Haar C H, Cobelens F G J, Kalisvaart N A, van Gerven P J H J, van der Have J J
KNCV Tuberculosis Foundation, The Hague, The Netherlands.
Int J Tuberc Lung Dis. 2007 Sep;11(9):1038-41.
Human immunodeficiency virus (HIV) infection in tuberculosis (TB) patients in The Netherlands during the period 1993-2001 was associated with an increased risk of death (adjusted odds ratio 4.71, P < 0.002). Age and sex-standardised mortality rates among HIV-infected TB patients decreased significantly over time, from 22.9% in 1993-1995 to 11.8% in 1999-2001 (P < 0.001). No such change was observed for HIV-negative patients. The decrease in mortality is likely due to the more widespread use of highly active antiretroviral therapy (HAART).
1993年至2001年期间,荷兰结核病(TB)患者中的人类免疫缺陷病毒(HIV)感染与死亡风险增加相关(调整后的优势比为4.71,P<0.002)。随着时间的推移,HIV感染的结核病患者中按年龄和性别标准化的死亡率显著下降,从1993 - 1995年的22.9%降至1999 - 2001年的11.8%(P<0.001)。HIV阴性患者未观察到此类变化。死亡率的下降可能归因于高效抗逆转录病毒疗法(HAART)的更广泛使用。