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南非整合结核病与艾滋病治疗服务的理由。

The case for integrating tuberculosis and HIV treatment services in South Africa.

作者信息

Wood Robin

机构信息

The Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

出版信息

J Infect Dis. 2007 Dec 1;196 Suppl 3:S497-9. doi: 10.1086/521118.

DOI:10.1086/521118
PMID:18181700
Abstract

Integration of human immunodeficiency virus (HIV) and tuberculosis (TB) services is critical to effectively addressing both epidemics in South Africa. Examples of the specific need to integrate TB and HIV services are presented from a community in Cape Town, South Africa, with high burdens of HIV infection and TB and from an antiretroviral therapy (ART) program in a peri-urban township. TB and HIV service integration is needed in 3 specific scenarios presented in this article: for the public health control of TB, in the use of a TB diagnosis as an impetus for entry into an ART program, and to manage incident TB in patients in an ART program.

摘要

整合人类免疫缺陷病毒(HIV)和结核病(TB)服务对于有效应对南非的这两种流行病至关重要。本文列举了南非开普敦一个社区以及一个城郊乡镇的抗逆转录病毒治疗(ART)项目中结核病和HIV服务整合的具体需求实例,该社区HIV感染和结核病负担沉重。本文介绍了三种具体情况下需要整合结核病和HIV服务的情况:用于结核病的公共卫生控制、将结核病诊断作为进入ART项目的契机以及管理ART项目患者中的新发结核病。

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