[2005年至2018年智利圣地亚哥市结核病/艾滋病毒合并感染情况的演变]
[Evolution of tuberculosis/HIV coinfection in Metropolitan Santiago, Chile from 2005 to 2018].
作者信息
Olmos Claudio, Stuardo Valeria, Ramonda Paulina, Peña Carlos
机构信息
Programa de Doctorado en Metodología de la Investigación Biomédica y Salud Pública, Departamento de Pediatría, Ginecología y Medicina Preventiva, Universidad Autónoma de Barcelona, Barcelona, España.
Programa de Epidemiología, Escuela de Salud Pública, Universidad de Chile, Santiago, Chile.
出版信息
Rev Med Chil. 2020 May;148(5):618-625. doi: 10.4067/S0034-98872020000500618.
BACKGROUND
Tuberculosis (TB)/HIV coinfection has a high mortality rate.
AIM
To describe socio-epidemiological characteristics of tuberculosis (TB)-HIV coinfection, and aspects associated with its prevalence, from 2005 to 2018.
MATERIAL AND METHODS
Analysis of the registry of the tuberculosis control and elimination program of three public health services of metropolitan Santiago. The variables considered were: TB/HIV coinfection, age, sex, location of tuberculosis, bacteriological confirmation, incarceration, commune of residence, country of origin and effectiveness of the tuberculosis therapy.
RESULTS
We analyzed 7507 TB cases, of whom 12% corresponded to cases of coinfection. The number of coinfections doubled in the last 6 years. In 2018, 45% of coinfection cases occurred in migrants. Of the total cases evaluated, 53% were successfully treated and 28% died.
CONCLUSIONS
The remarkable increase in TB/HIV coinfection, urgently demands new prevention and control strategies, aimed at the most vulnerable groups.
背景
结核病（TB）/艾滋病毒合并感染死亡率很高。
目的
描述2005年至2018年期间结核病（TB）-艾滋病毒合并感染的社会流行病学特征及其流行相关因素。
材料与方法
对圣地亚哥大都会区三个公共卫生服务机构的结核病控制与消除项目登记册进行分析。所考虑的变量包括：TB/艾滋病毒合并感染、年龄、性别、结核病发病地点、细菌学确诊情况、监禁情况、居住社区、原籍国以及结核病治疗效果。
结果
我们分析了7507例结核病病例，其中12%为合并感染病例。在过去6年中，合并感染病例数翻了一番。2018年，45%的合并感染病例发生在移民中。在评估的所有病例中，53%得到成功治疗，28%死亡。
结论
TB/艾滋病毒合并感染显著增加，迫切需要针对最脆弱群体制定新的预防和控制策略。
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