Reid Alasdair, Scano Fabio, Getahun Haileyesus, Williams Brian, Dye Christopher, Nunn Paul, De Cock Kevin M, Hankins Catherine, Miller Bess, Castro Kenneth G, Raviglione Mario C
Stop TB Department, WHO, Geneva, Switzerland.
Lancet Infect Dis. 2006 Aug;6(8):483-95. doi: 10.1016/S1473-3099(06)70549-7.
Tuberculosis is the oldest of the world's current pandemics and causes 8.9 million new cases and 1.7 million deaths annually. The disease is among the most common causes of morbidity and mortality in people living with HIV. However, tuberculosis is more than just part of the global HIV problem; well-resourced tuberculosis programmes are an important part of the solution to scaling-up towards universal access to comprehensive HIV prevention, diagnosis, care, and support. This article reviews the impact of the interactions between tuberculosis and HIV in resource-limited settings; outlines the recommended programmatic and clinical responses to the dual epidemics, highlighting the role of tuberculosis/HIV collaboration in increasing access to prevention, diagnostic, and treatment services; and reviews progress in the global response to the epidemic of HIV-related tuberculosis.
结核病是当今全球流行时间最长的疾病,每年新增890万病例,导致170万人死亡。该疾病是艾滋病毒感染者发病和死亡的最常见原因之一。然而,结核病不仅仅是全球艾滋病毒问题的一部分;资源充足的结核病防治项目是扩大普及全面艾滋病毒预防、诊断、治疗和支持服务的解决方案的重要组成部分。本文回顾了资源有限环境中结核病与艾滋病毒相互作用的影响;概述了针对这两种流行病建议的项目和临床应对措施,强调了结核病/艾滋病毒合作在增加预防、诊断和治疗服务可及性方面的作用;并回顾了全球应对与艾滋病毒相关结核病疫情的进展。