湖北口岸传染病监测发现22例HIV感染者情况分析

The Analysis on Situation of 22 Cases of HIV Infected Persons Who were found by Infectious Dieases Surveillance at Hubei Port

目的了解湖北口岸出入境及相关人员中HIV感染者的传播特点,制定预防控制措施,对艾滋病高危人群的干预、管理提供依据。方法采用酶联免疫吸附试验(ELISA),明胶颗粒凝集试验(PA)和蛋白印迹试验(WB)方法对1988～2004年在湖北口岸传染病监测体检中发现HIV感染者。对HIV感染者进行流行病学调查。结果共检出HIV感染者22例,其中外籍6例、中国大陆10例、中国香港4例、中国台湾2例,感染呈境外输入为主,且以不洁性行为为主要传播途径。HIV感染者中以20～39岁年龄组为高发年龄,占感染者的77.27%,性别以男性为主,16例,占72.73%,明显高于女性。结论加强口岸高危人群的艾滋病监测力度,早期发现HIV感染者并给予干预和管理,同时加强对青少年的性健康教育是控制HIV传播、蔓延和扩散的重要环节。

Objective This paper intends to find out the spreading features of HIV infectors among entry-exit and correlated people at the port of Hubei, which could provide a basis for framing preventive and control measures, as well as for the intervention and supervision in people with a high risk of AIDS. Method In the infectious diseases surveillance at Hubei port during 1988-2004, HIV infected persons were detected by ELISA, PA and WB. Epidemiological investigation of HIV infected persons were made. Result 22 HIV infected persons were detected, including 6 from foreign countries, 10 from Chinese main- land, 4 from HongKong and 2 from Taiwan. The infection is mainly streamed from outside, and major infectious pathway is through unsafe sexual behavior. Among all HIV infected persons, the infection of 20-39 years old has the highest rate (77.27%); male infected persons, totally 16, have a much higher proportion(72.73%) than female infected persons. Conclusion The enhancement of AIDS supervision in high-risk people at ports, early detection of HIV infected persons and the execution of proper intervention and administration to them, together with sex health education to juveniles are the key methods to control the infection、spread and diffusion of HIV.