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The impact of HIV on tuberculosis control―owards concerted action

机译:艾滋病毒对结核病控制的影响-协同行动

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The well-established international control strategy for tuberculosis is based upon passive case-finding of the most infectious cases followed by effective chemotherapy with sufficient support to ensure and record a successful outcome. However, no country with a severe HIV epidemic is successfully controlling tuberculosis. HIV exerts a double blow. Not only must the health service manage a greatly increased number of patients (as many as fourfold higher in many African settings) but each individual patient needs to be managed more effectively if the control programme is to have a similar impact on transmission as it did in the pre-HIV era. In this paper, we discuss some of the effects of increased burden and stigmatization. We consider the potential of preventive therapy to reduce the impact of HIV on tuberculosis control and describe a more integrated approach to both infections that is being piloted in several sites in Southern Africa.
机译:公认的结核病国际控制策略是基于对大多数传染性病例的被动病例发现,然后进行有效的化学疗法并给予充分的支持,以确保并记录成功的结果。但是,没有一个艾滋病毒流行严重的国家能够成功控制结核病。艾滋病毒造成双重打击。卫生服务机构不仅必须管理大量增加的患者(在许多非洲国家中要高出四倍),而且如果控制程序要对传播产生类似的影响,则需要更有效地管理每个患者。艾滋病前时代。在本文中,我们讨论了负担增加和污名化的一些影响。我们认为预防性疗法可以减少HIV对结核病控制的影响,并描述了一种针对两种感染的更综合的方法,该方法正在南部非洲的多个地点进行试验。

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