個試點縣共在結防門診對14302名新發現的結核病病人進行艾滋病病毒抗體檢測，發現陽性者41人；在2376名隨訪的艾滋病病毒抗體陽性者中進行結核病篩查，發現結核病病人203名。當地衛生部門均對查出的雙重感染者進行了針對性治療。
據安徽省結防所專家介紹，目前，對重感染者的防治還存在不少困難。比如，結防機構和艾防機構的合作問題；雙重治療中藥品毒副作用增強問題；治療中發生免疫重建綜合徵問題；患者依存性差等。相關技術人員正在進行相應的對策研究。
AIDS and tuberculosis Yi closely linked to
Solution of problems of double infection in Anhui initial success
Source: Health News 2010. 03.18
(Reporter correspondent Xiao-Min Xu Chen Xu Feng Li in) AIDS and tuberculosis, accompanied by easy to Aioi. In recent years, Anhui Province, the implementation of a 3-year AIDS, TB co-infection control project, and achieved good results. Recently, the province released statistics show that by the end of 2009, the province's seven pilot counties were found in 244 patients with dual infections. Through targeted therapy in patients with dual infections cure rate of smear-positive pulmonary tuberculosis reached 78.2%.
AIDS and tuberculosis are associated with disease, the lesions in patients with dual infection may accelerate the process, leading to rapid deterioration of illness and death. At present, tuberculosis control and AIDS prevention and control belong to different departments, in the past few co-operation between the two. From the end of 2006, Anhui Fuyang, Suzhou, Huaibei, Bozhou 4 City seven counties of AIDS, TB co-infection prevention and control projects. Key strategies adopted by the project are: out-patient newly registered TB control of TB patients for free HIV antibody testing and found that HIV-infected persons; in HIV-infected people and patients for free TB screening, the detection of tuberculosis patients; pairs found in the double infection in a timely manner free of anti-TB treatment and anti-AIDS treatment, while patients treated dual transport subsidies.
After three years of hard work, a total of seven pilot counties TB control clinic in the 14302 pairs of newly discovered TB patients HIV antibody testing, was found positive in 41; in 2376 follow-up of HIV-positive persons for TB screening, 203 TB patients was found. Local health departments to identify pairs of dual infection were targeted therapies.
According to TB control experts from Anhui Province, at present, prevention and treatment of heavy infections there are still many difficulties. For example, anti-TB control institutions and Ai cooperation agencies; dual therapy side effects of medicines to enhance problem; the treatment of immune reconstitution syndrome occurring problems; patients with poor dependence. Related technologies are making countermeasures research.
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