重庆市HIV/AIDS流行特征及合并感染分析

Analysis of the epidemic characteristics and co-infections of HIV/AIDS in Chongqing

目的:分析重庆市HIV/AIDS流行特点及合并感染情况,为制定爱滋病控制策略提供科学依据。方法:对近年来重庆传染病医院及其他市级医院收治的54例HIV感染者进行流行病学调查。结果:HIV感染者中农民占61.11%;以30～49岁年龄段为主(占66.67%);传播途径以性传播途径为主(占57.41%)。合并多种感染,以肺部细菌感染、口腔白色念珠菌病、结核病等为主。结论:重庆市爱滋病的传播将以性接触传播为主;应将外出务工人员纳入爱滋病的防治策略中;临床工作中应对慢性腹泻、持续性发热、进行性消瘦或久治不愈的口腔念珠菌病患者常规进行HIV相关检查。

Objective：To analyze the epidemic trend and co-infections of HIV/AIDS in Chongqing in order to provide evidences for working out strategies for HIV/AIDS control and prevention. Methods：Epidemiological investigations were done among 54 HIV infected patients hospitalized in recent years. Rusults：The farmers accounted for 61.11% of 54 HIV infected people. 66.67% of all infected persons were 30-49 years old.The leading mode of HIV/AIDS transmission was sexual transmission.Many kinds of co-infections happened,the main clinical forms included bacterial pneumonia,oral candidiasis,tuberculosis and so on. Conclusions：The main transmission route of HIV/AIDS in Chongqing is sexual contact.Migrant labourers should be included in the strategy of AIDS＇prevention and therapy.In clinic,the examinations about HIV should be conventionally taken on patients with chronic diarrhea,lasting fever,progressive weight loss or uncured oral candidiasis.