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尼日利亚北部一家农村结核病转诊诊所中结核病患者的艾滋病毒感染血清流行率。

Sero-prevalence of HIV infection among tuberculosis patients in a rural tuberculosis referral clinic in northern Nigeria.

作者信息

Pennap Grace, Makpa Stephen, Ogbu Sam

出版信息

Pan Afr Med J. 2010 Jun 21;5:22.

Abstract

Co-infection with Human Immunodeficiency virus (HIV) and Mycobacterium tuberculosis the causative agent of Tuberculosis (TB), has been referred to as the "cursed duet" as a result of the attendant morbidity and mortality due to their synergistic actions. This study was carried out to determine the prevalence of HIV infection among Tuberculosis (TB) confirmed patients on admission at a TB referral centre. The association of HIV prevalence with gender and age as risk factors was also determined. Blood samples were collected by venipuncture from 257 TB patients and their HIV status determined. Viral antibody detection was carried out using ELISA kits which detected both HIV-1 and HIV-2 and confirmed by Western blot. Of the 257 patients screened, 44.20% (106) were HIV positive. The prevalence of co-infection was higher among the female (44.82%) than the male (38.30%) patients and highest among those aged 21-40 years old (45.30%). Co-infection was found to be statistically highly associated with gender and age (p<0.05). A very high prevalence of HIV infection was reported in this study among patients that were on admission on the grounds that they had only TB. It is therefore important to screen for HIV among all TB patients.

摘要

人类免疫缺陷病毒(HIV)与结核病的病原体结核分枝杆菌共同感染,因其协同作用导致的发病率和死亡率,被称为“致命二重奏”。本研究旨在确定一家结核病转诊中心确诊入院的结核病患者中HIV感染的患病率。还确定了HIV患病率与作为风险因素的性别和年龄之间的关联。通过静脉穿刺从257名结核病患者采集血样并确定其HIV状态。使用可检测HIV-1和HIV-2的ELISA试剂盒进行病毒抗体检测,并通过Western印迹法进行确认。在筛查的257名患者中,44.20%(106名)为HIV阳性。女性患者(44.82%)的合并感染患病率高于男性患者(38.30%),且在21至40岁年龄组中患病率最高(45.30%)。发现合并感染与性别和年龄在统计学上高度相关(p<0.05)。本研究报告了在仅患有结核病而入院的患者中HIV感染患病率非常高。因此,对所有结核病患者进行HIV筛查很重要。

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