在博茨瓦纳的结核病患者中抗结核药物耐药性和匿名HIV监测,2002年
L J Nelson1, E A Talbot, M J Mwasekaga
1Division of Tuberculosis Elimination, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA. LBN9@CDC.GOV
Lancet (London, England)
|August 9, 2005
概括
1995年至2002年,博茨瓦纳的结核病耐药性显著增加,与高艾滋病毒患病率相吻合. 需要紧急的结核病控制干预措施来打击日益增长的耐药性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 自1989年以来,博茨瓦纳的结核病 (TB) 病例增加了三倍.
- 上世纪90年代之前的调查显示,抗结核病药物耐药性率较低.
研究的目的:
- 评估1995年至2002年博茨瓦纳结核病耐药性和艾滋病毒流行率的趋势.
- 确定艾滋病毒对博茨瓦纳结核病流行病学的影响.
主要方法:
- 2002年进行了一项全国性的调查,收集了结核病患者的唾液样本.
- 匿名,快速的艾滋病毒检测 (Oraquick) 在参与患者身上进行.
- 对新的结核病例和以前治疗的结核病例分析了耐药性模式.
主要成果:
- 结核病患者中艾滋病毒的患病率很高,其中60% (1457例2200例涂抹阳性和219例复发病例) 感染了艾滋病毒.
- 新患者的抗结核药物耐药性显著增加,从1995年的3.7%增加到2002年的10.4% (p<0.0001).
结论:
- 博茨瓦纳出现了耐药结核病的大幅增加.
- 高艾滋病毒发病率是结核病流行病的一个重要因素.
- 在博茨瓦纳,迫切需要采取有效的结核病控制干预措施,以制进一步的耐药性.
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