南京市160名吸毒人员HBV、HCV、HIV和梅毒感染状况调查分析

Analysis on status of HBV,HCV,HIV and Syphilis infection among drug addicts in Nanjing City

目的:通过对南京市某戒毒所吸毒人员抗-HBV、抗-HCV、抗-HIV和梅毒抗体的检测以及问卷调查,了解吸毒人群这几种经血液、性传播疾病的感染情况及相关危险因素,为预防控制这些病在这组人群的流行提供科学依据。方法:对南京市某戒毒所2008年的160名吸毒者进行抗-HBV、抗-HCV、抗-HIV和梅毒抗体检测以及问卷调查,并对结果进行统计和分析。结果:南京市吸毒人员HBV感染率为51.25%(82/160),HCV感染率为53.13%(85/160),梅毒感染率为3.75%(6/160),HIV感染率为0%(0/160)。HCV、HBV的感染途径以静脉注射毒品为主,而共用注射器导致感染率升高。结论:被调查吸毒人群中HCV、HBV和梅毒感染率大大高于普通人群,存在血源性疾病和性传播疾病的传播和流行的风险,应加强对吸毒人群的监测、宣传教育和行为干预。

Objective：To investigate the status on the infection of HBV,HCV,HIV and Syphilis in a drug rehabilitation center in Nanjing and find out the related risk factors that these diseases were transmitted by blood or sex route among drug addicts so as to provide scientific basis for the prevention and control of these diseases among them.Methods：Antibodies anti-HBV,HIV,HCV or Syphilis were detected in 160 drug addicts of a drug rehabilitation center in Nanjing in 2008 and the questionnaire was completed at the same time.The results were analyzed statistically.Results：The infection rate of HBV was 51.25%（82/160）,HCV 53.13%（85/160）,HIV 0%（0/160）,and syphilis 10.29%（50/486）.HCV and HBV were mainly transmitted by sharing syringes among the intravenous drug users.Conclusion：The infectious rate was higher among the drug addicts than among other general population.And the epidemic or transmission risk of HBV,HCV or Syphilis was higher among the investigated drug addicts.So,it is necessary to enhance surveillance,education and behavioral intervention for drug addicts.