在HIV阳性患者和相关因素的结核病治疗失败
Guillermo Bosch1, Joan-Pau Millet2, Àngels Orcau3
1Hospital del Mar, Barcelona, Spain; Agència de Salut Pública de Barcelona, Barcelona, Spain.
Enfermedades infecciosas y microbiologia clinica (English ed.)
|December 3, 2025
概括
携带艾滋病毒 (PLHIV) 的人面临着更糟糕的结核病 (TB) 治疗结果. 无家可归和注射毒品使用增加了PLHIV肺结核治疗失败率,而接触者追踪提高了成功率.
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:
- 结核病 (TB) 是全球主要的死亡原因.
- 同时感染艾滋病毒显著恶化结核病治疗结果,降低成功率.
研究的目的:
- 根据巴塞罗那的艾滋病毒状况分析结核病治疗成功率.
- 确定与艾滋病毒感染者 (PLHIV) 结核病治疗失败相关的社会和健康相关因素.
主要方法:
- 利用巴塞罗那 (2001-2021) 所有结核病例的监测数据.
- 进行了多重回归分析,以探索与PLHIV治疗失败相关的因素.
主要成果:
- 在8406例结核病例中,有9%与HIV同时感染.
- 没有成功治疗的PLHIV更有可能是男性,注射药物,先前接受过结核病治疗,并且接触者追踪率较低.
- 无家可归和注射毒品使用与PLHIV治疗失败有关;接触者追踪改善了成功.
结论:
- 肺结核治疗失败的风险更高,特别是那些无家可归和注射毒品的人.
- 接触者追踪对于改善PLHIV的结核病治疗成功至关重要.
- 需要增加患者随访的资源,以提高结核病的PLHIV治疗结果.
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