Abouya L, Coulibaly I M, Wiktor S Z, Coulibaly D, N'kragbo M, N'gbo A, Zahui H, Touré K, Jacquemin K, San-Koffi M, Ackah A, Sassan-Morokro M, Maurice C, Whitaker J P, De Cock K M, Greenberg A E
Projet RETRO-CI, Abidjan, Côte d'Ivoire.
AIDS. 1998 Mar 26;12(5):505-12. doi: 10.1097/00002030-199805000-00012.
To describe the implementation of a free, voluntary and confidential HIV counseling and testing program for patients with newly diagnosed tuberculosis at the eight large outpatient tuberculosis centers in Côte d'Ivoire, and to present epidemiologic findings on participating patients.
HIV counseling and testing program with ongoing HIV serosurveillance.
HIV counseling and testing services were established at the two tuberculosis centers in Abidjan in 1989 and were extended to six centers in the Côte d'Ivoire interior in the first half of 1994. Characteristics of counseled patients, acceptance rates of HIV testing, and HIV serologic results were analyzed for all eight centers from 1994 to 1996. Temporal trends in HIV seropositivity rates were examined for the two centers of Abidjan from 1989 to 1996.
From July 1994 through December 1996, 17 946 (91.8%) out of 19 594 patients who were counseled at the eight centers in Côte d'Ivoire consented to HIV testing, of whom 7749 (43.2%) were HIV-seropositive. The highest rates of 47.0 and 45.6% were found in the two centers in Abidjan, with rates ranging from 32.9 to 42.4% in the six centers in the interior. HIV-seropositive tuberculosis patients from each of the 50 districts in Côte d'Ivoire were identified. In Abidjan, the HIV seropositivity rate remained relatively stable among men (46.7% in 1989, 48.5% in 1991, 43.6% in 1996), but rose sharply among women from 32.7% in 1989 to 50.1% in 1996.
The high HIV seropositivity rates among tuberculosis patients in all geographic regions of Côte d'Ivoire indicate that the HIV epidemic has now spread throughout the country. However, the successful implementation of an extensive HIV counseling and testing program for more than 37000 tuberculosis patients to date demonstrates the commitment of the Côte d'Ivoire Ministry of Health to integrating HIV/AIDS prevention activities with tuberculosis control efforts. When logistically and economically feasible, the extension of HIV-related social and clinical services to HIV-seropositive tuberculosis patients should be considered by other national tuberculosis control programs in Africa.
描述在科特迪瓦的八个大型门诊结核病中心为新诊断的结核病患者实施免费、自愿且保密的艾滋病毒咨询和检测项目的情况，并展示参与项目患者的流行病学调查结果。
开展艾滋病毒血清监测的艾滋病毒咨询和检测项目。
1989年在阿比让的两个结核病中心设立了艾滋病毒咨询和检测服务，并于1994年上半年扩展到科特迪瓦内陆的六个中心。分析了1994年至1996年所有八个中心接受咨询患者的特征、艾滋病毒检测接受率和艾滋病毒血清学结果。研究了1989年至1996年阿比让两个中心艾滋病毒血清阳性率的时间趋势。
1994年7月至1996年12月，在科特迪瓦八个中心接受咨询的19594名患者中，有17946名（91.8%）同意接受艾滋病毒检测，其中7749名（43.2%）艾滋病毒血清呈阳性。阿比让的两个中心阳性率最高，分别为47.0%和45.6%，内陆六个中心的阳性率在32.9%至42.4%之间。确定了科特迪瓦50个区中每个区的艾滋病毒血清阳性结核病患者。在阿比让，男性中的艾滋病毒血清阳性率保持相对稳定（1989年为46.7%，1991年为48.5%，1996年为43.6%），但女性中的阳性率从1989年的32.7%急剧上升至1996年的50.1%。
科特迪瓦所有地理区域结核病患者中艾滋病毒血清阳性率很高，这表明艾滋病毒疫情现已蔓延至全国。然而，迄今为止为超过37000名结核病患者成功实施广泛的艾滋病毒咨询和检测项目，表明科特迪瓦卫生部致力于将艾滋病毒/艾滋病预防活动与结核病控制工作相结合。在后勤和经济可行的情况下，非洲其他国家的结核病控制项目应考虑将与艾滋病毒相关的社会和临床服务扩展到艾滋病毒血清阳性的结核病患者。
