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[肺结核发病率上升与艾滋病之间的关联]

[Correlation between increased incidence of pulmonary tuberculosis and AIDS].

作者信息

Gazdić A

机构信息

Dom zdravlja Sarajevo.

出版信息

Med Arh. 1998;52(4):207-9.

Abstract

There is an interaction between pulmonary TB abd AIDS, so it is necessary for these patients to take up HIV testing. Therefore, the young are especially considered for this and also those risk groups (homosexuals, drug abusers--i.v. injections, persons from specific geographic areas, haemophilics and persons who were often blood recipients. Pulmonary TB is sometimes the first sign of HIV infection; HIV positive and by TB infected persons are 30 times more likely to develop active tuberculosis than HIV negative; One third of increased incidence od TB in the last five years may be attributed to HIV; AIDS and pulmonary TB are both fatal--each of them accelerate the progress of the other; TB is the leading cause of death among HIV positive persons; The effective implementation DOTS strategy recommended by the World Health Organisation for the detecting and treatment of TB may ensure the longer life to the HIV positive patients: The treatment of TB to the HIV positive patients with antituberculotic drugs may be as effective as the cure with antituberculotic drugs for HIV negative persons. Finally, it is important to mention that doctors must think about tuberculosis infection among patients with AIDS, so they must give immediately sputum and tissue samples, for BK control the patients, but consider to make HIV test also especially young people and risk groups.

摘要

肺结核与艾滋病之间存在相互作用,因此这些患者有必要进行HIV检测。所以,尤其要考虑对年轻人以及那些高危人群(同性恋者、药物滥用者——静脉注射者、来自特定地理区域的人、血友病患者以及经常接受输血的人)进行检测。肺结核有时是HIV感染的首个迹象;HIV阳性且感染了肺结核的人患活动性结核病的可能性比HIV阴性者高30倍;过去五年中结核病发病率增加的三分之一可能归因于HIV;艾滋病和肺结核都是致命的——它们相互加速对方的发展进程;结核病是HIV阳性者死亡的主要原因;有效实施世界卫生组织推荐的用于检测和治疗结核病的直接观察短程化疗(DOTS)策略可确保HIV阳性患者延长寿命:用抗结核药物治疗HIV阳性患者的结核病可能与用抗结核药物治愈HIV阴性者一样有效。最后,必须提到的是,医生必须考虑艾滋病患者中的结核感染情况,所以他们必须立即采集痰液和组织样本以控制患者病情,但也要考虑对尤其是年轻人和高危人群进行HIV检测。

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