van der Werf M J, Yegorova O B, Chechulin Y, Hasker E, Veen J, Turchenko L V
KNCV Tuberculosis Foundation, The Hague, The Netherlands.
Int J Tuberc Lung Dis. 2005 Jul;9(7):733-9.
The Kiev City Health Administration published a new policy for human immunodeficiency virus (HIV) testing of tuberculosis (TB) patients. According to this policy, all TB patients should be offered voluntary HIV testing after counselling.
To evaluate the implementation of the new HIV testing policy and to determine the HIV prevalence in TB patients in Kiev City.
TB patient medical records were retrieved from eight TB facilities in Kiev City. They were reviewed for information about offering an HIV test, accepting to be HIV tested and outcome of the HIV test. Information was collected about patient characteristics and TB risk groups.
Of 914 patients, 75% were offered HIV testing. Females were less frequently and alcohol abusers more frequently offered HIV testing. Of the patients who were offered HIV testing, 84% accepted. Of the 574 who were HIV tested, 36 (6.3%) had a positive test result.
Not all TB facilities adhere strictly to the new policy. HIV testing seemed to be targeted to individuals with a high risk for HIV infection. To improve adherence to the new policy we recommend training of TB physicians in voluntary counselling and testing. The HIV prevalence among TB patients in Kiev City was 6.3%.
基辅市卫生管理部门发布了一项针对结核病（TB）患者进行人类免疫缺陷病毒（HIV）检测的新政策。根据该政策，所有结核病患者在接受咨询后应接受自愿HIV检测。
评估新的HIV检测政策的实施情况，并确定基辅市结核病患者中的HIV感染率。
从基辅市的八个结核病治疗机构检索结核病患者的病历。审查病历以获取有关提供HIV检测、接受HIV检测以及HIV检测结果的信息。收集了有关患者特征和结核病风险群体的信息。
在914名患者中，75%的患者接受了HIV检测。女性接受HIV检测的频率较低，酗酒者接受检测的频率较高。在接受HIV检测的患者中，84%的患者接受了检测。在574名接受HIV检测的患者中，36名（6.3%）检测结果呈阳性。
并非所有结核病治疗机构都严格遵守新政策。HIV检测似乎针对的是HIV感染风险较高的个体。为了提高对新政策的遵守情况，我们建议对结核病医生进行自愿咨询和检测方面的培训。基辅市结核病患者中的HIV感染率为6.3%。
