Changing trend of registration of patients with Mycobacterium tuberculosis and human immunodeficiency virus co-infection in rural areas of Nanning City, 2014-2017
HE Bo, NONG Li-ping, LI Shu, LIN Qian, CHEN Wen-cai, LI Si-si, YAO Min, CEN Ping
Nanning Center for Disease Control and Prevention, Nanning, Guangxi 530023, China
Abstract：Objective To analyze the changing tendency of registration of patients with Mycobacterium tuberculosis (TB) and human immunodeficiency virus (HIV) co-infection (abbreviated as TB-HIV co-infection) in rural areas of Nanning City from 2014 to 2017, and to develop a scientific basis for formulating prevention and control measures of TB-HIV co-infection. Methods The data concerning annual reports on prevention and treatment of TB-HIV co-infection in all counties of Nanning City during 2014-2017 were collected. The changing trends of registration reports of TB-HIV co-infection patients in different years and different regions, TB patients with HIV/AIDS screening and HIV/AIDS patients with TB screening were statistically analyzed, and then the causal attribution and responsibility analyses of changing trends of registration reports were performed. Results The proportion of TB-HIV co-infected patients in rural areas of Nanning City during 2014-2017 accounted for 5.28% of the TB patients. Among the TB patients, the proportion of TB-HIV co-infected patients in Heng County increased year by year (χ2=24.260, P<0.001), but TB-HIV co-infected patients in Binyang County decreased with years (χ2=5.518, P<0.05). Among the TB patients, the differences in the proportions of total patients with TB-HIV co-infection in different counties in 2014-2017 showed statistically significant (χ2=141.132, P<0.001). The number of reported cases of TB-HIV co-infection in Nanning City in 2014-2016 increased by 108.97%, of which the registration reports of HIV/AIDS patients with TB screening increased by 150.79%, but the registration reports of TB patients with HIV screening decreased by 66.67%. The registration reports of HIV/AIDS patients with TB screening in Mashan County and Heng County increased by 543.75% and 933.33% respectively. The registration reports of TB patients with HIV/AIDS screening in Binyang County increased by 300%, while those of HIV/AIDS patients with TB screening decreased by 66.67%. The proportions of responsibility for the increase in the registration reports of HIV/AIDS patients with TB screening in Mashan County and Heng County were 102.35% and 24.71% respectively, while the proportion of responsibility for the decrease in the registration reports of HIV/AIDS patients with TB screening in Binyang County was -11.77%. Conclusions The registration of TB-HIV co-infected patients in rural areas of Nanning City during 2014-2016 increased rapidly mainly because of the increase in screening for TB among HIV/AIDS patients in Mashan County and Heng County. We should further strengthen and improve the comprehensive service mechanism for TB and AIDS, conduct skill training for professionals, adopt a variety of screening and detection methods to achieve a higher quality of detection and treatment of existing and potential TB-HIV co-infection, and effective control the spread of TB and AIDS epidemics.
何波, 农丽萍, 黎舒, 林倩, 陈文才, 李斯斯, 姚敏, 岑平. 2014－2017年南宁市农村地区TB/HIV双重感染患者登记变化趋势分析[J]. 实用预防医学, 2019, 26(6): 689-692.
HE Bo, NONG Li-ping, LI Shu, LIN Qian, CHEN Wen-cai, LI Si-si, YAO Min, CEN Ping. Changing trend of registration of patients with Mycobacterium tuberculosis and human immunodeficiency virus co-infection in rural areas of Nanning City, 2014-2017. , 2019, 26(6): 689-692.
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2019, Vol. 26 
