2014-2018年韶关市某性病门诊就诊者HIV和性病感染状况

Status of HIV and STD infection in a STD clinic in Shaoguan city in 2014-2018

目的分析韶关市某性病门诊就诊者人类免疫缺陷病毒(HIV)和性病患病率状况,为艾滋病及性病的防治提供科学依据。方法对2014-2018年韶关市某性病门诊就诊者展开问卷调查,同时抽取各就诊者血样进行HIV抗体及梅毒抗体检测。录入各患者各项就诊资料,建立数据库进行统计学分析。结果共纳入性病门诊就诊者4986例,以青中年男性为主。2014-2018年总HIV阳性例数12例,占比为0.24%;性病感染率为14.28%,主要以感染梅毒、淋病、衣原体及尖锐湿疣为主。2014-2018年就诊的4986例患者中有1611例患者承认在近3个月内存在非婚性伴,占比32.31%,其中性病感染479例,感染率为29.73%,HIV阳性例数为12例,感染率为0.24%。而无非婚性伴的患者仅感染233例,感染率为6.90%,无HIV阳性病例。在存在非婚性伴的检测对象中,从未使用安全套者499例(占10.01%),其中性病感染312例,感染率为62.53%;有时使用安全套者884例(占17.73%),性病感染152例,感染率为17.19%;而每次使用安全套者228例(占4.57%),性病感染15例,感染率为6.58%。结论韶关市某性病门诊就诊者HIV感染率不容忽视,且其性病感染率较高,今后应加强健康教育的宣传力度,加大安全套的推广使用,倡导健康性行为。

Objective To analyze the human immunodeficiency virus(HIV)and sexually transmitted disease(STD)infection status of an STD outpatient clinic in Shaoguan city from 2014 to 2018,and provide scientific data for the prevention and treatment of AIDS and STD.Methods A questionnaire survey was carried out among clinic patients with sexually transmitted diseases in Shaoguan city from 2014 to 2018.Patient database was setup and the data was statistical analyzed.Results A total of 4986 STD patients were included in this study,mainly young and middle-aged males.In 2014-2018,the total number of HIV positive cases was 12,accounting for 0.24%;the sexually transmitted infection rate was 14.28%,mainly due to infection with syphilis,gonorrhea,chlamydia and condyloma acuminata.Among the 4986 patients who visited the company in 2014-2018,1611 patients admitted to having non-marital partners in the past 3 months,accounting for 32.31%.Among them,479 cases had sexually transmitted diseases,with an infection rate of 29.73%,and the number of HIV positive cases was 12,with the infection rate of 0.24%.The patients without non-marriage partners only 233 cases had STD,with the infection rate of 6.90%,no HIV-positive cases.Among the subjects with nonmarital partners,499 cases(10.01%)had never used condoms,including 312 cases of sexually transmitted diseases,with the infection rate of 62.53%.884 cases(7.73%)sometimes used condoms;of which,152 cases had sexually transmitted infections,with the infection rate of 17.19%;228 cases(4.57%)used condoms and 15 cases had sexually transmitted diseases,with the infection rate of 6.58%.Conclusion The rate of HIV infection in an outpatient clinic of sexually transmitted diseases in Shaoguan city was on the rise,and the rate of sexually transmitted diseases was high.In the future,the publicity of health education should be strengthened,and should increase the promotion of condom use,and promote safe sexual behavior.