街头暗娼危险行为监测和HIV HCV HbsAg梅毒检测结果分析

Surveillance of risk behawiors facilitating among commercial sex works and analysis of HIV,Syphilis,HCV and HBV infection

目的分析本市女性性服务人群艾滋病病毒(HIV)、梅毒螺旋体(TP)、丙型肝炎病毒(HCV)、乙型肝炎病毒(HBV)感染情况。为我市疾病预防和控制提供依据。方法对性服务者填写调查问卷、采集血液标本,用酶联免疫吸附试验(ELISA)、蛋白印迹试验(WB)检测、确证HIV感染;用快速血浆凝集试验(RPR)明胶颗粒凝集试验(TPPA)检测梅毒感染;用ELISA检测丙肝和乙肝。结果最近一次与客人使用安全套的占55.69,与客人每次都用安全套的占12.66%。475例性服务人员中检出HIV抗体阳性1例(0.21%),梅毒阳性4例(0.84%),HbsAg阳性38例(11.95%),HCV阳性26例(5.42%)。结论应加大对该类人群的宣传和干预力度,充分利用各种机构促进SSWs人群的健康,从而遏制AIDS/STDR流行。

Objective To understand HIV Syphilis HCV and HBV infection among sex service crowd and to provide information for controlling these diseases.Methods Sex workers filled out questionnaires,blood collected specimens,enzyme immunosorbent adsorption test（ELISA）,protein imprinting test（WB） detection,corroborating HIV infection;With the fast plasma agglutinate experiment（RPR） gelatin particles agglutinate experiment（TPPA） testing syphilis infection;With ELISA test hepatitis c and hepatitis b,in strict accordance with the operation of the kit.Results Guest 3.56m Recent and guest condoms 55.69,with the guest of every time use condoms accounted for 12.66%.Example sex service personnel in the check out anti-HIV positive in 1 case（accuracy is 0.21%） syphilis positive 4 cases（0.84%） HbsAg positive（38 cases 11.95%） HCV positive 26 cases（statistics show 5.42%）.Conclusions We shoulcl strengthen the efficiency of this spread of people＇s health education＇s our chance.