绵阳市海洛因成瘾者HCV和HIV抗体监测分析

SURVEILLANCE AND ANALYSIS ON HCV ANTIBODY AND HIV ANTIBODY OF HEROIN ADDICTS IN MIANYANG

[目的]了解绵阳市海洛因成瘾者HCV、HIV感染现状,深入开展社区药物维持治疗工作。[方法]对首次参加社区药物维持治疗的海洛因成瘾者进行问卷调查,采血样检测HCV和HIV血清抗体。[结果]监测574名海洛因成瘾者,HCV抗体阳性率为74.91%,HIV抗体阳性率为2.96%。不同年龄组人群HCV抗体阳性率均高,HIV抗体阳性者集中在25～40岁人群。不同吸毒方式中,单纯口吸者HCV抗体阳性率为26.79%,未检出HIV抗体阳性;单纯注射吸毒者HCV抗体阳性率为80.12%,HIV抗体阳性率为3.28%。HCV和HIV合并感染率为2.79%。[结论]海洛因成瘾者HCV和HIV感染率高,应加大健康教育和综合干预力度,积极开展社区药物维持治疗工作,以减少共用针具的高危行为。

[Objective] To investigate the current situation of HCV infection and HIV infection in Mianyang, and conduct in-depth work of maintenance drug therapy in community. [Methods] Made a questionnaire survey and collected blood samples to detect HCV antibody and HIV antibody in heroin addicts who took part in maintenance drug therapy in community for the first time. [Results] We detected 574 heroin addicts, the positive rate of their HCV antibodies was 74.91%. and the positive rate of their HIV antibodies was 2.96%. The positive rate of HCV antibodies was high among different age groups, and the age range of people with positive HIV antibody was from 25 to 40. Among drug users with different ways of drug use, the positive rate of HCV antibodies of the ones who inhaled was 26.79%, and no HIV antibody was positive; the positive rate of HCV antibodies of the injection drug users was 80.12%, and the positive rate of their HIV antibodies was 3.28%. The co-infection rate of HCV and HIV was 2.79%. [Conclusion] The infection rate of HCV and HIV is high in heroin addicts, so we should intensify efforts at health education and integrated interventions, and actively conduct the work of maintenance drug therapy in community to reduce the high risk behavior of needle sharing.