Chakaya J M, Mansoer J R, Scano F, Wambua N, L'Herminez R, Odhiambo J, Mohamed I, Kangangi J, Ombeka V, Akeche G, Adala S, Gitau S, Maina J, Kibias S, Langat B, Abdille N, Wako I, Kimuu P, Sitienei J
Centre for Respiratory Diseases Research, Kenya Medical Research Institute, Nairobi, Kenya.
Int J Tuberc Lung Dis. 2008 Apr;12(4):424-9.
Kenya, one of the 22 tuberculosis (TB) high-burden countries, whose TB burden is fuelled by the human immunodeficiency virus (HIV).
To monitor and evaluate the implementation of HIV testing and provision of HIV care to TB patients in Kenya through the establishment of a routine TB-HIV integrated surveillance system.
A descriptive report of the status of implementation of HIV testing and provision of HIV interventions to TB patients one year after the introduction of the revised TB case recording and reporting system.
From July 2005 to June 2006, 88% of 112835 TB patients were reported to the National Leprosy and TB Control Programme, 98773 (87.9%) of whom were reported using a revised recording and reporting system that included TB-HIV indicators. HIV testing of TB patients increased from 31.5% at the beginning of this period to 59% at the end. Of the 46428 patients tested for HIV, 25558 (55%) were found to be HIV-positive, 85% of whom were provided with cotrimoxazole preventive treatment and 28% with antiretroviral treatment.
A country-wide integrated TB-HIV surveillance system in TB patients can be implemented and provides essential data to monitor and evaluate TB-HIV related interventions.
肯尼亚是22个结核病高负担国家之一,其结核病负担因人类免疫缺陷病毒(HIV)而加重。
通过建立常规结核病-艾滋病综合监测系统,监测和评估肯尼亚结核病患者的HIV检测实施情况以及为其提供的HIV治疗情况。
在引入修订后的结核病病例记录和报告系统一年后,对结核病患者的HIV检测实施情况以及为其提供的HIV干预措施状况进行描述性报告。
2005年7月至2006年6月期间,112835例结核病患者中有88%向国家麻风病和结核病控制项目进行了报告,其中98773例(87.9%)是使用包含结核病-艾滋病指标的修订记录和报告系统进行报告的。结核病患者的HIV检测率从这一时期开始时的31.5%增至末期的59%。在46428例接受HIV检测的患者中,有25558例(55%)被发现HIV呈阳性,其中85%的患者接受了复方新诺明预防性治疗,28%的患者接受了抗逆转录病毒治疗。
可以在全国范围内实施针对结核病患者的结核病-艾滋病综合监测系统,该系统可为监测和评估结核病-艾滋病相关干预措施提供重要数据。