International Center for AIDS Care and Treatment Programs, Mailman School of Public Health, Columbia University, New York, New York 10032, USA.
Clin Infect Dis. 2010 May 15;50 Suppl 3:S238-44. doi: 10.1086/651497.
Promoting linkages between tuberculosis (TB) and human immunodeficiency virus (HIV) treatment and prevention programs in resource-constrained environments where both diseases are prevalent is essential to improve the diagnosis, treatment, and outcomes for patients affected by both diseases. In this article, we share insights based on our experiences supporting integrated TB and HIV service delivery programs, including intensified TB case finding, isoniazid preventive therapy, infection control, and initiation of antiretroviral therapy. Our experience indicates that successful integration of TB and HIV services in resource-constrained environments is feasible, although programmatic, infrastructural, and staffing challenges remain. Successful implementation of TB and HIV collaborative activities requires consideration of the realities that exist on the ground and the importance of tailoring interventions in a manner that enables their seamless introduction into existing programs that are often overwhelmed with large numbers of patients and a paucity of human and other resources.
在资源有限的环境中，促进结核病 (TB) 和人类免疫缺陷病毒 (HIV) 治疗和预防计划之间的联系对于改善同时患有这两种疾病的患者的诊断、治疗和结果至关重要。在本文中，我们将分享基于支持整合 TB 和 HIV 服务提供计划的经验，包括强化 TB 病例发现、异烟肼预防治疗、感染控制和启动抗逆转录病毒治疗。我们的经验表明，在资源有限的环境中成功整合 TB 和 HIV 服务是可行的，尽管仍然存在方案、基础设施和人员配备方面的挑战。成功实施 TB 和 HIV 合作活动需要考虑到实际情况，并且必须重视以一种能够将干预措施无缝引入到现有计划中的方式进行调整，这些计划通常因大量患者和缺乏人力和其他资源而不堪重负。
