中国防痨杂志2025，Vol.47Issue(1)：1-11,11.DOI:10.19982/j.issn.1000-6621.20240411
脊柱结核并发HIV/AIDS患者诊断及治疗专家共识(第2版)
Expert consensus on diagnosis and treatment of spinal tuberculosis with HIV/AIDS(2nd Edition)
摘要
Abstract
Patients with spinal tuberculosis co-infected with HIV/AIDS are profoundly immunocompromised,significantly complicating their clinical management.To establish standardized protocols for diagnosing and treating this dual pathology,thereby enhancing clinical understanding and providing evidence-based treatment guidelines,the Joint Tuberculosis Professional Branch of Chinese Antituberculosis Association,in collaboration with the Western China Bone Tuberculosis Alliance,the North China Bone Tuberculosis Alliance,and the Editorial Board of Chinese Journal of Antituberculosis,formulated and released the Expert consensus on the diagnosis and treatment of patients with spinal tuberculosis complicated with HIV/AIDS in May 2020.The consensus opens with an overview of the epidemiological context of spinal tuberculosis complicated by HIV/AIDS.It provides a detailed discussion on the common clinical manifestations,laboratory diagnostic criteria,as well as pharmacological and surgical treatment options.Furthermore,it addresses critical aspects such as occupational exposures,necessary precautions during surgery,and outlines future research directions for the management of spinal tuberculosis complicated by HIV/AIDS.Building upon the first edition of the consensus,and incorporating both the clinical experience and diagnostic and therapeutic approaches for spinal tuberculosis complicated by HIV/AIDS in China,as well as relevant international research findings,the consensus writing group has jointly developed the second edition of the Expert consensus on diagnosis and treatment of spinal tuberculosis with HIV/AIDS.This updated version highlights recent epidemiological trends over the past five years,advances in preoperative antiviral therapy,and the evolving anti-tuberculosis treatment regimens for drug-resistant tuberculosis.The consensus also discusses the advancements in minimally invasive surgery for the treatment of spinal tuberculosis complicated by HIV/AIDS,as well as the potential application of accelerated recovery surgery principles in the management of these patients.The aim is to provide clinicians with a comprehensive framework for accurate diagnosis and evidence-based treatment of spinal tuberculosis complicated by HIV/AIDS.关键词
结核,脊柱/HIV感染/获得性免疫缺陷综合征/共病现象/总结性报告(主题)Key words
Tuberculosis,spinal/HIV infections/Acquired immunodeficiency syndrome/Comorbidities/Consensus development conferences as topic分类
临床医学引用本文复制引用
《脊柱结核并发HIV/AIDS患者诊断及治疗专家共识》编写组,中国防痨协会骨关节结核专业分会,中国性病艾滋病防治协会艾滋病外科专业委员会,中国西部骨结核联盟,中国华北骨结核联盟,秦世炳,蒲育,张强..脊柱结核并发HIV/AIDS患者诊断及治疗专家共识(第2版)[J].中国防痨杂志,2025,47(1):1-11,11.基金项目
北京市科技计划课题(D141107005214002) （D141107005214002）
成都市卫生健康委员会科研课题(2022072) Beijing Science and Technology Program(D141107005214002) （2022072）
Scientific Research Project of Chengdu Municipal Health Commission(2022072) （2022072）
