2003～2006年济南市部分HIV感染者/AIDS病人流行病学分析和个案随访调查

Epidemiological Analysis and Individual Consultation about some HIV Infectors/AIDS Patients in Ji'nan City from 2003 to 2006

[目的]了解济南市HIV感染者/AIDS病人的发病特征,为预防和控制艾滋病的流行提供依据。[方法]对每一个HIV感染者/AIDS病人建立个人档案,定期随访,并进行CD4检测。[结果]2003～2006年,济南市累计发现HIV感染者/AIDS病人54例,累计发病率0.88/10万。其中,HIV感染者43例,AIDS病人11例,已死亡4例。经性接触传播40例,占74.1%,其中同性性接触占性接触传播的32.5%;血液传播12例,占22.2%;不详2例,占3.7%。报告病例主要来自综合医院住院病人、外来妇女、VCT,分别占25.9%、22.2%、22.2%。先后对34例HIV感染者/AIDS病人进行CD4检测,其中11例CD4+T淋巴细胞<200/mm3。对符合国家规定抗病毒治疗条件的11例AIDS病人均进行了抗病毒治疗,随访发现家庭内传播6例。[结论]济南市发现的HIV感染者/AIDS病人逐年增加。性接触是主要感染途径。应采取有效措施,预防与控制艾滋病的传播。

[Objective]To understand the prevalence feature and infective routes of 54 cases who infected HIV infectors /AIDS patients in Ji＇nan by analysis their epidemiological and subsequent consultation data, and to explore the effective prevention and control measures for HIV/AIDS. [Methods]To set up individual files for every HIV infector/AIDS patients,periodical consultation and CD4 test were conducted. [Results]From 2003 to 2006, the total number of anti-HIV positive cases in Ji＇nan were 54, the cumulative incidence rate was 0.88/100 000. 43 were HIV infectors and 11 were AIDS patients. There were 40 cases infected by sex contact, it was 74. 1% among all HIV infectors /AIDS patients. 12 cases blood infection were 22.2%,2 cases unclear were 3.7%. Case was chief from polyclinic inpatients and immigrant women and seekers of VCT,it was 25.9 %, 22.2 %, 22.2 % respectively. Among 34 infectors/AIDS patients with CD4 cell counts below 200/mm^3 were 11 cases. 11 AIDS patients who received ART from consultation, and 6 HIV infectors were from spouses and periodic sex partners. [Conclusion] From 2003, the number of HIV infector/AIDS patient discovercd every year in Ji＇nan is on the increase. Sex contact was the major transmission route. It must to make effective measures to pre- vent and control AIDS.